TVL Black Belt Series Membership-Product-Event Registration Form

Your Name *

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Your Email*

example@example.com

Name of School (include I.S.D.)*

Name of SchoolI.S.D.

Master Instructor's Name*

First NameLast Name

Taekwondo School's Phone Number

Area CodePhone Number

Memberships - Products - Event Registration*

Individual Memberships

BRONZE: Individual Membership

TTVL T-Shirt Special invitation to TTVL events Compete in TTVL Team Trials Eligible for Academic Scholarship

$25.00

SILVER: Individual Membership

Bronze Level Benefits + 1 Spectator Pass ($20 value) 10% Discount to Camps/Seminars Eligible for High Performance Grants

$50.00

GOLD: Individual Membership

Silver Level Benefits + 2 Spectator Passes ($40 value) 20% Discount to Camps/Seminars Early Access to Event Registrations (TVL Tournaments, Seminars, TVL Black Belt Series, etc.)

$100.00

Club Memberships

Freshman Club Membership

Online TVL Directory Listing Tier 1 Dojang Incentive Package Window Decal

$100.00

Junior Varsity Club Membership

Freshman Club Level Benefits + 1 Spectator Pass Tier 2 Dojang Incentive Package

$150.00

Varsity Club Membership

Junior Varsity Level Benefits + 2 Spectator Passes 1 Coach's Pass Tier 3 Dojang Incentive Package

$250.00

iCross Equipment

E-Hand Protectors

Pickup Only @ Event: MUST HAVE FOR BLACK BELT SERIES! Proximity Sensor, Ergonomic design. The encoded pressure sensor and shock-absorbing pads. Continuous hit detection & response

$75.00 QuantitySizes

E-Foot Protector

Pickup Only @ Event: Proximity Sensor, Ergonomic design. Total 4 area, The encoded pressure sensor. Continuous hit detection & response.

$85.00 QuantitySizes

E-Band Type Foot Protector

Pickup Only @ Event: THIS ITEM IS NOT REQUIRED FOR THE EVENTS: Proximity sensors are built in, scoring with accurate recognition and quick response.

$70.00 Sizes

Event List

TVL YOUTH Black Belt Series ATHLETE Registration

YOUTH Black Belt Series in partnership with TSTA Texas State Championships (September 25, 2021) *Athletes MUST have E-GLOVES to participate in this series.

$200.00 Gender/Weight Division

TVL YOUTH Black Belt Series COACH Registration

Coach's Pass: YOUTH Black Belt Series Coaching Pass (September 25, 2021). *Must have completed your SafeSport Certification and show proof at registration. If you are a VARSITY CLUB MEMBER, your Coach's Pass is automatically included for every event we host. Please present your membership card at registration to receive you pass.

$60.00 Coach's Pass Purchase

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Subtotal

$0.00

Tax

$0.00

Total

$0.00

Billing Address*

Street Address

Street Address Line 2

CityState

Zip Code

Is shipping address same as billing address?

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Shipping Address

Street Address

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CityState / Province

Postal / Zip CodeCountry

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SIGNATURE for Waiver of Liability, Assumption of Risk, and Indemnity Agreement*

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Taekwondo Varsity League Membership & Black Belt Series Registration