Event Registration

Register for: Tournament Officials June 30, 2019 At: Cobham Intermediate Organiser: Mr Kris Herbison Taken by: Riccarton Riccarton I/P-2019/2
To register for this event requires a Membership#. Forgotten or need a non-training # - ask your instructor. 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
June 30, 2019
At: Cobham Intermediate Organiser: Mr Kris Herbison
Taken by: Riccarton

Mr Orlando Apiolaza
Mr Kris Herbison
Mr Jin Su Kim
Mr Sam Lu
Mr Tomonori Shibata
Mr Clive Stanton
( * indicates non-ITFNZ member)

Event Registration

Register for: Tournament OfficialsJune 30, 2019 At: Cobham Intermediate Organiser: Mr Kris HerbisonTaken by: Riccarton

Register for: Tournament Officials
June 30, 2019
At: Cobham Intermediate Organiser: Mr Kris Herbison
Taken by: Riccarton