1st Rising Son Taekwondo Championships Evolution Taekwondo Series Sanctioned by: The Wisconsin Taekwondo Association, Inc. Events Youth and Adult: 6+ - Sport Poomsae, Open Forms, Breaking, and Olympic Sparring (Light Head Contact in ALL head contact divisions). 6’Grand Champion trophies for Poomsae When/Where Saturday, February 21st DC Everest Sr High School 6500 Alderson St. Weston, WI 54476 Mighty Ninjas: 3-6yr 30sec Freestyle & Breaking For more details on rules, requirements and expectations, please visit www.risingsonmma.com and download the full tournament packet. Schedule 8:00 Registration Begins 9:15 Coach’s Meeting 10:00- Competition Begins (Mighty Ninjas) 12:00 Sparring begins (colored belts) Fees Registration: $55.00/ 2 events $10 for each additional event $30 Mighty Ninjas, 2 Events. $10.00 late registration fee for registrations received after Feb. 13th. Admission: 3.00/person (6 & up) Regi ster by F for a chan eb. 13t h ce t o win $100 Questions/concerns may be emailed to [email protected] or [email protected] Rising Son Taekwondo Championships Presents: The Evolution Taekwondo Series SATURDAY FEBRUARY 21ST, 2015 DC Everest Sr. High School, 6500 Alderson St, Weston, WI 54476 Dear Masters, Instructors, and Club Owners, Enclosed you will find a registration form and a flyer for the upcoming “Rising Son Taekwondo Championships” to st rd be held Saturday February 21 , 2015, at the DC Everest Sr. High in Schofield, WI. Join us for the 3 of 3 of the Evolution Taekwondo Series! EVENTS: Board breaking – No limit on boards, 3 stations required. Three sizes of boards will be available to purchase. Competitors and coaches cannot bring their own boards. Forms – Open Forms will compete for medals. Sport Poomsae will be traditional Taeguk and Kukkiwon designated Black Belt Forms and they will compete for Trophies. All 1st place winners of Sport Poomsae will compete in the Grand Champion Division. Sparring – USA Taekwondo rules, LIGHT HEAD CONTACT (JSR) in all head contact divisions (including black belts). Ringmaster electronics, padded rings and certified referees. Black belts ages 12 +, 3 – 90 second rounds, all others 2 – 90 second rounds. All Sparring Divisions will be awarded Medals. Mighty Ninjas – ages 4- 6 Free Style – 30 Seconds to show off their best Taekwondo moves- consisting of kicks, punches, blocks, weapons, falls and all creative moves that each student and coach will put together. There is NOT any board breaking allowed during the FREE STYLE event. Board breaking- No limits on boards, 3 stations required. TH PREREGISTER BY FEBRUARY 13 and you will be entered into our drawing for $100.00 cash. th LATE REGISTRATIONS received after February 13 will have to SUBMIT a $10.00 LATE FEE WITH THEIR REGISTRATION FORM. ADMISSION: $3.00 ages 6 & UP COACH ADMISSION: FREE Registration at the door between the hours of 8:00 a.m. – 10:00 a.m. st Thank you and we look forward to seeing you Saturday the 21 of February 2015. Sincerely, Lah Thao, Rising Son MMA 715-298-9119 Rising Son MMA proudly hosts Rising Son Taekwondo Championships The 3rd EVOLUTION Taekwondo Series Tournament Sanctioned by the Wisconsin Taekwondo Association SATURDAY FEBRUARY 21ST at DC Everest Sr. High School, 6500 Alderson St, Weston, WI 54476 COMPETITORS REGISTERED BY FEB. 13th WILL BE ENTERED INTO A DRAWING FOR $100 CASH!! Name: ___________________________________________ Phone: _____________________ Address: ___________________________________________ Email: _____________________ 1 or 2 events - $55.00 Mighty Ninjas - $30.00* Team Member Price (2 events): $40.00 3 events - $65.00 4 events - $75.00 ***Registrants paying AFTER February 13th will be assessed an additional $10.00 on the registration fees*** Check One: Age Age Age Age Age Age Age Age Age 4-6* ______ 6-7 ______ 8-9 ______ 10-11______ 12-14______ 15-17______ 18-32______ 33-39______ 40+ ______ Events: Sparring (___) White_____ (10-9 gup) Yellow_____ (8-7 gup) Orange_____ Green______ (6-5 gup) Purple______ Blue_______ (4-3 gup) Brown______ Red________ (2-1 gup) Black_______ (any level) Sport Poomsae (trophies) (___) Circle One: Male Female Weight:________ ** a must if sparring ** Open Forms (medals) (___) Board breaking (___) *Little Ninja Breaking (4-6yo) (___) *Little Ninja Freestyle (4-6yo) (___) ONETEAMWISCONSIN Team Member (___) TOURNAMENT WILL START AT 10:00 A.M. For information call 715-298-9119; email [email protected] or [email protected] LIABILITY WAIVER In consideration of your acceptance of my registration, I do hereby, for myself, my heirs, executors and administrators waive release and forever discharge any and all rights and claims for damages which I may have, or which may accrue to me, against the WISCONSIN TAEKWONDO ASSOCIATION, Rising Son MMA, or its directors, and for its state and district associations, USAT, or any of its affiliates or any and all members or the tournament or their respective officers, agents, representatives, and or assigns, and against any competitors for any and all damages which may be sustained by me in connection with my association with my participation in or entry in the above athletic event and competition, and in connection with any medical services that may be provided in connection with any such injury or illness, I understand that this is full contact sport and can cause injury or death and I take full responsibility for myself, son, daughter, I further understand that I may be dismissed from the premises without compensation or refund if my conduct is not courteous and cooperative for the successful operation of the tournament. I understand that any of my photos taken at this event may be used by the WISCONSIN TAEKWONDO ASSOCIATION and Rising Son MMA for promotional purposes without compensation to me. Contestants Signature:_________________________________________________ Date:____________ Parent or Guardian Signature:___________________________________________ Date:____________ Before you seal your envelope, double check: 1. 2. Fill out the entire form. SEND registration form and MONEY ORDER or CERTIFIED CHECK to: Lah Thao 1725 Pardee St Wausau, WI 54401 Your Instructors Name:__________________________________________ School Name:_________________________________________School Phone:_________________________
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