Saturday, April 29, 2017 Held at Rider University Alumni Gym 2083 Lawrenceville Rd., Lawrenceville, NJ 08648

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1 Saturday, April 29, 2017 SCHEDULE OF EVENTS Please note staging times are approximate. Plan to arrive at least 20 minutes prior to your event. 8:45am Officials Meeting 9:00am Ages Black Belts: Forms, Point & Olympic Sparring & Team Forms All Colored Belts, Black Belts Ages 9 & Under & 33+, Special Needs Athletes: 1:30pm - TRADITIONAL FORMS 2:30pm - OLYMPIC SPARRING 2017 NATIONAL QUALIFIER 4:00pm - POINT SPARRING The tournament committee reserves the right to further divide or combine divisions depending on the number of competitors registered to compete in each division TOURNAMENT INFO: Kevin Balon, Tournament Director - (732) /fastkixtkd@gmail.com Tournament is hosted by Fastkix Taekwondo & Sanctioned by Amateur Athletic Union. COMPETITION AGE: All athletes shall compete at their age as of 12/31/2017. 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 ENTRY FEES: Online registration available at Payments received on or before April 22: 1 event - $80.00, 2 events - $95.00, 3 events - $ Payments received between April 24-April 26*: 1 event - $95.00, $15 per each additional event. Any late registrations with payment must be received by Wednesday, April 26 th! *Athlete name may not be available to print on the souvenir tee shirts. Please mail paperwork and payment to: FASTKIX TAEKWONDO 100 Summerhill Rd., Suite 2, Spotswood NJ ***There will be no refunds issued for any reason*** Coach s Pass: Must complete a coach s application! Spectator Admission: $10.00 (PAID AT DOOR) Children ages 4 & under are Free For your convenience, the lobby has a Starbucks & the Rider University cafeteria (buffet style) will be open from 11:30am-1:30pm.

2 Saturday, April 29 th, 2017 COMPETITOR APPLICATION Athlete s Information: (PLEASE PRINT CLEARLY!) FIRST NAME ADDRESS, CITY, STATE, ZIP LAST NAME AGE (as of Dec. 31 st, 2017) DATE OF BIRTH / / Male or Female MANDATORY EXACT WEIGHT lbs. AAU MEMBERSHIP #: HOME PHONE TAEKWONDO SCHOOL INSTRUCTOR Please check your rank you will be competing on as of the day of the tournament: The tournament committee reserves the right to further divide or combine divisions depending on the number of competitors registered to compete in each division NOVICE INTERMEDIATE ADVANCED BLACK WHITE GREEN BROWN 1 st ORANGE PURPLE RED 2 nd YELLOW BLUE 3 rd 4 th & Up CHECK EVENT(s): OLYMPIC STYLE SPARRING FORMS POINT SPARRING Payment received on or before April 22 one event - $80.00 two events - $95.00, three events - $ *Payment received April 24 - April 26 one event - $95.00, $15.00 per each additional event Late registration & payment with late fees must be received by Wednesday, April 26 th! *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 ***All entry fees are non-refundable - We reserve the right to reject any entry*** CARDHOLDER'S INFORMATION # Exp. / 3 digit code: Billing Address: Zip Code 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, Rider University, 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

3 COACHES PASS APPLICATION PLEASE PRINT CLEARLY! FIRST NAME LAST NAME ADDRESS CITY STATE ZIP HOME/CELL PHONE# ( ) CURRENT AAU NUMBER (REQUIRED) I understand that I must be properly attired according to AAU rules: AAU Blue Coach s Shirt, White Uniform Pants or ANY COLOR Warm-Up Pants & Sneakers. In order to be on the competition floor I must be have completed online certification for the current year s rules and have proof of my certification on hand at the event. Signature Date COACHES PASS FEES: Payment received on or before April 22 nd - $30.00 Payment received April 24th April 26th - $45.00 CARDHOLDER'S INFORMATION MC/VISA/DISCOVER# Exp. / Billing Address Zip Code 3 Digit VCode on back of card Cardholder Signature

4 Saturday, April 29, 2017 TEAM FORMS REGISTRATION *Early Registration by April 22nd, 2017 * Late Registration: April 24th - April 26th, 2017 Entry Fee: $30 Per Team Late Fee: $45 Per Team 3-Member Team Forms ONLY! AAU MEMBERSHIP: All athletes, coaches & officials must be current AAU members and be able to present a valid AAU card at check in. AGE GROUP: (circle one) Junior Black Belt Adult Black Belt First/Last Name Age AAU # Rank (Dan) Team Name: Team Contact: : Address: City: State: Zip: Phone #: 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, Rider University, 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. Team Contact Signature (Must be over 18) Date

5 Directions from points north: HOTEL RECOMMENDATION Hyatt Place Princeton 3565 U.S. Highway 1, Princeton, NJ (888) / or online at hyattplaceprinceton.com Use group#g-aaut for discounted rate South on I-95/New Jersey Turnpike (17.7 miles) Take exit 9 toward US-1/New Brunswick/Princeton/Trenton After toll portions follow signs for US-1 south After merging onto US-1 south you will be in New Brunswick, stay on US-1 south. After approximately 15.3 miles look for Carnegie Center sign on right hand side. This sign will be sitting at a traffic light, simply pass through traffic light and switch to far right hand lane. This lane will automatically force you to turn right into the Market Fair Mall. The Hyatt Place Princeton is located further down the road on right hand side. Directions from points south: North on I-95/Philadelphia Turnpike (33.0 miles) Merge onto US-1 North via exit 46A toward Morrisville. After approximately 15.7 miles on US-1 North take exit for Carnegie Center. Turn Left at Stop Sign. Turn Left at Traffic Light back on US 1 South. Immediately get into the far right lane. This lane will automatically force you to turn right into the Market Fair Mall. The Hyatt Place Princeton is located further down the road on right hand side. DIRECTIONS to EVENT From the NJ Turnpike: Take the New Jersey Turnpike South to exit 7A (I-195 West). Follow I-195 West to Exit 60-B for I-295 North toward Princeton. I-295 will become I-95 South. Take Exit 7-A off of I-95 to US Route 206 South (Trenton). Rider is a quarter mile on the right. From Route 1 South: Take the exit for Interstate 95 South (sign says "To Pennsylvania"). Bear right at junction, following signs for I-95 South (Pennsylvania). Take Exit 7A off of I-95 to US Route 206 South (Trenton). Rider is a quarter mile on the right. From South Jersey: From the Garden State Parkway: take Exit 98 (I-195 West). Follow I-195 West to Exit 60- B for I-295 North toward Princeton. I-295 will become I-95 South. Take Exit 7A off of I-95 to US Route 206 South (Trenton). Rider is a quarter mile on the right. From I-295 North: I-295 North, straight over the Delaware River into New Jersey. Take Exit 7-A off of I-95 to US Route 206 South (Trenton). Rider is a quarter mile on the right. From the Pennsylvania Turnpike: Take the Pennsylvania Turnpike East to the main Philadelphia Exit 351 and follow the signs to I-95 North. Continue on I-95 North, straight over the Delaware River into New Jersey. Take Exit 7-A off of I-95 to US Route 206 South (Trenton). Rider is a quarter mile on the right.