AAU Sanctioned Event
Place: Hickory Ridge Middle School
7336 Raging Ridge Rd
Harrisburg, NC 28075
Competition Info: Olympic Sparring, Point Sparring, Forms/Team Forms
*Special Non-Qualifier Division and Physically Challenged Competitors (Contact Master Cann for Arrangement)
For more information, please contact event director:
Master Missy Cann @252-447-1875or
- This event is sanctioned by the Amateur Athletic Union of the U. S., Inc.
- All participants must have a current AAU membership.
- AAU membership may not be included as part of the entry fee to the event.
- AAU membership must be obtained before the competition begins except where the event operator has a laptop available with an internet connect. Participants are encouraged to visit the AAU web site to obtain their membership.
ONLINE REGISTRATION
Please go to to sign up
AAU Carolina CHAMPIONSHIP HEADQUARTERS HOTEL Hilton Garden Inn Charlotte/Concord lton.com/en/gi/hotels/in dex.jhtml?ctyhocn=CL TCOGI / 7831 Gateway Lane, Concord, North Carolina, USA 28027 Tel: 1-704-979-2900 Fax: 1-704-979-2901 / inn.hilton.com/en/ gi/hotels/services.j html;jsessionid=J YB35VWVPE1B SCSGBIWM22Q? ctyhocn=CLTCO GI / $99 Plus Tax / 3.4 miles about 8 minutes / From Charlotte Douglas International Airport Follow signs for Airport Exit and then take Billy Graham Parkway toward I-85 north to Exit 49, Bruton Smith Blvd. At top of ramp turn right, then turn left at the first stop light onto Weddington
Wingate by Wyndham / 7841 Gateway Lane, / / $89 / 3.3 miles / Interstate I85 North,
Charlotte/Concord / Concord, NC 28027 / teinnconcord.com/ / Plus / about 8 / take Exit 49 which
oncord.com/ / (704) 979-1300 / features.htm / Tax / minutes / is Speedway Blvd. onto Speedway Blvd. Turn Left onto Weddington Road Extension (Across from Sam's Mart Gas Station), approximately 1/4 mile. The Wingate Inn will be on just ahead on your Left.
CHECK LIST
COMPETITORS
Registration form and fee turned in by deadline, May 2nd, 2012 2012 AAU membership card.
COACHES AND INSTRUCTORS
2012 AAU membership card
Official/Coach’s application and fee. Turned in by May2nd, 2012
Mandatory coach uniform (dobok pants or warm up pants and official AAU blue shirt. Coach’s shirt can be purchased at competition
OFFICIALS
2012 AAU Membership card Mandatory 2012 Officials Clinic Official AAU attire at tournament (White shirts & black pants) Officials will be provided traditional Korean lunch, refreshments, and stipend
2012 Carolina AAU Taekwondo Championship Athlete Registration From:
REQUIRED INFORMATION – COMPLETE ALL FIELDS PRIOR TO SUBMISSION
Athlete’s First Name MI Last Name 2012 AAU Number
/ //LB
Gender Competition Age: Date of birth Weight
Rank – Check Only One
? NOVICE (white, yellow, orange)
? INTERMEDIATE (green, purple, blue)
? ADVANCED (red, brown)
? BLACK ____DAN
Events – select all that apply (only one sparring division allowed)
Athlete Fees: $69 for 1 or 2 Individual Events $89 for all 3 Events
? FORMS
? OLYMPIC SPARRING
? POINT SPARRING
PERSONAL INFORMATION – COMPLETE ALL AREAS
______
Club/Home Street Address (Apt/Building/Unit) – Do Not Abbreviate
______
City State Zip Code
(____)______-______(____)______-______ ______
Home Phone Number Cell Phone Number E-Mail Address
Instructor’s Name ______Club Phone Number ______
Waiver & Release of Liability:
DISCLAIMER: NC AAU Taekwondo Association is NOT RESPONSIBLE FOR ANY INJURY (OR LOSS OF PROPERTY) TO ANY PERSON WHILE PRACTICING, COMPETING, OR IN ANY WAY PARTICIPATING THE NC AAU TaekwondoTOURNAMENT FOR ANY REASON WHATSOEVER, INCLUDING ORDINARY NEGLIGENCE ON THENC AAU Taekwondo, THEIR OWNERS, OFFICERS, AGENTS, OR EMPLOYEES.
Participant Signature:
______Date______
Guardian’s Signature (if Participant under the age of 18):______Date ______
Mail Applications to: Master Missy Cann – 101 Ski Court, Havelock, NC 28532
FOR OFFICIAL USE ONLY
?ENTRY FORM COMPLETED
?CORRECT FEE PAID
?SIGNED WAVIER