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Officials Registration Form

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

*First Name:
*Last Name:
*Middle Initial:
*Address:
*City:
*State:
*Zip:
*Home Phone:
*Work Phone:
*Email:
*Current Rank :
*Date of Birth:
*Age:
*AAU District Name:
*AAU Number:

Officials Certification Class: (Check One) IR AA A B C D E

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 officials must be properly attired according to AAU Rules.

I further understand that in order to receive certification, and/or upgrade, as well as, work the event, that I MUST attend a 2010 Officials Clinic prior to the event.

I also understand that an upgrade in certification will be contingent solely upon my performance.

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