There are only two possible outcomes win or learn! - Master Jason A.J. Mouna. (613) instage.ca

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1 April 14,2018 Uxbridge Secondary School 127 Planks Lane Uxbridge, ON Registration : Early Registration (Rec d by Mar 31,2018): Colour Belt $70 (1 or 2 events) Black Belt $80 (1 or 2 events) Late Registration (Apr 1to Apr 7,2018): Colour Belt or Black Belt $90 (1 or 2 events) NO REGISTRATION AT THE DOOR Registration package pick-up: 8:00am Tournament begins: 9:00am Admission 6yrs + $10 Food and beverages available on site Information : Tel: (905) jmouna@uxbridgetkdcom There are only two possible outcomes win or learn! - Master Jason AJ Mouna (613) instageca JIM SKOVHOJ S LANDSCAPING CONTRACTING INC (905) (905) wwwuxbridgetkdcom CAPTAIN SPORTS wwwcaptainsportsca (905) THIS CONTEST IS SANCTIONED BY TAEKWONDO ONTARIO, THE PROVINCIAL SPORT ORGANIZATION (PSO) OFFICIALLY RECOGNIZED BY THE PROVINCE OF ONTARIO

2 Dear Grandmasters, Masters, School Owners, Instructors and TKD students, It is with great pleasure and honor that I extend this invitation to you to participate in the UTA Challenge 2018 to be held on Saturday April 14,2018 at Uxbridge Secondary School Gymnasium This is an Taekwondo Ontario (TO) sanctioned event for World Taekwondo (WT) style Taekwondo All Ontario competitors must be current members of Taekwondo Ontario TO Color/Black Belt Membership Insurance is mandatory for all Non-Ontario athletes that do not have their own insurance Forms available from the TO website Early registration cost: $70 for sparring or patterns or both for colour belts and $80 for black belts Please submit forms with cash, a certified cheque (sorry no personal cheques) or money order payable to: Uxbridge Tae Kwon Do Academy 9 Mill Run Gate, Uxbridge, Ontario L9P 1R1 Early-registration must be received by March 31, 2018 Late registration $90 received Apr 1 st Apr 7 th To allow us to better manage the game we will not permit any registrations after Apr 7 th, 2018 Registration fees are non-refundable under any circumstances All schools must register their coaches and will receive One Free Coach pass Additional coaches may register for $20 each up to a maximum of five coaches per school Coaches must be Kukkiwon holders Coach registration on the day of the event will be $30 A concession stand will be available on site for food, beverages and snacks Sparring equipment will also be available for sale on a limited basis We look forward to hosting you at this event Should you have any questions or concerns, please feel free to contact us at the number listed below, or via Sincerely, Master Jason AJ Mouna Tournament Host Mrs Imrana Mouna Tournament Director 9 Mill Run Gate Uxbridge, On, L9P 1R1 T-(905) E-jmouna@uxbridgetkdcom

3 Host: Tournament Site: Master Jason A J Mouna Uxbridge Secondary School 127 Planks Lane, Uxbridge ON Date: Saturday April 14,2018 Time: Competitor Fee: UTA Challenge 2018 begins 9:00am CASH, CERTIFIED CHQ, MONEY ORDER (Sorry no personal cheques will be accepted) Early-registration (rec d by Apr 2 nd ) for 1 or 2 events Colour Belts $70 - Black Belts $80 Late Registration (rec d Apr 1 st Apr 7 th ) for 1 or 2 events Colour Belts $90 - Black Belts $90 NO REGISTRATION AFTER Apr 7 th, 2018 Registration fees are non-refundable under any circumstances Coach Fee: One Free Coach Additional Coaches $20/coach max of 5 coaches, all coaches must be registered and Kukkiwon holders to access the floor Coach registration at the event $30 Insurance: All Ontario Athletes must have TO Colour/Black Belt Insurance / Membership Non Ontario Athletes must provide their own insurance or purchase TO Colour/Black Belt Insurance Spectator Fee: Spectators 6 years old +: $10 5 years old and under: No Charge Awards: Mandatory Equipment: Patterns Divisions: 1 st, 2 nd, 3 rd Sparring Divisions: 1 st, 2 nd, 3 rd Participation medals for all color belt competitors under 9yrs WT style - White dobuk / Y-Dobuk, head protector, mouth guard, chest protector, groin protector, forearm guards, shin guards, instep guards, gloves (for performance divisions) High Performance Cadet, Junior & Senior Black Belts will use KP&P Players must bring their own socks (limited supply available for purchase on site) General Inquiries: UXBRIDGE TAEKWONDO ACADEMY C /O : Master Jason AJ Mouna 9 Mill Run Gate Uxbridge, Ontario, L9P 1R1 Tel (905) info@uxbridgetkdcom THIS CONTEST IS SANCTIONED BY TAEKWONDO ONTARIO, THE PROVINCIAL SPORT ORGANIZATION (PSO) OFFICIALLY RECOGNIZED BY THE PROVINCE OF ONTARIO

4 8:00 am Competitor / Coaches ID pick up 8:30 am Officials Meeting 9:00 am Tournament begins Poomsae will be followed immediately by Sparring High Performance Poomsae will be selected at the event by OTA Refchair Please note all special needs will compete in the same ring as their age and belt counterparts however will be judged separately The following are times divisions will be called to staging for weigh in and ring assignments for both sparring and patterns Saturday April 14, :00 am All 7 yrs and under (all belts) and all high performance patterns 10:00am All 8yrs to 9yrs (all belts) and high performance cadet sparring 11:00am All 10yrs to 11yrs (all belts) 1:00pm All 12yrs to 14yrs (all belts) and high performance junior sparring 3:00pm All 15yrs and up (all belts) and high performance senior sparring COMPETITION RULES: WTF Taeguk / Poomsae only White dobuks or Poomsae dobuks only permitted No head contact for color belts & 20 point gap will apply No head contact for recreational black belts divisions Head contact permitted for black belts high performance only ( Cadet, Junior & Senior - Olympic Div ) WTF rules for all black belt high performance divisions NB:- High performance athletes may not compete in recreational divisions All colour belts - 2 rounds 1min 15sec break All recreational black belts 2 rounds 15mins 30sec break All performance black belts 2 rounds 2 mins 30sec break Athlete / Coach code of conduct and dress code will be in effect ONLY REGISTERTED COACHES WILL BE GRANTED FLOOR ACCESS MEDICAL, CODE OF CONDUCT AND LIABILITY FORM MUST BE COMPLETED TO PARTICIAPTE

5 ***MUST BE COMPLETED AND SIGNED TO PARTICIPATE*** Competitor Name: I, confirm that my child / I have not suffered a head injury or concussion within 30days of April 14,2018 and that they / I are/am able to fully participate in contact sports I agree to fully abide by the rules of competition as outlined for my division and will maintain sportsman like behavior at all times whilst participating at UTA Challenge 2018 I have read the rules and hereby submit my application for registration in the UTA Challenge 2018on April 14, 2018 hosted by Uxbridge Tae Kwon Do Academy Inc I release, hold harmless and indemnify Uxbridge Tae Kwon Do Academy Inc from and against all claims, actions, costs and expenses and demand in respect to death, injury, loss or damage to my person or property, whosesoever and howsoever caused, arising out of or in connection with my taking part in the event and notwithstanding that the same may have been contributed to or occasioned by any act or failure to act including, without limitation, of Uxbridge Tae Kwon Do Academy Inc or any of its staff I further agree, that any pictures taken of or by me in connection with the said Challenge can be used by the Tournament Director for publicity or promotion without compensation at this or any other time Signature: Date: Signature of Parent/Guardian (if under 18 years):

6 Name Address Phone ( ) - Emergency Contact Taekwondo School Instructor / Master Registration fee: Early rec d Mar 31 st, 2018 Late rec d Apr 1 st Apr 7 th,2018 Registration fees are non-refundable under any circumstances Age - Please circle Sex: M F Special Needs: YES NO OTA Member: YES NO Patterns: YES NO Sparring: YES NO High Performance: YES NO Recreational Patterns ONLY Please circle one BELT COLOUR WHITE & YELLOW STRIPE YELLOW & GREEN STRIPE GREEN & BLUE STRIPE BLUE & RED STRIPE RED & STRIPE GUP 10 TH & 9 TH 8 TH & 7 TH 6 TH & 5 TH 4 TH & 3 RD 2 ND & 1 ST PATTERN Taeguk 1 Taeguk 2 or Taeguk 3 Taeguk 4 or Taeguk 5 Taeguk 6 or Taeguk 7 Taeguk 7 or Taeguk 8 1 ST DEGREE 2 ND DEGREE 3 RD DEGREE 4 TH DEGREE + KORYO KEUMGANG TAEBAEK PYONGWON + All sparring competitors will be weighed at staging in their dobuks to ensure safe divisions based on Taekwondo Ontario guidelines High Performance competitors may not register in the recreational division Head contact is only permitted in the High Performance divisions KP&P socks required for HP divisions only

7 April 14, 2018 Uxbridge Secondary School Gymnasium Each Taekwondo school participating at the UTA Challenge 2018 will be granted ONE FREE coach pass Additional Coach passes MUST be purchased for $20/coach to a maximum of 5 coaches per school All coaches must be black belts and registered with Kukkiwon All coaches must abide by the coaches code of conduct and attire Only registered coaches will be granted access to the floor $30 - COACH REGISTRATION ON THE DAY OF THE EVENT Name: Address: Phone No Black Belt Level: Dan/Poom Kukkiwon Certificate No Early Registration Fee: $20 Taekwondo School: Master or Instructor: I have read the rules and hereby submit my application for registration in the UTA Challenge 2018 being held on April 14, 2018, hosted by Uxbridge Tae Kwon Do Academy Inc I agree to abide by the coaches code of conduct and to behave in a sportsman like manner at all times whilst participating at the UTA Challenge 2018 I release, hold harmless and indemnify Uxbridge Tae Kwon Do Academy Inc from and against all claims, actions, costs and expenses and demand in respect to death, injury, loss or damage to my person or property, whosesoever and howsoever caused, arising out of or in connection with my taking part in the event and notwithstanding that the same may have been contributed to or occasioned by any act or failure to act including, without limitation, of Uxbridge Tae Kwon Do Academy Inc or any of its staff I further agree, that any pictures taken of or by me in connection with the said Challenge can be used by the Tournament Director for publicity or promotion without compensation at this or any other time Signature: Date: Signature of Parent/Guardian (if under 18 years):