Event Registration

Register for: Tournament Officials July 21, 2012 At: CD Regional Tournament, Hastings Taken by: Central Districts
This event is open to non-members. If you do not have a membership#, leave blank. (will show on list with an * ) The Name field must have at least a Firstname plus Lastname. If you want results recorded, you will need to have and enter a membership# If you have a membership#, it is quicker to use your MyInfo screen to access courses, it will fill in a lot of the detail.
NZ Membership #:
Name:
Address:
Email address:
Rank:
Age:
Male/Female:
Phone:
Name of your Club:
Your bank account No.	If you are making a payment to us, please provide your bank account number so that we can quickly process a refund to you if that was required.
Your Qualifications	Umpire Qualifications check Note: For grading requirement or credit points you must umpire for the full duration of the tournament.

*Please tick:*	Are you also competing..?
	Yes (NB Does not qualify for grading credit)
	No
	My preference is:
	Judge
	Center Referee
	Jury
	Ring Marshall
	Helper
	Any of the above
	Officials must wear the following uniform: (excluding ring marshals, helpers) Navy blue blazer Navy blue trousers or 1 navy blue skirt Navy blue tie (men) White long sleeve shirt/blouse. Black dress belt. White socks and white shoes NB If you are a B Grade Umpire and don't have a new ITKD tie, order yours free of charge via our Operations Executive *Those registering for the Nationals, please also forward your photo to your Regional Manager.
Other information or questions:
Please enter code :
Conditions If you are under 18 years of age please obtain your parents permission and ask them to tick the box below agreeing to the following terms and conditions. I agree not to hold International Taekwon-Do or the organisers responsible for any injury I may sustain during the event. I agree to notify the organisers at least 48 hours in advance if I am for any reason unable to attend, so that someone can take my place. If I do not cancel I understand I am obligated to still pay the event fee. I/we grant the organiser irrevocable permission to use photographs, audio recordings, videotapes, artwork or other likenesses of me/us for marketing, promotional, trade, demonstration, publishing or any other lawful purpose without remuneration. I have read the waiver and release linked to here. By submitting my registration to this event I agree it is my intention to exempt and relieve the parties stated above and ITFNZ incorporated from liability for personal injury, or death caused by negligence or any other cause.
I agree to the conditions listed above and submit my registration

REGISTRATIONS

Tournament Officials
July 21, 2012
At: CD Regional Tournament, Hastings
Taken by: Central Districts

Darren Andrews
Anthony Bishop
Richard Burr
Sean Freeman
Barry Hart
Debbie Hart
DeJaimero Iotua
Natasha Iotua
Richard Iotua
Michael Lowe
Master Lawrence Mantjika
Grandmaster Paul McPhail
Fiona Parrant
Caitlin Robinson
Carl Robinson
Grandmaster Graeme Rounthwaite
Trish Rounthwaite
Kara Stewart
Chris Woodill

( * indicates non-ITFNZ member)

Event Registration

Register for: Tournament OfficialsJuly 21, 2012 At: CD Regional Tournament, HastingsTaken by: Central Districts

Register for: Tournament Officials
July 21, 2012
At: CD Regional Tournament, Hastings
Taken by: Central Districts