AT Event Withdrawl Form

Event Withdrawl Form
Please complete and submit this form to officially withdraw from an Australian Taekwondo event.

Application
- A refund application must be submitted online within 7 days after the event date.
- All refunds are processed approximately 10 days after the event date.
- Refunds will not be processed before the event.
- The refund amount will go back on the card used at the time of payment
Assessment

Refunds will be assessed in accordance with the following:
- Where a medical certificate is provided
- Where a non-medical cancellation is requested, we reserve the right to assess the request on its own merit.
- We will not disallow a refund where in the opinion of Australian Taekwondo there are reasonable grounds for a cancellation.

Personal Information
Name*

First NameLast Name
AUSTKD Membership ID*
Address*

Street Address

Street Address Line 2

CityState / Province

Country
Club Name*
Mobile*
Email*
example@example.com

Event details
Events

By selecting one or more of the below, all entries will be removed from that event(s).
Please select with event(s) you are withdrawing from?*

2024 National Championships

Withdrawl reason
Please tell us why you are withdrawing from this event(s)*
Please upload you Medical Certificate below (if relevant)*

Cancelof
Additional Comments*

Declaration
Name*

First NameLast Name
Date*

MonthDayYear
Date
Signature*

Clear
Should be Empty: