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January3rd,2017DearMasters,Instructors,ParentsandAthletes:OnbehalfoftheWhitecourtTaekwondoClub,wewouldliketoinviteyoualltoattendthe27THAnnualWhitecourtTaekwondoChampionship.WewillonceagainbehostingthiseventinmemoryofaveryimportantmemberofourTaekwondofamilythatwelostin2015,MasterJimRennieSr.Thisyear,thetournamentwilltakeplaceonSaturday,January28,2017attheAllan&JeanMillarCentrelocatedat58SunsetBlvd,Whitecourt,AB.Enclosedisinformationonaccommodations,competitiondetailsandregistrationforms,includinginformationonaSocialPartywewillbehavingafterthetournamentandanewGrassrootsBlackBeltSpar-Festcompetitionforanyblackbelttoparticipatein.WewillalsobehostingtheTeamTileBreakingCompetitionagainthisyearandwillhavethelargetrophyforthewinningteamtohavetheirpicturetakenwith.Shouldyourequirefurtherdetails,pleasedonothesitatetocontactMasterJimRennieJr,TournamentHostat780-778-0202orbyemailatjimstkd@telusplanet.netWeaskthatyoufamiliarizeyourselfwiththeATA’snewcoachingstandardrequirementsastheywillbeineffectfortheSanctionedPortionofourTournament.Wethankyouinadvanceforyourparticipationandlookforwardtoafunandcompetitivetournament.Wewouldliketotakethisopportunitytowishallcompetitorsthebestofluckandasafetournament.Sincerelyyours,MasterJimRennieTournamentHostWhitecourt&DistrictTaekwondoAssociation
27thANNUALWHITECOURTTAEKWONDOCHAMPIONSHIP
INMEMORYOFMASTERJIMRENNIESR
Date: January28,2017
Place: Allan&JeanMillarCentre 58SunsetBlvd. Whitecourt,ABSanctioned Friday,January27,2017–7:00pm-9:00pmBlackBelt Saturday,January28,2017-9:00am–11:00amWeighIns: Eligibility: MustbeamemberingoodstandingwithATARules: OlympicstyleWTFrules(allchildren&seniors-ATArules**)
**AbsolutelynoheadcontactforYouthColorBeltsorBlackBeltYouthDivisions(ages11andunder).HeadcontactisallowedinAdultColorBelt(Optional),Junior(ages15–17),Cadet(ages12–14)andAdultBlackBeltdivisions(Non-Optional).Colorbeltswillperformtraditionalpatternsoftheirbelt.Blackbeltswillhavetheirchoiceoftwodivisionsbutcanonlycompleteinone:
1. TraditionalpatternaccordingtoDan/Poomlevel2. SportPoomsaeaspernewWTFSportPoomsaerules.
Equipment: Chestprotector,headgear,armandshinpads,groinguards (male/female)andmouthguardsaremandatoryforallcompetitors. Competitorsmustsupplytheirownequipment.EventTime: January27th RegistrationOpenforPaymentandPhysicalApplicationSubmittals:6-9pm Pre-TournamentWeigh-InsforSanctionedTournamentFighters:7-9pm January28th
Referee’sMeeting:8:30am WeighInforSanctionedTournamentJr&SrBlackBelts:9:00am ChildrenColorBeltDivisions15&under:9:00am ATASanctionedSportPoomsae&PairsPatterns:9:00am
FamilyPatterns:11:00am TeamTileBreakingChallenge:12:00pm LunchforRefereesandVolunteers:12:00pm AdultColorBeltDivisions16&Over1:00pm (NEWEVENT!)Grass-RootsLevelBlackBeltSpar-Fest:1:00pm AllATASanctionedPoom&DanBlackBeltSparringDivisions:2:30pm
PLEASENOTE: TherearedifferentregistrationformsrequiredforSanctionedandNon-
SanctionedEvents.Pleaseensureyouhavefilledoutalltheproperforms!Competition DivisionRules: PairsPatterns(BlackBeltsonly)willbejudgedaspersportPoomsaerules
FamilyPatternsisanewdivision,andwewillmakedivisionsaswelineup.AnexampleofateammaybeaBlackBeltparentwithtwooftheirownchildrenwhoareyellowbeltsallperformingTaegeuk2
TeamTileBreakingCompetition
Teamcompetitionwillbeacombinedpointsbasedcompetition.Eachbrokentileisworth1point.Therewillbe6membersineachteam.Male(18+),Female(18+),Male(13-17),Female(13-17),Male(12andunder)andFemale(12andunder).Ateammaycompetewithoutmembersinacategory,theywilljustnotbeabletoaccumulatepointsforthatcategory.
Male/Female(12andunder)willhave5boardsstacked,withamaxpossibilityof5pointstobeaccumulated.
Male/Female(13-17)willhave15boardsstacked,withamaxpossibilityof15pointstobeaccumulated.
Male/Female(18+)willhave20tilesstackedwithamaxpossibilityof20pointstoaccumulated.
Teamswillcompeteforatotalof80points.Theteamswiththehighestpointtotalswillbethechampions.
Intheeventofatie,abreakoffwilloccur.Thistie-breakerwillbeperformedbetheyoungestmembersofthetyingteams(ifyoungestmemberisamale,thenbothmalesinthatcategorywillcompete,iffemale,bothfemales).GrassrootsJuniorandSeniorBlackBeltSpar-FestThisgroupwillbeavailablefornewandexperiencedJuniorandSeniorBlackBeltstobeabletopicktheiropponentsregardlessofrankingorweight.ATAsanctionedcoachingrestrictionswillnotapplytothisdivision.Competitorscanuseanycoach.ThisdivisionwillusetheKP&Pelectronicscoringsystem.Headcontactisoptionalandwillbeuptothedecisionofthecoachesonwhetherornotheadcontactwillbeusedonanindividualfightbasis.
ATASanctionedJuniorandSeniorBlackBeltCompetition(SparringandPoomsae)(IMPORTANT!)Allcompetitorsandcoacheswillbesubjecttotherulesandrestrictionsofsanctionedcompetition.WehaveattachedintheappendixthelistofregulationsforcoachesandcompetitorsthatmustbefollowedtoparticipateintheSanctionedportionofthetournament.CoachesofcompetitorsMUSThaveallproperaccreditationandcoursescompleted!
Format: ATASanctionedJuniorandAdultBlackBelts: Eliminations:Two–2minuteroundwitha45secondbreak Finals:Three–2minuteroundwitha45secondbreakGrassrootsSpar-FestJuniorandAdultBlackBelts: Two–2minuteroundwitha45secondbreakAdmission: Non-competitors:$5.00perperson 4years&underfree(whenaccompaniedwithanadult)EntryFee: ColorBeltDivisionsandBlackBeltDivisions: $60.00–onedivision $70.00–twodivisions $80.00–threedivisionsormoreRegistration: RegistrationFormDropoffandPaymentattheMillarCentrefrom6-9p.m.on
Friday,January27th.Team/ClubRegistrationformmustbeemailedpriortoJanuary24ththtojimstkd@telusplanet.net
Noregistrationsacceptedafter9:00p.m.onJanuary24th.Registrationmustbeemailedtojimstkd@telusplanet.netandClubownerorinstructorscanpayviaPaypal**andbyE-transfer***orbycheque*orcreditcardonFridayeveningatregistration.
*PLEASEMAKECHEQUESPAYABLETOWHITECOURTTKD.**PLEASEMAKEPAYPALPAYMENTSTOjimstkd@telusplanet.netintransactionmemo,pleaseindicatewhichTaekwondoclubthepaymentisfor.***E-transferscanbesenttodynamic@telusplanet.netpleaseindicatepaymentinfoontransfer.
