Umpire Register Official ITF Umpire Course Canberra

Phone

This field is for validation purposes and should be left unchanged.

Name*

First Last

Gender*

Male
Female

Phone*

Email*

Enter Email Confirm Email

Date of Birth*

Rank (Must indicate - Gup or Degree)*

Are you a 2019 financial member of United ITF Taekwon-Do Australia Inc (INO#23)*

YES
NO

Practitioners from all organizations are welcome to participate. To receive members' rates, both the Individual and their school must be financial members of United ITF Taekwon-Do Australia for the current year.

I wish to also obtain Official ITF Umpire Certification from this course*

NO
A-Class (4th Degree & above)
B-Class (1st - 3rd Degree)

ITF Umpire Certification is only available to registered members of a current INO or MO affiliated to the ITF. (Aged 18 years and above) All Black Belts Under 18 will receive a C-class INO certificate All gup students and those not affiliated to the ITF (Choi Jung Hwa) will receive a Certificate of Participation

Club Name*

Current ITF-issued Black Belt Membership Status Card Number

(Applicable to United ITF Taekwon-Do Australia Inc. INO#23 or MO members only)

Total

$ 0.00

Participant waiver*

I, the undersigned, in consideration of, and as a condition of acceptance of my entry in the seminar hosted by “United ITF Taekwon-Do Inc.' for myself, my heirs, executors and administrators hereby waive all and any claims, right or cause of action which I or they may otherwise have, for or arising out of loss of life or injury , damage or loss of any description whatsoever, which I might suffer or sustain in the course of, or consequent upon my participation in the said seminar. I understand and accept, that with all participation in any martial arts activities, there is an acceptable element of risk.

Where participant is under 18 years of age, parent or legal guardian must check this box on their behalf.

Umpire register

Umpire Register