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The New England Masters Open (NEMO) T.K.D. Championship OFFICIAL ENTRY FORM
Type or Print Legible - Fill in ALL BOXES (illegible application will NOT be processed)
Entry Deadline: Postmarked by Nov. 7TH, 2014
Mail To: Lee’s Tae Kwon Do College – 71 Tosca Dr. Stoughton, MA 02072
We Reserve the right to reject any applicant
Belt Rank
Applicant’s Name
Age
M ale / F emale
W eight (lbs)
A ddress
Street
Home Phone
City
School Phone
State
Zip
Name of M aster, Instructor, and School
□ Forms
Junior
□ Sparring
Division
□ Breaking
(4 – 17 Age)
Adult
Division
(18 – 34
Age)
□ Forms
□ Sparring
□ Breaking
□ Power Breaking
Senior
Division
(35 &
Over)
□ Forms
□ Sparring
□ Breaking
□ Power Breaking
(Individual Forms, Breaking, and Sparring)
1 Event = $75.00 2 Events = $85.00
3 Events = $95.00
Registration Fee:
4 Events = $105.00
th
*** ( M ust be Postmar ked by Nov. 7 , 2014 ) **$5 penalty for every event after this date!!
O N L Y certified checks or Money order accepted
Total Amount of Participation Fee Enclosed: $
Make Check payable to: Paul H. Lee
.
“ALL FEES ARE NON-REFUNDABLE”
Liability Waiver
I understand that Taekwondo is a physical contact sport which involves the risk of injury I agree that I will be responsible for all case of accidents such as any damage, loss and
any injury etc. which occurs during physical exercise and competition of Kyorugi(Sparring), Poomsae(Form) Gyukpa(Breaking) till the finish of the tournament. I agree that the
Organizing Committee for the Lee’s Taekwondo College, and Host Facility including organizers, officials, staff and volunteers as well as referees, Masters, instructors, coaches,
fellow competitors, Sport Arena, Sports Arena administrators and other except competitor herself/.himself will be indemnified from all accidents as above and release and
forever discharge from any claims for damages. I, also agree that the medical treatment provided by the Organizing Committee and volunteers licensed EMTs, if necessary will
be a First Aid type only.
_______________________________________ Date: ___________________________
Applicant’s Signature (if under 21, Parent or Guardian MUST sign)
E vents E ntering
Junior
Form
Spar ring
B reaking
Power
B reaking
□
□
□
A dult Senior
□
□
□
□
□
□
□
□
____________________________
F ull Name
___________________________
Name of T K D School
_______/___________/_________
Age
Rank/Belt
Weight
** Please fill out all infor mations
The New England Masters Open (NEMO) T.K.D. Championship M aster / Referee / V IP
A ttendance Confirmation Form
Sunday, November 9th, 2014
►
□
Referee
O fficial
□
V IP
T K D Rank
Applicant’s Name
Age
□
M aster
Instructor
M ale / F emale
K uk kiwon Dan No
A ddress
Street
City
Home Phone
State
Zip
Business Phone
Name of M aster / Instructor
Name of T ae K won Do School
I fully understand that Tae Kwon Do is a full contact martial art and therefore agree to absolve
the Lee’s Taekwondo College’s organization committee, its officials, and the participants from
any and all liability.
Signature: ______________________________________ Date:____________________
(If minor, parent or guardian must sign)
M ail to: L ee’s T ae K won Do College
71 Tosca D r., M A 02072 Received by November 7th , 2014
The New England Masters Open (NEMO) T.K.D. Championship O fficial Coach Registration Form
T K D Rank
Applicant’s Name
Age
M ale / F emale
K uk kiwon Dan No
A ddress
Street
City
State
Home Phone
Zip
Business Phone
Name of M aster / Instructor
Name of T ae K won Do School
► Each Coach pass is $35.00
► Pick up coach passes at the registration desk
Mail To:
Lee’s TaeKwonDo College
71 Tosca Dr.
Stoughton, MA 02072
Phone#: (781) 344 – 7900, Fax: (781) 344-7902
** Received by November 7th , 2014
Attach
Your
Photo
Here
I fully understand that Tae Kwon Do is a full contact martial art and therefore agree to absolve
the Lee’s TKD College’s organization committee, its officials, and the participants from any and
all liability.
