TVL Color Belt Spooktacular Athlete Registration
Please complete all questions in its entirety
What TVL Board Member referred you?
NONE
Eddie Davila
Erik Farfan
Samantha Gudino
Hyun Kim
Jason Lee
Vincent Nguyen
Luis Saito
Mike Saito
Joseph Santarose
Heidi Scanio
Please select if you were referred by a TVL Board Member? If "None" select "None"
Registrant's Full Name
*
First Name
Last Name
Gender
*
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
Registrant's Age in 2021
*
Cannot be older than 18 years of age
Mailing Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Contact Phone Number
*
-
Area Code
Phone Number
Parent/Guardian's or Registrant's E-Mail Address
*
Confirmation Email
miyagi@karatekid.com
What is your Athlete's BELT COLOR?
WHITE
YELLOW/ORANGE
GREEN
BLUE/PURPLE
RED/BROWN
Other
Please take/upload a photo the Athlete
*
Martial Arts School Information
Please provide us with your Martial Arts school's information
Martial Arts School Name
*
Example: Miyagi-Do Karate
Martial Arts Instructor's Name
*
Example: Master Miyagi
Event Selections
All participants will need to be a TVL Member before proceeding. In this section, you must choose 1 of 3 of the Individual Membership Level before selecting an "Event." Please make sure you select your "PRIMARY" event first. Each additional events will be an add on of $20 listed in the next section. Those that are only choosing Poomsae or Board Breaking as your "Primary" will need to choose accordingly at the 2 choices available. If you have any questions, please email us at tkdvarsityleague@gmail.com
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BRONZE: Individual Member
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
iCross Sensor Socks
REQUIRED FOR RED BELTS. iCross Sensor Socks for Electronic Body Protection PSS. If you already have KPnP sensor socks, you will not need to purchase these. KPnP sensor socks work on iCross EBP System.
$
85.00
Sizes
X-Small (up to size 4)
Small (4.5 - 6)
Medium (6.5 - 8.5)
Large (9 - 10.5)
X-Large (11 - 13)
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
iCross E-Gloves
REQUIRED FOR RED BELTS. iCross Sensor Socks for Electronic Body Protection PSS.
$
65.00
Sizes
Small
Large
SPECIAL NEEDS/PARA ATHLETE
Special Needs/Para Division will have only 3 Categories (Full Mobility, Limited Mobility, and Wheelchair Competitor) including (Assisted or Non-Assisted). Please make sure you select the appropriate category
$
110.00
Divisions
FEMALE: Full Mobility (Assisted Competitor)
FEMALE: Full Mobility (Non-Assisted Competitor)
FEMALE: Limited Mobility (Assisted Competitor)
FEMALE: Limited Mobility (Non-Assisted Competitor)
FEMALE: Wheelchair Competitor
MALE: Full Mobility (Assisted Competitor)
MALE: Full Mobility (Non-Assisted Competitor)
MALE: Limited Mobility (Assisted Competitor)
MALE: Limited Mobility (Non-Assisted Competitor)
MALE: Wheelchair Competitor
DRAGON FEMALE DIVISION (6-7 YO)
DRAGON Division will have only 4 Weight Categories (Fin, Light, Middle, and Heavy)
$
110.00
Weight Division
FIN (-19kg)
LIGHT (-23kg)
MIDDLE (-27kg)
Heavy (+27kg)
DRAGON MALE DIVISION (6-7 YO)
DRAGON Division will have only 4 Weight Categories (Fin, Light, Middle, and Heavy)
$
110.00
Weight Division
FIN (-19kg)
LIGHT (-23kg)
MIDDLE (-27kg)
Heavy (+27kg)
TIGER FEMALE DIVISION (8-9 YO)
TIGER Division will have only 4 Weight Categories (Fin, Light, Middle, and Heavy)
$
110.00
Weight Division
FIN (-21kg)
LIGHT (-25kg)
MIDDLE (-30kg)
Heavy (+30kg)
TIGER MALE DIVISION (8-9 YO)
TIGER Division will have only 4 Weight Categories (Fin, Light, Middle, and Heavy)
$
110.00
Weight Division
FIN (-21kg)
LIGHT (-25kg)
MIDDLE (-30kg)
Heavy (+30kg)
YOUTH FEMALE DIVISION (10-11 YO)
