USA TAEKWONDO STATE ASSOCIATION

USA TAEKWONDO STATE ASSOCIATION

Sanctioned State Championship Manual

Effective January 1 – December 31, 2016

©USA TAEKWONDO

State President Initial

2016 USA TAEKWONDO STATE CHAMPIONSHIP MANUAL

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STATE CHAMPIONSHIP EVENT ORGANIZING

This manual has been prepared by USA Taekwondo, the National Governing Body for Olympic Taekwondo in the United

States, is provided to assist you in successfully planning, promoting and conducting a State Championship. It touches on

most aspects of hosting a State Championship. Some details may not apply to your event.

If you have any questions, please feel free to contact USA Taekwondo’s Event Department at the email or telephone

number below. Unless you are advised otherwise, your contact person at USA Taekwondo is the Manager of Events, Jake

Strack Loertscher. Thank you for contributing to our quest to be #1 in the world. Good Luck!

USA Taekwondo

Events Department

Jeanna Salgado – Director of Events Email: [email protected]

Jake Strack Loertscher – Manager of Events

Email: [email protected]

Membership Department

Casey Miller – Membership Manager Email: [email protected]

Referee Development

Michelle George – Referee Development Manager

Email: [email protected]

1 Olympic Plaza

Colorado Springs, CO 80909

Phone: (719) 866-4632

Fax: (719) 866-4642

mailto:[email protected]



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State Association / Local Organizing Committee The USA Taekwondo State Championship “event” will be organized by the Local Organizing Committee/State Association

(LOC) with guidance from USA Taekwondo. The contract to organize and conduct the event is made between the LOC/SA

and USA Taekwondo to help ensure these events are of the quality USA Taekwondo desires. Any questions or concerns

regarding contract interpretation should be directed to Jeanna Salgado the Director of Events.

Fees: USA Taekwondo requires that all State Associations be current with their annual State Association fee of $200

prior to any sanctioning of a USA Taekwondo State Championship and are in compliance with the USA Taekwondo State

Association requirements. The State Championship sanctioning fee is $250, which includes the USA Taekwondo Event

Liability Insurance. This fee is non-refundable and may be paid by credit card (Visa, Master Card or Discover) Money

Order or State Association check. No personal or club checks will be accepted. State Associations must submit their State

Championship sanction application NO LATER than 30 days prior to the requested State Championship dates. LOC and

State Associations are responsible for all fees incurred by the venue and equipment rental, accommodations for

personnel, meals, medical and other event related expenses.

USA Taekwondo offers State Associations a Registration Information Packet template that will have all the required

information which the state must provide participants of your State Championship. This template is not required, but it

can be used in its entirety or as a guide for creating your own information packet.

Membership Requirements All athletes, coaches and referees are required to hold the appropriate and current USA Taekwondo membership prior

to the start of the competition. If anyone participates without a current USA Taekwondo membership then the liability

insurance will be invalid and the LOC or State Association shall assume all responsibility for any injury or liabilities

accrued at the event.

Important Notice: All coaches, referees, club owner/instructors 18 and older are required to complete and pass the USA

Taekwondo background check prior to being a member of USA Taekwondo and before registering for USA Taekwondo

state sanctioned events. Please see USA Taekwondo website for further details. Additionally, they will be required to

view and complete the USOC Safe Sport video before renewing their membership.

All documents regarding the State Championship must inform the participants that each individual is required to be a

member of USA Taekwondo and meet the membership requirements to participate in the event. When discussing how

to obtain USA Taekwondo membership on all promotional and registration material please use the following link.

https://www.usat.hangastar.com/login.aspx

Selecting State Championship Dates All USA Taekwondo State Championships must be held from January 1 – April 30, 2016. This date range has been

selected to allow time for necessary documentation to be sent to USA Taekwondo in preparation for the USA

Taekwondo National Championships. State Championships may not be held during the same dates as a USA Taekwondo

hosted event in the same area. Additionally, no other event may be held on the same day or in conjunction with the

State Championship unless approved by USA Taekwondo Director of Events. For a list of USA Taekwondo events, please

check www.usa-taekwondo.us, or contact the Events Department. State Championships are not considered “approved”

until the State Association has provided the necessary documentation to USA Taekwondo that their state is in

compliance. Additionaly, dates are not approved until all required forms are submitted and complete. Dates will be

approved on a first come first serve basis.

https://www.usat.hangastar.com/login.aspx

http://www.usa-taekwondo.us/



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State Championship Registration All participants must register via the USA Taekwondo Hang-A-Star online registration system. The USA Taekwondo Event

Department will manage the online system and collect all paperwork prior to the event. The State Association will be

responsible for collecting all registration paperwork associated with the event on-site, which must-be sent to USA

Taekwondo immediately after the conclusion of the event. Each State Association is REQUIRED to collect any missing

documentation during the on-site check in. If the State Association does not collect any documentation it will be fined

the amount of $100.

All online registration fees will be collected by USA Taekwondo and paid directly back to the LOC/State Association

minus the per participant surcharge. The $10 surcharge covers the expense of the online registration and administrative

cost through the USA Taekwondo Events Department. LOC or State Associations are responsible for creating all

registration deadlines and fees for their event.