Signature: ______________________________________ Date:____________________
(If minor, parent or guardian must sign)
Gyoroogi
(Free Sparring)
1.
Individual Division
A ll Poomsae (form) and A ll K yukpa (breaking)
*Power B reaking for 18 years old and up.
Junior
4-5
6-7
8-9
10-11
12-13
14-15
16-17
All competitors must have head gear, chest protector,
mouth guard, shin and in-step guard, forearm guard (fist or
WTF qualified gloves), and groin protective cup (male
competitor). A ny competitor without any of these required
and mandatory pieces of equipment at the time of his/her
match will be declared disqualified.
2. 1 minute 2 round for all ages and all belts.
3. 1:30 minutes 2 rounds for all final matches.
*A ny changes will be announced at the day of the competition.
Adult
Senior
18-34
35 & Older
1
2
3
Rank & Belt
Beginner
(White, Yellow, Orange)
Intermediate
(Green, Purple, Blue)
A dvanced
(Brown, High Brown,
Red, High Red)
Deputy Black
Black Belt
Weight
All
Weight
Above divisions will be divided into males and females.
Awards for first, second, third places and participation metal.
Tournament committee reserves the right to combine or divide
the categories if necessary.
Gyoroogi (Free Sparring) Divisions
The current USAT & WTF competition rules will govern this
championship. The organizing committee may modify some rules
to the local conditions. It also reserves the right to combine or
divide weight categories depending on the size of the group.
NOTE: Controlled head kicks for the juniors(14-17years) on black
belt division only will be allowed, however, if referees and judges
feel an injury was due to a malicious attack, (with anger and intent
to injure) the attacker will be disqualified.
Spar ring divisions
Junior
4-5
6-7
8-9
10-11
12-13
14-15
16-17
Adult
Senior
Rank & Belt
Weight
Beginner
(White, Yellow, Orange)
Intermediate
18-34
35 &
Older
(Green, Blue, Purple)
A dvanced
(Brown, High Brown,
Red, High Red)
Deputy Black
Black Belt
Light
Middle
Heavy
Black Belt Weight Division
MAN (Pound)
WOMEN (Pound)
FIN under 110.0
FLY 110 – 118.8
Bantam 118-127.6
Feather 127.7-140.8
Light 140.9-154
Welter 154.1-167.2
Middle 167.3-182.6
Heavy 182.7 & Over
FIN under 94.6
FLY 94.7-103.3
Bantam 103.4-112.2
Feather 112..3-121
Light 121.1-132
Welter 132.1-143
Middle 143.1-154
Heavy 154.1 & Over
1. Above divisions will be divide into males and females
2. All divisions are subject to change without notice
3. Exact weight breakdown will be announced on the day of the
competitions.
4. The tournament committee reserves the right to combine or
divide the categories if necessary.
Master and Referee
Registration
Please complete the enclosed Master and Referee Attendance
form and mail it as soon as possible, so that we may
accommodate you to the best of our ability.
For the safety of the competitors, only registered coaches,
referees, and tournament personnel with appropriate passes will
be allowed limited clearance of the competition floor.
Rules and Regulations
Current USAT/WTF rules and regulations will govern the
championships with a few modifications to enhance the
competition experience for all participants.
Mandatory Equipment
1. White V-neck or traditional Tae Kwon Do Do-buk for all
events. Black V-neck or traditional trimming allowed for black
belt competitors only. D O N O T A L L O W C O MPE T I T O RS
W I T H T-SH I R TS!!!!!
2. All competitors in the gyoroogi competition event MUST
supply their own safety equipment – WTF approved white
head gear, white elastic(cloth) shin and in-step guard, forearm
guard, WTF approved chest protector (both red and blue
colors), protective groin guard (for male competitors), and a
mouth piece. Most equipment mentioned above can be
purchased at the equipment sales booth on the day of the
competition.
Poomsae (Form)
Competition
1. Any Tae Kwon Do Forms (WTF, ITF)
2. All competitors must perform a Poomsae in accordance to their
level of rank.
3. All competitors must start from the designated area (start/finish
box) and finish in the same area.
SC O R I N G
1. Scoring will be based on concentration, balance, focus, grace,
strength, and understanding of the Poomsae (Correct and
orderly execution of movements).
2. Three judges will score. In the event of a tie, the highest score
will dropped and the two remaining scores will be added to
determine a winner
Chayou Kyukpa
(Free Style Breaking)
1.
Regulation breaking board sizes for this competition are as
follows: Juniors, adults and seniors (age 13 & up)
12” X 8” X 1” pine. Children & little tigers (ages 12 & under) 12” X 6”X 0.5” pine.
2. Free Style, NO more than three stations and W O O D only!!
Competitors must supply their own board (Boards will be
available for sale at the tournament).
3. Each competitor will be given thirty (30) seconds to set up and
complete his/her routine. The clock will start as the contestant
steps into the competition area.
SC O R I N G
1 Scores will be based on the level of difficulty of techniques,
power, accuracy, focus, creativity, and grace put into the
routine. Degree of clean break and showmanship will also be
taken into consideration.
2 Please see “2” of Poomsae competition scoring method.
Power Breaking
1. Power breaking competitors must use 12” X 6”X 0.5” pine and
must come up with your own boards.
2. Competitor have 1(one) chance to try starting minimum
5 boards for males, and 3 boards for females up to as you like.
3. Winners will be determined on who break most boards.
4. Will be given 1 chance to break as many boards as possible for
first place tie. (Boards will be provided in house).
The New England Masters Open (NEMO) T.K.D. Championship Sunday, November 9th , 2014
Norwood H igh School
245 Nichols Street, M A 02186
GENERAL INFORMATION
Registration
Registration: $75.00 for first event, $85.00 for 2events, $95.00 for 3
events, & $105.00 for 4 events. (M ust be Postmar ked by Nov. 7th, 2014)
*Same day Registration: $5.00 more for each event.
O N L Y certified checks or Money order accepted
Payable to: Paul H . L ee
Director: GrandMaster Hakjae Lee,
71 Tosca, Stoughton, MA 02072
Phone# (781) 344-7900
Fax # (781) 344-7902
A L L E NTRY F E ES NO N-R E F U N D A B L E !
Schedule of Event
Registration
Referee Meeting
Ji-Jung Poomsae (Official Forms)
Kyuk-Pah (Breaking Competition)
8:30 a.m.
9:00 a.m.
9:30a.m.
↓↓
Opening Ceremony & Lunch
Power Breaking Competition
Gyorugy (Sparring) All ages
11:45 a.m.
12:30 p.m.
12:45 p.m.
Scheduled times may vary based on the number of competitors.
Please be early to be sure that you are ready when your division is called.
*Food and drinks will be sold at the C afeteria starting at 9:00 am
Awards
Medallions will be awarded for the First, Second, and third place
winners in each division.
All other contestants will receive participation metals
Admission Fee
All spectators - $10.00 (all day)
(Children under 5 years of age are free)
Competitors
E L I G I B L I T Y : You must be a current 2014 athlete member of an
organized Martial Arts school in good standing and/or must
present an alternate health/medical insurance to be eligible to
participate. You must sign the waiver form correctly and be sure to
fill in all information on the official entry form.
Coaches
E L I G I B L I T Y : Must be at least 17 year of age and must include
one ID size photo of you. Any officials and referees of the
championships, per Championship Organizing Committee rules,
hold the right to suspend anyone for general misconduct or
unsportmanlike behavior from the competition floor.
