NEW JERSEY AAU TAEKWONDO STATE CHAMPIONSHIP

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1 NEW JERSEY AAU TAEKWONDO STATE CHAMPIONSHIP SATURDAY, APRIL 21 st, 2012 CROSSROADS MIDDLE SCHOOL 195 Major Rd., Monmouth Junction, NJ Pre-registration only! Postmark Deadline 4/9/12 This event is Sanctioned by: Amateur Athletic Union of the U.S., Inc. All participants must have a current AAU membership. AAU Memberships may not be included as part of the entry fee to the event. AAU Memberships must be obtained before the competition begins except where the event operator has a laptop available with an internet connection. Participants are encouraged to visit the AAU website to obtain their membership. Hosted by: NJ AAU Taekwondo Committee (732) fastkix@comcast.net Register Online at: or Download info: Qualifier For 2012 Nationals & JO Games POWERED by MATCHTOOL Electronic Scoring Systems

2 NEW JERSEY STATE CHAMPIONSHIP Qualifier for 2012 AAU Nationals & JO Games Saturday, April 21 st, 2012 Crossroads Middle School - South Campus 195 Major Road Monmouth Junction, NJ SCHEDULE OF EVENTS All events begin with youngest athletes and continue to compete by age order. 9:30am 10:00am 1:00pm 3:00pm Judges Meeting OLYMPIC SPARRING TRADITIONAL FORMS POINT SPARRING Plan to arrive at least 30 minutes prior to your event TOURNAMENT INFO: Kevin Balon (732) or Fastkix@comcast.net Hosted by Fastkix Taekwondo, Sanctioned by Amateur Athletic Union. Online registration available at COMPETITION AGE: All athletes shall compete at their age as of 8/31/2012. AAU MEMBERSHIP: All athletes, coaches, officials, & volunteers must be current individual members of the AAU and should be able to present their current AAU membership card upon request. EQUIPMENT: Please refer to the AAU Taekwondo Handbook for the mandatory equipment requirements as well as the respective rules for competition. The handbook is available free online at Online registration available at ENTRY FEES: 1 or 2 Events = $75.00, All 3 Events = $ April 9 th is the deadline. Late Registrations received from April 10 th thru April 15 th must include the $15.00 Late Fee or will be rejected.* April 16 th is the final cutoff day; no registrations will be accepted after this date! *Athlete name may not be available to print on the souvenir tee shirts. Please mail completed paperwork with your payment to: FASTKIX TAEKWONDO 100 Summerhill Rd., Suite #2, Spotswood NJ No day of event registration! There will be no refunds issued for any reason. Coach s Pass ($20.00) - Must pre-register with a separate coach s application! Spectator Admission (PAID AT DOOR) Adults - $10.00, Children (ages 6-12) - $5.00 For your convenience, food & refreshments will be available at the event.

3 COMPETITOR APPLICATION NEW JERSEY STATE CHAMPIONSHIP April 21 st, 2012 Crossroads Middle School Major Road, Monmouth Junction, NJ Athlete s Information: FIRST NAME LAST NAME ADDRESS, CITY, STATE, ZIP AGE (as of Aug. 31, 2012) DATE OF BIRTH / / Male or Female EXACT WEIGHT lbs. Current AAU MEMBERSHIP # (MANDATORY): HOME PHONE ( ) - TAEKWONDO SCHOOL INSTRUCTOR ADDRESS, CITY, STATE, ZIP Check your current rank/belt color: NOVICE WHITE ORANGE YELLOW INTERMEDIATE ADVANCED BLACK/POOM BELT GREEN BROWN 1 ST BLUE RED 2 ND PURPLE 3 RD 4 TH & UP CHECK EVENT(s): OLYMPIC STYLE SPARRING FORMS POINT SPARRING I registered online at ENTRY FEES: 1 or 2 Events = $75.00, All 3 Events = $ ***All entry fees are non-refundable - We reserve the right to reject any entry*** April 9 th is the deadline. Late Registrations received from April 10 th thru April 15 th must include the $15.00 Late Fee or will be rejected.* April 16 th is the final cutoff day; no registrations will be accepted after this date! *Athlete name may not be available to print on the souvenir tee shirts. Checks or Money Orders payable to: Fastkix 100 Summerhill Rd., Suite 2, Spotswood, NJ Credit Card Only MC/VISA/Discover# Exp. / Billing Address Zip Code 3 Digit Security Code on back of card Card Holder Signature _ LIABILITY WAIVER In consideration of your acceptance of my entry, 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 may accrue to me against Fastkix Taekwondo, Kevin Balon, Township of South Brunswick, Crossroads South Middle School, South Brunswick Board of Education, Amateur Athletic Union, and all members of the tournament or their respective officers, agents, representatives, successors, and/or assigns and against any competitor for any and all damages which may be sustained by me in connection with my association with, or entry, in the above athletic meet, or which may arise out of traveling to, participating in, and returning from such athletic meet. I understand that Taekwondo is a body contact sport, and I further understand all the contents, rules and general information by which the tournament operates. ATHLETE S OR LEGAL GUARDIAN S (if under 18 years old) SIGNATURE DATE

