Application No.

Application of Ban Ki-moon Cup 1st International Taekwondo Championships

❍ Team

Country		Team
Team Leader		Job Title
Date of Birth		Contact	f)
Address	E-mail:

❍ No. of Participants

Category	Player	Assistant Coach	Head Coach	Officer	Total No. of Participants

❍ Entry and Exit Schedule (*foreign teams only)

Date of Arrival		Flight No.		Airport of Arrival
Date of Departure		Flight No.		Airport of Departure

❍ Participation by Event

Category	Event	No. of Participants			Participation Fee (KRW)	Remark
		Men	Women	Total
Individual	Authorized Poomsae					Individual: KRW 20,000
	Sparring
Event	High Jump Breaking
	Speed Breaking
Sub-total
Team	Authorized Poomsae	_________ Team				Team: KRW 50,000
	3-membered Sparring	_________ Team
Sub-total		_________ Team

I hereby submit this application to participate in Ban Ki-moon Cup 1st International Taekwondo Championships.

MM/DD/2016

Head of the Organization: _______ /Seal/

The Organizing Committee of Ban Ki-moon Cup World Youth Taekwondo Festival

Application No.

Poomsae Contest Participation Form

※ Please out the form (colored belt, poom holder, school grade, male/female) with correct information.

※ Enter your name, date of birth and telephone number correctly for the purchase of compensation insurance policy.

Team		Event	□ Individual □ Doubles □ Colored Belt □ Poom (Dan) Holder * Put a check mark (√) in the box.
Leader		Telephone		☎ F:

No.	Name (Team Name)	Name	Date of Birth	Poom	Poom (Dan) No.	School and Grade	Remark
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

Application No.

Sparring(Kyorugi) Contest Participation Form

※ Read carefully and fill out the form in detail.

※ Enter your name, date of birth and telephone number correctly for the purchase of compensation insurance policy.

Team		Event		□ Individual □ Team * Put a check mark (√) in the box.
Team Leader		Telephone	☎ F:

No.	Weight Class	Name	Gender	Date of Birth	School and Grade	Team	Remark
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

Recording Contest Participation Form

※ Content Events (Gyeokpa ('Breaking'))

※ Enter your name, date of birth and telephone number correctly for the purchase of compensation insurance policy.

※ 19 or older (integrated)

Team		Event	□ High Jump Breaking □ Speed Breaking * Put a check mark (√) in the box.
Team Leader		Telephone

■ Contestant List

No.	Name	Gender	Resident Registration No.	Poom (Dan)	Poom (Dan) No.	Remark
1
2
3
4
5
6
7
8
9
10

Participation Consent Form

◈ Title: Ban Ki-moon Cup 1st International Taekwondo Championships

◈ Team (No. of Gym):	(Tel)

◈ Name:	(Mobile)

◈ Resident Registration No.:	-

I hereby attest and confirm that I would exempt Eumseong-gun Sports Council and the Organizing Committee from any liabilities regarding an accident or injury during the contest. In addition, I agree to Article 15 (Collection and Use of Personal Information) and Article 17 (Provision of Personal Information) of Personal Information Protection Act for the signing, maintenance and management of the insurance contract.

※ If you are a minor, you must have your parent's signature.

※ The Organizing Committee is buying a group personal accident insurance policy. We shall be responsible for the accidents covered by the insurance only. In addition, the accidents which occur during the event (August 7-8, 2016) are only covered.

MM/DD/2016

Name:	(Signature or Seal)