COMPETITOR ONLY

PERSONAL INFORMATION

PLEASE HAVE YOUR PASSPORT to correctly answer the passport questions!

Fields with * are mandatory

Birth Name (as listed in Passport)

First Name*                      
Middle Name
Last Name*                      

Mailing Address (no PO Box)

Street Number*                      
Street Name*                      
City*                      
State*                   
Zip Code*                      

Contact

Cell phone with Area Code
Home Phone with Area Code*                      
Work Phone with Area Code
E-Mail address (use parent's if you do not have one)*                      

Passport Information

Passport Number*                      
Passport Expiration Date (MM/DD/YYYY)*                      
Day of Birth (DD)*                      
Month of Birth (MM)*                      
Yea of Birth (YYYY)*                      

Emergency Contact Information (NOT traveling with you)

Full name (First Last)*                      
Relationship*                      
Home Phone with Area Code*                      
Work Phone with Area Code

DIVISIONS

YOU MUST SELECT THE DIVISION YOU QUALIFIED IN THE TRY-OUTS - YOU MAY NOT ADD DIVISIONS
IF YOU DO NOT SELECT A DIVISION FOR WHICH YOU QUALIFIED, IT WILL BE DROPPED OUT AND THE SLOT WILL BE OPENED!!

Sex                       Boy Girl

Aero Kickboxing
Hard Style Musical Weapons*      N/A 16-18
Hard Style Musical Forms*       N/A 16-18
Soft Style Musical Weapons*      N/A 16-18
Soft Style Musical Forms*      N/A 16-18
Hard and Soft Style Musical Forms*      N/A 10-12 13-15

If you are selecting a fighting division, you MUST select a Weight class. 
Point Fighting 10-12 years old - Weight Division BOY select one Under 28 kg/61.8 lbs Under 32 kg/70.4 lbs Under 37 kg/81.4 lbs Under 42 kg/92.4 lbs Under 47 kg/103.4 lbs Over 47 kg/103.4 lbs
- Weight Division GIRL select one Under 28 kg/61.8 lbs Under 32 kg/70.4 lbs Under 37 kg/81.4 lbs Under 42 kg/92.4 lbs Under 47 kg/103.4 lbs Over 47 kg/103.4 lbs

Point Fighting 13-15 years old - Weight Division BOY select one Under 42 kg/92.4 lbs Under 47 kg/103.4 lbs Under 52 kg/114.4 lbs Under 57 kg/125.4 lbs Under 63 kg/138.6 lbs Under 69 kg/151.8 lbs Over 69 kg/151.8 lbs
- Weight Division GIRL select one Under 42 kg/92.4 lbs Under 46 kg/101.2 lbs Under 50 kg/110 lbs Under 55 kg/121 lbs Under 60 kg/132 lbs Under 65 kg/143 lbs Over 65 kg/143 lbs

Continuous Fighting 13-15 years old - Weight Division BOY select one Under 42 kg/92.4 lbs Under 47 kg/103.4 lbs Under 52 kg/114.4 lbs Under 57 kg/125.4 lbs Under 63 kg/138.6 lbs Under 69 kg/151.8 lbs Over 69 kg/151.8 lbs
 -Weight Division GIRL select one Under 42 kg/92.4 lbs Under 46 kg/101.2 lbs Under 50 kg/110 lbs Under 55 kg/121 lbs Under 60 kg/132 lbs Under 65 kg/143 lbs Over 65 kg/143 lbs

Point Fighting 16-18 years old - Weight Division BOY select one Under 57 Kg/125.4 lbs Under 63 kg/138.6 lbs Under 69 kg/151.8 lbs Under 74 kg/162.8 lbs Under 79 kg/173.8 lbs Under 84 kg/184.8 lbs Under 89 kg/195.8 lbs Over 89 kg/195.8 lbs
- Weight Division GIRL select one Under 50 kg/110 lbs Under 55 kg/121 lbs Under 60 kg/132 lbs Under 65 klg/143 lbs Under 70 kg/154 lbs Over 70 kg/154 lbs

