2022 Texas State Taekwondo Team Trials

Coach Registration
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
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Dojang/Club Name
Dojang/Club email address
Upload a photo for your credentials

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Is your SafeSport Certification current? (you must SafeSport certified in order to coach at this event)

YesNo
Upload your current SafeSport certificate

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Event Information
Events (Select the events you are Coaching)

Individual PoomsaeIndividual Freestyle PoomsaePairs PoomsaePairs Freestyle PoomsaeSparring

Waiver
I hereby submit my application for registration in the Texas Team Trials on March 25, 2022 at the University of Texas at Austin. I agree to waive all claims against any persons connected to the said event for injuries I may sustain. I assume full responsibility of all my actions in connection with the said event. I understand that any pictures taken of me participating in the said event may be used for publicity without compensation. The Texas Team Trials practices a NO REFUND policy.
Signature

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Event Fee(s)

Number of events selected

$50.00

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Total

$0.00

Payment Methods

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Coach Registration