Accommodations: WesternBudget780-706-2030
HolidayInn780-778-2512NovaInn780-779-2399
ATA Minimum Coaching Standards (Effective January 1, 2017)
The following Minimum Coaching Standards, approved by the ATA, will take effect January 1, 2017 for the 2017 and 2017-2018 Competition Seasons. This season will be a transition year to ensure that Coaches diligently pursue the necessary Professional Development (PD) training to best serve and support our Alberta Athletes.
2017 Tournament Season
(January 1st to August 31st, 2017)
To Coach Colored Belts (CB) at ATA Sanctioned Events (must be ATA/TC Member)
• 16 years + (as per NCCP Standard)
• Red Belt and higher
• ATA Provincial Referee Course (recommended)
• Dress Code: Track Suit or Semi-casual
To Coach Black Belts (BB) at ATA Sanctioned Events (must be ATA/TC Member)
• 1st Dan or higher (16 years + as per NCCP Standard)
• Assistant Instructor (AI) Workshop (Trained)
• Dojang Coach (DC) Workshop (Trained)
• Coaching Association of Canada (CAC) Member
• ATA Provincial Referee Course (recommended)
• Dress Code: Track Suit or Semi-casual
To Coach at National or International Events - As per Event Coaching Requirements
2017-18 Tournament Season
(September 1st, 2017 to August 31st, 2018)
To Coach Colored Belts (CB) at ATA Sanctioned Events (must be ATA/TC Member)
• 16 years (as per NCCP Standard)
• Red Belt and higher
• TC Assistant Instructor (AI) Workshop (Trained)
• ATA Provincial Referee Course Certificate
• Dress Code: Track Suit or Semi-casual
To Coach Black Belts (BB) at ATA Sanctioned Events (must be ATA/TC Member)
• 1st Dan or higher (16 years + as per NCCP Standard) • Assistant Instructor (AI) Certified • Dojang Coach (DC) Certified • Making Headway: NCCP Concussion Module • Coaching Association of Canada (CAC) Member • Dress Code: Track Suit or Semi-casual
To Coach at National or International Events - As per Event Coaching Requirements
27thANNUALWHITECOURTTAEKWONDOCHAMPIONSHIP
AthleteRegistrationSummary
Emailto:[email protected],2017
Note:EmailingindividualFormsisnotrequired,thesemaybedroppedofJanuary27thWITH
PAYMENTbetween6-9pmattheAllanandJeanMillarCentre.
ColorBelts ColorBelts BlackBelt BlackBelt BlackBelt BlackBelt
AthleteName DOB
(DD/MM/YYYY)
M/F BeltLevel Sparring Poomsae Sanctioned
Sparring
Sanctioned
Competition
Poomsae
Grassroots
Sparring
(OpenDivision)
Grassroots
Poomsae
(Pairs,Individual,
Family)
27thANNUALWHITECOURTTAEKWONDOCHAMPIONSHIP
COLORBELTREGISTRATIONFORM–CHILD&ADULT
Name:___________________________Sex:MFBirthdate:_____/_____/_____Age:_____ColorBelt:_______________________Instructor:___________________________BlackBeltPoomorDan:______________________________School:_______________________________Telephone:()_____________________1Division_______$60.002Divisions_______$70.003Divisionsormore_______$80.00Pleasecircle:SparringPoomsae:IndividualFamilyOther:TileBreaking
MEDICALFITNESSTOCOMPLETEFORM
Name:______________________________D.O.B._______________________________Address:_____________________________AHC#:_______________________________
1. IherebycertifythatIhavenotsufferedaconcussion,headinjury,lossofconsciousnessorblowtotheheadfollowedbydizziness,memorylossorheadacheinanyactivityinthepast30days.