Youth Division will have only 4 Weight Categories (Fin, Light, Middle, and Heavy)
$
110.00
Weight Division
FIN (-30kg)
LIGHT (-35kg)
MIDDLE (-40kg)
Heavey (+40kg)
YOUTH MALE DIVISION (10-11 YO)
Youth Division will have only 4 Weight Categories (Fin, Light, Middle, and Heavy)
$
110.00
Weight Division
FIN (-30kg)
LIGHT (-35kg)
MIDDLE (-40kg)
Heavey (+40kg)
CADET FEMALE DIVISION (12-14 YO)
CADET Division will have only 10 Weight Categories (Fin, Fly, Bantam, Feather, Light, Welter, Light Middle, Middle, Light Heavy, and Heavy)
$
110.00
FEMALE Weight Division
FIN (-29kg)
FLY (-33kg)
Bantam (-37kg)
Feather (-41kg)
LIGHT (-44kg)
Welter (-47kg)
Light Middle (-51kg)
MIDDLE (-55kg)
Light Heavy (-59kg)
Heavy (+59kg)
CADET MALE DIVISION (12-14 YO)
CADET Division will have only 10 Weight Categories (Fin, Fly, Bantam, Feather, Light, Welter, Light Middle, Middle, Light Heavy, and Heavy)
$
110.00
MALE Weight Division
FIN (-33kg)
FLY (-37kg)
Bantam (-41kg)
Feather (-45kg)
LIGHT (-49kg)
Welter (-53kg)
Light Middle (-57kg)
MIDDLE (-61kg)
Light Heavy (-65kg)
Heavy (+65kg)
JUNIOR FEMALE DIVISION (15-18 YO)
JUNIOR Division will have only 10 Weight Categories (Fin, Fly, Bantam, Feather, Light, Welter, Light Middle, Middle, Light Heavy, and Heavy)
$
110.00
FEMALE Weight Division
FIN (-42kg)
FLY (-44kg)
Bantam (-46kg)
Feather (-49kg)
LIGHT (-52kg)
Welter (-55kg)
Light Middle (-59kg)
MIDDLE (-63kg)
Light Heavy (-68kg)
Heavy (+68kg)
JUNIOR MALE DIVISION (15-18 YO)
JUNIOR Division will have only 10 Weight Categories (Fin, Fly, Bantam, Feather, Light, Welter, Light Middle, Middle, Light Heavy, and Heavy)
$
110.00
MALE Weight Division
FIN (-45kg)
FLY (-48kg)
Bantam (-51kg)
Feather (-55kg)
LIGHT (-59kg)
Welter (-63kg)
Light Middle (-68kg)
MIDDLE (-73kg)
Light Heavy (-78kg)
Heavy (+78kg)
DRAGON obstacle/parkour course
This is an obstacle course for only ages 6-7 years of age
$
20.00
TIGER obstacle/parkour course
This is an obstacle course for only ages 8-9 years of age
$
20.00
YOUTH obstacle/parkour course
This is an obstacle course for only ages 10-11 years of age
$
20.00
Poomsae
Please select if "Poomsae" will be your "Primary event" or an "Add-on event" Once selected, please scroll to the bottom of the form and finish completing the Poomsae registration.
$
110.00
Poomsae
OPEN Poomsae (Primary Event)
OPEN Poomsae (Add-On)
WT SPORT Poomsae (Primary Event)
WT SPORT Poomsae (Add-On)
Board Breaking
Please select if "Board Breaking" will be your "Primary event" or an "Add-on event." All participants will need to purchase boards at the event. All boards will be same thickness for all ages.
$
20.00
Board Breaking
Board Breaking (Primary event)
Board Breaking (Add-On event)
Coach Packages
SOLO: Single Coach Pass ($60) DUO: Double Coaches Pass ($110) BRONZE: Allows up to 3 Coaches per school ($165) SILVER: Allows up to 5 Coaches per school ($270) GOLD: Allows up to 7 Coaches per school ($380)
$
60.00
Coach Packages
SOLO
DUO (Save $10)
BRONZE (Save $15)
SILVER (Save $30)
GOLD (Save $40)
Referee Registration
All Referee will need to complete this form in its entirety. Referee Chair will reach out to confirm and verify your eligibility. Once selected, please scroll to the bottom of the form and complete 3 more additional questions.
$
Free
Credit Card
Referee Certification Organization
USAT
AAU
WT
Others
None
Kyorugi Referee Level
Poomsae Referee Level
Poomsae Division
OPEN Novice
OPEN Intermediate
OPEN Advanced
WT Yellow Belt (7th & 8th Geup)
WT Green Belt (5th & 6th Geup)
WT Blue Belt (3rd & 4th Geup)
WT Red Belt (1st & 2nd Geup)
Signature for Waiver of Liability, Assumption of Risk, and Indemnity Agreement
*
Submit
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