Continuous Fighting 16-18 years old - Weight Division BOY select one Under 57 Kg/125.4 lbs Under 63 kg/138.6 lbs Under 69 kg/151.8 lbs Under 74 kg/162.8 lbs Under 79 kg/173.8 lbs Under 84 kg/184.8 lbs Under 89 kg/195.8 lbs Over 89 kg/195.8 lbs
- Weight Division GIRL select one Under 50 kg/110 lbs Under 55 kg/121 lbs Under 60 kg/132 lbs Under 65 klg/143 lbs Under 70 kg/154 lbs Over 70 kg/154 lbs

Full Contact 16-18 years old - Weight Division BOY select one Under 51 Kg/112.5 lbs Under 54 kg/119 lbs Under 57 kg/125.6 lbs Under 60 kg/132.3 lbs Under 63.5 kg/140 lbs Under 67 kg/147.8 lbs Under 71 kg/156.5 lbs Under 75 kg/165.4 Under 81 kg/178.5 Under 86 kg/189.5 Under 91 kg/200.6 Over 91 kg/200.6 lbs
- Weight Division GIRL select one Under 48 kg/105.8 lbs Under 52 kg/114.6 lbs Under 56 kg/123.5 lbs Under 60 klg/132.3 lbs Under 65 kg/143.3 lbs Under 70 kg/154.4 lbs Over 70 kg/154.4 lbs

Low Kick 16-18 years old - Weight Division BOY select one Under 51 Kg/112.5 lbs Under 54 kg/119 lbs Under 57 kg/125.6 lbs Under 60 kg/132.3 lbs Under 63.5 kg/140 lbs Under 67 kg/147.8 lbs Under 71 kg/156.5 lbs Under 75 kg/165.4 Under 81 kg/178.5 Under 86 kg/189.5 Under 91 kg/200.6 Over 91 kg/200.6 lbs
- Weight Division GIRL select one Under 48 kg/105.8 lbs Under 52 kg/114.6 lbs Under 56 kg/123.5 lbs Under 60 klg/132.3 lbs Under 65 kg/143.3 lbs Under 70 kg/154.4 lbs Over 70 kg/154.4 lbs

APPAREL (Team Apparel sponsored by Kwon for the comp only- the track suit and the competition uniform)

Team Uniform*    000 - 3’1’’ to 4’ tall 00 - 4’1’’ to 4’4’’ tall 0 - 4’5’’ to 4’8’’ tall 1 - 4’9’’ to 5’ tall 2 - 5’1’’ to 5’4’’ tall 3 - 5’5’’ to 5’8’’ tall 4 - 5’9’’ to 6’ tall 5 - 6’1’’ to 6’4’’ tall 6 - 6’5’’ to 6’8’’ tall 7 - 6’9’’ to 7’ tall KWON brand
Track Suit*    Child 10 Child 12 Child 14 Adult XS Adult S Adult M Adult L Adult XL Adult XXL
Shoe*  Boy  Girl    6 7 8 9 10 11 12 13

Optional APPAREL (Full payment due by August 1st)

T Shirt Size $20/each   Select one (optional) Child 10-12 Child 14-16 Adult XS Adult S Adult M Adult L Adult XL Adult XXL     Amount:      0 1 2 3 4 5 6

Long Sleeve T Shirt Size $25/each   Select one (optional) Child 10-12 Child 14-16 Adult XS Adult S Adult M Adult L Adult XL Adult XXL   Amount:      0 1 2 3 4 5 6

COMPETITOR ONLY - TRAVEL

TRAVEL INFORMATION

Team Member departing City Airport*                 

Number of family or guests traveling to event with you:
Total number in party (including yourself)*                 
Guest names (EACH GUEST MUST FILL GUEST TRAVEL INFORMATION), enter each name comma separated
 
Guest Departing City

ROOM
Sharing Room with (first mi last, separate each name with a comma)
Number of People per room 2-3 4-5