__________________________________________________________________SignedUnder18yearsold,LegalGuardian_____________________
Date
2. Haveyousufferedaheadinjury,lossofconsciousness,concussionorblowtotheheadInthepastsixmonths?________YES________NO
3. Ifyes,wereyouexaminedbyaphysicianregardingtheinjury?_____YES______NO
4. IfNOtoquestions3,willyouconsenttoaphoneinterviewattheATAMedicalDoctor?________YES________NO
LIABILITYWAIVER
I,theundersigned,herebysubmitmyapplicationforregistrationinthisTaekwondoChampionship.Ivoluntarilyassumeallrisksinanywayconnectedwithmyparticipationinthesaidchampionshipandherebywaiveallclaimshowsoevercaused,includingnegligence,againstanyandallpersonsandanyandallorganizationsandchampionshipdirectorsconnectedwiththeaboveactionsandconductduringandinconnectionwiththesaidchampionships.Iagreethatmyperformanceorattendanceatthecompetitionorbothmaybefilmedorotherwiserecordedortelecastlive,andIconsenttotheusebytheTournamentOfficialsand/orDirectorsoftheabovementionedChampionship,tousemyname,likeness,voice,poses,picturesand/orbiographicaldataconcerningme,fullyorinanylanguagewithorwithoutmaterialthroughouttheworldwithoutlimitation,fortelevision,radio,and/ortheatricalmotionpicturesbyanydeviceknownorhereafterdevisedandIwaivecompensationtherefore.
Signature:_____________________Under18years,LegalGuardian:___________________Date:______________
27thANNUALWHITECOURTTAEKWONDOCHAMPIONSHIP
SANCTIONEDCOMPETITIONBLACKBELTREGISTRATIONFORM–CHILD&ADULT
Name:___________________________Sex:MFBirthdate:_____/_____/_____Age:_____Instructor:___________________________BlackBeltPoomorDan:______________________________KukkiwonCertificateNumber:_________________________School:_______________________________Telephone:()_____________________1Division_______$60.002Divisions_______$70.003Divisionsormore_______$80.00Pleasecircle:SPARRINGPoomse:INDIVIDUALTEAMPAIRS
MEDICALFITNESSTOCOMPLETEFORM
Name:______________________________D.O.B._______________________________Address:_____________________________AHC#:_______________________________
1. IherebycertifythatIhavenotsufferedaconcussion,headinjury,lossofconsciousnessorblowtotheheadfollowedbydizziness,memorylossorheadacheinanyactivityinthepast30days.
__________________________________________________________________SignedUnder18yearsold,LegalGuardian_____________________
Date
2. Haveyousufferedaheadinjury,lossofconsciousness,concussionorblowtotheheadInthepastsixmonths?________YES________NO
3. Ifyes,wereyouexaminedbyaphysicianregardingtheinjury?_____YES______NO
4. IfNOtoquestions3,willyouconsenttoaphoneinterviewattheATAMedicalDoctor?________YES________NO
LIABILITYWAIVER
I,theundersigned,herebysubmitmyapplicationforregistrationinthisTaekwondoChampionship.Ivoluntarilyassumeallrisksinanywayconnectedwithmyparticipationinthesaidchampionshipandherebywaiveallclaimshowsoevercaused,includingnegligence,againstanyandallpersonsandanyandallorganizationsandchampionshipdirectorsconnectedwiththeaboveactionsandconductduringandinconnectionwiththesaidchampionships.Iagreethatmyperformanceorattendanceatthecompetitionorbothmaybefilmedorotherwiserecordedortelecastlive,andIconsenttotheusebytheTournamentOfficialsand/orDirectorsoftheabovementionedChampionship,tousemyname,likeness,voice,poses,picturesand/orbiographicaldataconcerningme,fullyorinanylanguagewithorwithoutmaterialthroughouttheworldwithoutlimitation,fortelevision,radio,and/ortheatricalmotionpicturesbyanydeviceknownorhereafterdevisedandIwaivecompensationtherefore.