4 OFFICIALS & COACHES PASS APPLICATION Online registration available at PLEASE PRINT CLEARLY! LAST NAME FIRST NAME ADDRESS CITY STATE ZIP HOME PH# ( ) DATE OF BIRTH / / AGE CURRENT RANK or N/A: BELT COLOR BLACK BELT DEGREE AAU DISTRICT NAME (ex. New Jersey, Adirondack, etc ) CURRENT AAU NUMBER (REQUIRED) CERTIFCATION CLASS: (circle one) AA A B C D E CERTIFICATION # (Certification class & number is located online at aautaekwondo.org) Taekwondo School Affiliation: Chief Instructor School Name School Address Phone I WILL: OFFICIATE COACH (Coach s Pass - $20.00 Checks payable to Fastkix) I registered online at Credit Card Payment MC/VISA/DISCOVER# Exp. / Billing Address Zip Code 3 Digit VCode on back of card Cardholder Signature I understand that I must be properly attired according to AAU rules: Coaches AAU Blue Coach s Shirt, White Uniform Pants or Warm-Up Pants (any color), & Sneakers. Officials Black Blazer, White Collar Shirt, Black Pants, AAU Tie, Dark Socks, & White Sneakers. In order to be on the competition floor I must be certified within the last 12 months and have my clinic participation card in hand at the event. Signature Date

5 DIRECTIONS to: CROSSROADS MIDDLE SCHOOL SOUTH CAMPUS 195 Major Rd., Monmouth Junction, NJ From Route 1 North To Major Road traffic light and turn right. Follow Major Road and Crossroads South Middle School will be on the left, just before the stop sign. From Route 1 South To Major Road exit jug handle; cross over Route 1 onto Major Road. Follow Major Road and Crossroads South Middle School will be on the left, just before the stop sign. From NJ Tpke follow to tournament from Crowne Plaza. Hotel Recommendations CROWNE PLAZA of MONROE Forsgate Drive- Monroe, NJ Take the parkway South to exit 129 (Woodbridge). Follow the signs for The New Jersey Turnpike South (I-95) and get off at exit 8A. Bear left after the tollbooth towards Jamesburg-Monroe. Follow exit ramp. Make the first right into the Crowne Plaza Monroe parking lot. For custom directions: To Tournament from Crowne Plaza- Start out going east on Forsgate Dr/RT-32 E toward Rossmoor Dr. Make a U-turn at Rossmoor Dr onto RT-32 W. Turn slight right onto US-130 N. Turn left onto CR-522 W. Turn right onto Georges Rd/CR-679. Turn left onto Kingston Ln/CR-681. Take the 1st right onto Major Rd.

6 PRINCETON 100 INDEPENDENCE WAY PRINCETON, NEW JERSEY Book online or call: FROM NY: TAKE NJTP S FOR 14 MI TO EX 9. FOLLOW RT18N FOR 0.5 MILE TO RT 1S. TAKE RT1S FOR 13M. MAKE U-TURN AT INDEPENDENCE WAY TRAFFIC LIGHT, HOTEL ON RIGHT. FROM PA/SOUTH:TAKE I-95 N TO EXIT 67 (RT1), STAY ON RT1 FOR 7M & MAKE A R ON INDEPENDENCE WAY. Newark Liberty International Airport( EWR) Distance: 35.5 MI/57.13 KM NORTH to Hotel Shuttle Charge (one way): $ USD Take Rt1-9 south toward NJTP South for 2 miles, take the ramp to NJTP/95 south. Stay on NJTP for aprx 18m. Take exit 9 toward Rt.18N. Take Rt1S exit. Stay on Rt1S for 13m, make U turn at Indpedendence Way, turn right into the hotel. Philadelphia International Airport( PHL) Distance: 57.0 MI/91.73 KM SOUTH to Hotel Take I-95 N to exit 67 (Route One N/New Brunswick) stay on R1 for 7 miles and turn right into Independence Way. Train Station Name: Princeton Junction Train Station Distance: 5.0 MI/8.05 KM SOUTH to Hotel Complimentary Shuttle Available o Taxi Charge (one way): $ USD o Alexander Rd, to Rt One North Complimentary Local Area Shuttle Radius 10.0 MI To Tournament from Holiday Inn Route 1 N To Major Road exit; Right turn onto Major Road. Follow Major Road and Crossroads South Middle School will be on the left, just before the stop sign. ***Have a Safe Trip!***