H ello, G randmasters, M asters, Instructors, and T K D leaders!!!
It’s was great summer for us in New England and I know how much you and your
student’s been waiting for a great championship in this fall.
I would like to thank every school owners for your excellent support at my spring
tournament every year!!!
My father, Grandmaster Kangwon Lee is the first generation of TKD masters from
Korea and one of the highest ranked and most dedicated teachers of all time.
Grandmasters like him made biggest impact on spreading ARTof TKD and without
his help and support, I wouldn’t be here. I would like to thank my father and other
first generation grandmasters through this championship for what they have
accomplished throughout many years.
So, I’ve decide to dedicate NEMO championship in this fall for my father
Grandmaster Kangwon Lee and would like to invite you and your students to
participate in “New E ngland M asters O pen T K D C hampionship”.
This tournament will be held on Sunday, November 9th, 2014 at the Norwood High
School in Norwood Mass. I anticipate a competition that will bring together the style,
spirit and sportsmanship of Tae Kwon Do as well as a time for us to come together in the
friendship of our beautiful arts. With well-trained referees and Staffs, our tournament was
a great success with no waiting time!!!
Enclosed you will find important information regarding the The N.E .M.O. Taekwondo
Championship and I encourage everyone to try to register early as possible to avoid any
penalty on registration fees. We will also have same event day registration for the
students with late decision on their mind.
Medallions will be awarded for the First, Second, and Third place winners
throughout the day in each division. Participation metals for all other contestants.
We look forward to celebrating the Martial Arts with you and your Tae Kwon Do
families. I will accommodate all requests from Masters and Instructors before and during
the competition. Once again thank you for your support!
Sincerely,
Grand Master Hakjae Lee
Director of The N.E.M.O. TKD Championship 2014.
The New England Masters Open (NEMO) T.K.D. Championship SAME DAY LATE OFFICIAL ENTRY FORM
Type or Print Legible - Fill in ALL BOXES (illegible application will NOT be processed)
We Reserve the right to reject any applicant
Belt Rank
Applicant’s Name
Age
M ale / F emale
W eight (lbs)
A ddress
Street
Home Phone
City
School Phone
State
Zip
Name of M aster, Instructor, and School
□ Forms
Adult □ Forms
Division □ Sparring
(18 – 34 □ Breaking
Age)
Junior
□ Sparring
Division
□ Breaking
(4 – 17 Age)
Senior
Division
(35 &
Over)
□ Forms
□ Sparring
□ Breaking
(Individual Forms, Breaking, and Sparring)
Same Day Registration: 1 Event= $85.00, 2 Events= $95.00, 3 Events= $105.00
** No Power B reaking for Same day Registrations
O N L Y C ash will be accepted
Total Amount of Participation Fee Enclosed: $
.
Liability Waiver
I understand that Taekwondo is a physical contact sport which involves the risk of injury I agree that I will be responsible for all case of accidents such as any damage, loss and
any injury etc. which occurs during physical exercise and competition of Kyorugi(Sparring), Poomsae(Form) Gyukpa(Breaking) till the finish of the tournament. I agree that the
Organizing Committee for Lee’s Taekwondo College Championship, MSTA, and Host Facility including organizers, officials, staff and volunteers as well as referees, Masters,
instructors, coaches, fellow competitors, Sport Arena, Sports Arena administrators and other except competitor herself/.himself will be indemnified from all accidents as above
and release and forever discharge from any claims for damages. I, also agree that the medical treatment provided by the Organizing Committee and volunteers licensed EMTs,
if necessary will be a First Aid type only.
_______________________________________ Date: ___________________________
Applicant’s Signature (if under 21, Parent or Guardian MUST sign)
E vents E ntering
Junior
Form
Spar ring
B reaking
□
□
□
A dult Senior
□
□
□
□
□
□
____________________________
Name
___________________________
School
___________________________
Age
Rank/Belt
Weight
______________________________________
Competitor Number