Upon the final registration deadline, 50% of the current registration fees will be paid to the State Association via check

or ACH transfer to the State Association provided bank account. The final 50% will not be paid until the events

conclusion, complete reconciliation and the Post Event report items are submitted to USA Taekwondo. The

reconciliation includes all items listed in the Post Event report checklist and any USA Taekwondo membership

applications collected at the event and appropriate fees associated with those applications. The State Association can

request to receive a percentage of their funds prior to the final registration deadline; this request must be made in

writing (via email) by the State President. State Associations will need to allow 3-5 business days for receipt of ACH

transfers and 5-7 business days for checks. State Associations will be charged for all participants (no fee for referee

registration) that register for the State Championship regardless if the participant paid the event registration fee or not.

USA Taekwondo recommends a $65 registration fee with the maximum amount of $80 to be charged for a single event

and $20 for each additional division. The maximum coach registration fee cannot be more than $50.

NO DAY-OF/ONSITE REGISTRATION WILL BE ALLOWED. If the LOC or State Association allows on-site registration, the

sanctioned event, as well as, the individual’s qualification may be voided. A State Association can request permission to

accept on-site registration in special circumstances by contacting the USA Taekwondo Events Director. These requests

must only be made by the State Association President. USA Taekwondo will consider each case on its individual merits,

and where possible will work with the State Association to assist. Permission will only be granted if there are strong,

valid and exceptional reasons for providing the exemption and this will not become normal practice.

The reason for the strict requirement of no on-site registration is because USA Taekwondo has a responsibility to do all it

can to safeguard our athletes and members, and it is often impossible to verify that an unregistered participant is a

member and/or has successfully passed a background check. Protection of all involved with USA Taekwondo is and will

remain a major focus of attention in such circumstances, and no decisions will be taken that could potentially increase

risk of any incident occurring. State Associations found to be allowing on-site registrations without a special exemption

from USA Taekwondo will be fined.

If an athlete does not have a black belt certification uploaded to their profile or provide a copy of certification at the

time of registration, the State Association will be able to utilize the black belt verification form (see attachment C). The

form will include contact information so that USA Taekwondo can track that each person provides a copy of their black

belt certification by the National Championships. If a copy is not provided at the National Championships then the

athlete’s coach and/or instructor will be required to apply for USA Taekwondo Dan black belt certificate at the time of

registration. For more information on the USA Taekwondo Dan certification program click this link:

http://www.teamusa.org/USA-Taekwondo/Resources/Dan-Certification-Program

http://www.teamusa.org/USA-Taekwondo/Resources/Dan-Certification-Program



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Tournament Management System (TMS): USA Taekwondo also offers the use of the Hang-a-star Tournament

Management Systems (TMS). TMS can be used for check-in, weigh-in, bracketing, results, credential printing, etc. There

is an additional $5 fee per participant to use this system. Note: If the TMS system is used, the State Association still must

submit electronic results in the appropriate format to USA Taekwondo. The results portion of the TMS system can be

used for display/tracking purposes, but will not be used to update the qualified athletes. If you elect to use TMS; USA

Taekwondo will provide training for your event staff as well as a tutorial on the system. USA Taekwondo will also provide

on-call service during your event to assist with any matters related to TMS.

Event Information and Promotion

It is required that all LOC/State Associations submit a Pre-Event Manual (PEM) for their State Championship to USA

Taekwondo. This manual must be submitted no later than 3 weeks from the start of the event. Pre-Event Manuals must

be submitted in electronic format to USA Taekwondo. These manuals should be emailed to the USA Taekwondo

Manager of Events, Jake Strack Loertscher ([email protected]). All pre-event manuals must include the

following, among other pertinent event information:

All participants must be current USA Taekwondo members. All coaches, referees and club owner/instructors 18 and

older are required to complete and pass the USA Taekwondo background check prior to being a member of USA

Taekwondo and registering for USA Taekwondo state sanctioned event (background checks must be completed every

two years).

Athletes must hold the appropriate U.S. citizenship or residency depending on the division in which he/she

participates.

All coaches must be, at minimum, AC certified within the USA Taekwondo CIDP program.

**An athlete MAY compete in the same WORLD CLASS weight (sparring) and/or age category (poomsae) in

MULTIPLE STATE CHAMPIONSHIPS.

The correct and official name of the event must be used. 2016 USA Taekwondo (“State Name”) State Championships;

example: 2016 USA Taekwondo Colorado State Championships. USA Taekwondo shall be prominently displayed and

receive appropriate recognition on all promotional material. USA Taekwondo will post the State Championship

information on the USA Taekwondo website once the sanction has been approved. LOC or State Associations may

submit materials to be sent out on behalf of USA Taekwondo to the USA Taekwondo membership.

In partnership with all USA Taekwondo State Associations, if requested, USA Taekwondo will provide a list of members

for the state for the sake of promoting the event and growing USA Taekwondo membership. State Associations will be

required to sign an agreement to use the membership list for this purpose only and only for this event.