Signature:_____________________Under18years,LegalGuardian:___________________Date:______________
27thANNUALWHITECOURTTAEKWONDOCHAMPIONSHIP
SPAR-FESTDIVISIONBLACKBELTREGISTRATIONFORM–CHILD&ADULT
Name:___________________________Sex:MFBirthdate:_____/_____/_____Age:_____Instructor:___________________________BlackBeltPoomorDan:______________________________School:_______________________________Telephone:()_____________________1Division_______$60.002Divisions_______$70.003Divisionsormore_______$80.00Pleasecircle:SPARRINGPoomse:INDIVIDUALTEAM
MEDICALFITNESSTOCOMPLETEFORM
Name:______________________________D.O.B._______________________________Address:_____________________________AHC#:_______________________________
1. IherebycertifythatIhavenotsufferedaconcussion,headinjury,lossofconsciousnessorblowtotheheadfollowedbydizziness,memorylossorheadacheinanyactivityinthepast30days.
__________________________________________________________________SignedUnder18yearsold,LegalGuardian_____________________
Date
2. Haveyousufferedaheadinjury,lossofconsciousness,concussionorblowtotheheadInthepastsixmonths?________YES________NO
3. Ifyes,wereyouexaminedbyaphysicianregardingtheinjury?_____YES______NO
4. IfNOtoquestions3,willyouconsenttoaphoneinterviewattheATAMedicalDoctor?________YES________NO
LIABILITYWAIVER
I,theundersigned,herebysubmitmyapplicationforregistrationinthisTaekwondoChampionship.Ivoluntarilyassumeallrisksinanywayconnectedwithmyparticipationinthesaidchampionshipandherebywaiveallclaimshowsoevercaused,includingnegligence,againstanyandallpersonsandanyandallorganizationsandchampionshipdirectorsconnectedwiththeaboveactionsandconductduringandinconnectionwiththesaidchampionships.Iagreethatmyperformanceorattendanceatthecompetitionorbothmaybefilmedorotherwiserecordedortelecastlive,andIconsenttotheusebytheTournamentOfficialsand/orDirectorsoftheabovementionedChampionship,tousemyname,likeness,voice,poses,picturesand/orbiographicaldataconcerningme,fullyorinanylanguagewithorwithoutmaterialthroughouttheworldwithoutlimitation,fortelevision,radio,and/ortheatricalmotionpicturesbyanydeviceknownorhereafterdevisedandIwaivecompensationtherefore.
Signature:_____________________Under18years,LegalGuardian:___________________Date:______________
27thANNUALWHITECOURTTAEKWONDOCHAMPIONSHIP
TileBreakingCompetitionRegistrationForm
ClubName:________________________________________________Member1(Male12andUnder):_______________________________Age:__________Member2(Female12andUnder):_____________________________Age:__________Member3(Male13-17):____________________________________Age:__________Member4(Female13-17):___________________________________Age:__________Member5(Male18+):_______________________________________Age:__________Member6(Female18+):_____________________________________Age:__________
27thANNUALWHITECOURTTAEKWONDOCHAMPIONSHIP
REFEREEREGISTRATION
TOURNAMENTDATE:SATURDAY,JANUARY28TH,2017
Name:____________________________________________________________________Address:___________________________________________________________________City:_______________________________PostalCode:____________________________DaytimeTelephone:____________________________Fax:_________________________Email:_____________________________________________________________________Dojang:____________________________Master:________________________________PresentRefereeClass(Pleasecheckappropriatebox):Provincial:_____”P”Class_____3rdClass_____2ndClass_____1stClassNational:_____3rdClass_____2ndClass_____1stClassInternational:_____3rdClass_____2ndClass_____1stClass
IMPORTANTNOTICE:Tomaintainactivestatusandtopromote,allcertifiedrefereesmustParticipateinthespecifiednumberoftournamentsasperestablishedguidelines.Pleasesendapplicationsto: AlbertaTaekwondoAssociation c/oMs.TracyBonertz 7619–104Street Edmonton,ABT6E4C3 Phone:(780)432-0721Fax:(780)432-2240 Email:[email protected]
