Coaches Floor Fee Form - $15

(*) Indicates Required Field - Back to Main Forms Page

*First Name:		*Last Name:
*Address:		*City:
*State:		*Zip:
*Home Phone:		*Work Phone:
*Current Rank:	*DAN Black Belt: (Type N/A if not applicable)	*GUP: (Type N/A if not applicable or unknown)	*Belt Color: (Type N/A if not applicable)
*AAU District:		*AAU Number:
*Date of Birth:		*Age:
*Certification Number:

LAST CERTIFICATION CLINIC ATTENDED:

*Date:	*Location:	*Instructor:

LAST AAU SANCTIONED EVENT WORKED:

*Date:	*AAU District:	*Tournament Director:

TAE KWON DO SCHOOL AFFILIATION:

*Head Instructor:	*School Name:	*School Phone:

*School Address:

I understand that coaches must be properly attired according to AAU Rules (Royal Blue AAU Official Coaches Shirt and white dobok pants or warm ups) in order to be on the competition floor and must have my AAU Coach’s ID Card.

*Enter your initials here if you have read and agree to the above.

NOTE: To complete this registration you will be required to pay $15 via PayPal or credit card through the secure PayPal Checkout on the next page. When clicking on the button below, your registration information will be sent to the Tournament Registrar. However, your Registration will not be considered complete until payment has been made through PayPal.

YOU WILL NOT RECEIVE AN AUTOMATIC CONFIRMATION SO PLEASE DO NOT REGISTER MORE THAN ONCE! YOU WILL GET AN EMAIL FROM AKA WHEN YOUR APPLICATION AND PAYMENT HAVE BEEN RECEIVED.

If you do not receive an email from AKA within 24 business hours of submitting and paying, please call Katherine or Kathy at 281-492-2411 to check your status.

NOTE: Your registration form WILL NOT BE VALID unless you immediately pay the registration fees on the next page.

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