The USA Taekwondo logo and USA Taekwondo State Championship logo must be used on all event promotions;

however, it cannot be altered in any way and promotions must be submitted for approval. Please contact the USA

Taekwondo Events Department for an electronic copy of the USA Taekwondo logo and/or USA Taekwondo State

Championship logo.

Use of the Olympic 5-ring logo or any reference to the word “Olympic” is strictly prohibited unless authorization has

been granted by the United State Olympic Committee.

Use of the World Taekwondo Federation logo is prohibited unless authorization is granted from the World Taekwondo

Federation.



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Athlete Qualifications & Divisions

All USA Taekwondo State Championships will use the same age, belt color, weight categories and rules that are followed

at the USA Taekwondo National Championships. See Attachment A for a complete list of these divisions.

A State Championship may choose to add divisions other than the required divisions, but these divisions will not qualify

athletes to compete at the USA Taekwondo National Championships and you will need to note this in your information

packet.

**USA Taekwondo uses the date December 31 of the given year (December 31, 2016) to determine the age of all

competitors. For example: an athlete turns 10 on November 18, 2016, so they would compete as a 10 year old in the

given event, even though they are 9 years old at the time of the event for all divisions. The exception to this rule is for

those divisions in which an athlete is eligible to make the USA Taekwondo National Team which would be competing in a

Championship (World or Pan Am) or Olympic Games and the Team Trials, being held the following year. These divisions

include 12-14 (Cadet) World Class Sparring, 15-17 (Junior) World Class Sparring and 17-32 (Senior) World Class Sparring

black belt divisions. Athletes competing to qualify for the following year’s Team Trials may compete if they would be the

required age at the time of the Championships mentioned above. For example if an athlete will turn 15 anytime during

the year of the Junior World or Pan Am Championships they are eligible to compete in the prior year’s State

Championships as the State Championships, generally serve as the 1st qualifying step to Team Trials.

Starting in 2016, State Championship must provide both a World Class and Grassroots Cadet sparring divisions at the

State Championships. The Cadet Grassroots division will serve as division for those athletes who’s coach and parent do

not think they are ready to compete using full head contact rules. Athletes that compete in the Grassroots division

qualifiy for the Grassroots division for the National Championships. Athletes that compete in the Grassroots division DO

NOT qualify for the World Class division. Cadet athletes that compete in the World Class Divisions cannot participate in

the Grassroots Division at the State or National Championships if they have qualified through World Class.

USA Taekwondo State Championships are direct qualifiers for the USA Taekwondo National Championships. Athletes

must be U.S. Citizens or U.S. Residents (depends on division see chart below) in order to compete in State

Championships and USA Taekwondo National Championships. There will be a fine assessed to the LOC/ State Association

for every non U.S. Citizen or U.S. Resident that is found to have participated at that particular State Championship. This

fee will also be assessed if the LOC/State Association allows an athlete to compete in a division that requires proof of

U.S. Citizenship and they are not a U.S. Citizen.

If an individual is not a valid resident or U.S. citizen he/she will not be allowed to compete at the USA Taekwondo

National Championships or State Championships period. This rule must be enforced by all State Associations. If it is

deemed that the State Association allowed a non U.S. Citizen or non U.S. Resident to participate, USA Taekwondo

may reconsider approving the State Association for the following year and will asses a $25-50 fee per incedent.

Note: These are the only acceptable documents that may be submitted any other documents will not be approved.

PROOF OF CITIZENSHIP

PROOF OF RESIDENCY AGE Documentation Required

U.S. Passport U.S. Passport 6-7, 8-9 & 10-11: Yellow, Green, Blue, Red

& Black Belts Proof of Residency Required

U.S. Passport Card U.S. Passport Card 12-14 & 15-17: Yellow, Green, Blue & Red

Belts Proof of Residency Required

U.S. Birth Certificate U.S. Birth Certificate 12-14 & 15-17: Black Belts Proof of Citizenship Required

Social Security Card 18 & Older: Yellow, Green, Blue & Red Belts Proof of Residency Required

Green Card 18 & Older: Black Belts Proof of Citizenship Required

U.S. School Report Card/Trancript

Valid U.S. Driver’s License or Government issued ID

U.S. Military ID



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2016 USA Taekwondo National Championships Qualifications

All athletes **participating in the following divisions at a sanctioned USA Taekwondo State Championship will

automatically qualify to compete at the USA Taekwondo National Championships.

**Participating means athletes must have officially weighed-in at the event scales (sparrings) and/or participated on

the competition mats in front of the event referees (poomsae) and received a place within the division.**

SPARRING: All Belts – Dragon(6-7), Tiger(8-9), Youth(10-11), Junior(15-17), Senior(17-32)& Ultra(33+) & Yellow, Green,

Blue & Red belts for Cadet(12-14)

POOMSAE: All Belts – Dragon(6-7), Tiger(8-9), Youth(10-11), Cadet(12-14), Junior (15-17), Under 30 (18-30), Under 40

(31-40), