Individual Participation Form

12TH TM-KBS-MILO NATIONAL JUNIOR TAEKWONDO CHAMPIONSHIPS 2023

INDIVIDUAL PARTICIPATION FORM
INDIVIDUAL PARTICIPATION FORM
Player Full Name*
NRIC / Birth Certificate number*
Date of Birth*

DayMonthYear
Date
AGE (Years)*
Gender*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
I will participate in*

PoomsaeKyorugi
POOMSAE Event(s)*

IndividualMixed PairTeam
POOMSAE Category*
KYORUGI Event(s)*

Category A: 9 - 11 Years Old (Super Cadet)Category B: 12 - 14 Years Old (Cadet)Category C: 15 - 17 Years Old (Junior
Weight Category*
NAME OF TEAM:*
State/Premier Club
Club of Origin:*
Present Grade/Dan/Poom:*
PERSONAL ACKNOWLEDGEMENT

I am aware of the possibility of being injured by taking part in the 12TH TM-NSC-MILO NATIONAL JUNIOR TAEKWONDO CHAMPIONSHIP 2023 on 20th - 22nd October 2023 and I hereby undertake and agree that I will not attach any blame or bring civil proceedings against Taekwondo Malaysia (WTF), the National Sports Council, the Organizing Committee, its officials, coaches, and other participants. I hereby confirm that I have duly read, understood and agree to the above mentioned terms and conditions
Signature*

Clear
Please upload the picture of 2023 TM Black Belt Card (Poom/Dan) OR TM Black Belt membership renewal receipt, OR GUP Certificate (Blue/Red Belt). Please take note that you may get disqualified if you upload the incorrect document*

Format pdf, doc, docx, html, jpg, jpeg, png, gif AND the size is NOT exceeded 2.00 MB
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Please upload I/C photocopy (You may cross the IC photocopy to avoid identity theft) *

Format pdf, doc, docx, html, jpg, jpeg, png, gif AND the size is NOT exceeded 2.00 MB
Cancelof
To be filled by Parents/Guardians (for participants under the age of 18)

I am aware of the possibility of my son/daughter/ward being injured by taking part in the 12TH TM-NSC-MILO NATIONAL JUNIOR TAEKWONDO CHAMPIONSHIP 2023 held on 20th - 22nd October 2023 and I hereby undertake and agree that I will not attach any blame or bring civil proceedings against Taekwondo Malaysia (WTF), the National Sports Council, the Organizing Committee, its officials, coaches, and other participants. I hereby confirm that I have duly read, understood and agree to the above mentioned terms and conditions
Parent/Guardian Signature*

Clear
Parent/Guardian Full Name*
Parent/Guardian NRIC*
Please verify that you are human*
Should be Empty:

INDIVIDUAL PARTICIPATION FORM

12TH TM-KBS-MILO NATIONAL JUNIOR TAEKWONDO CHAMPIONSHIPS 2023

INDIVIDUAL PARTICIPATION FORM

PERSONAL ACKNOWLEDGEMENT

To be filled by Parents/Guardians (for participants under the age of 18)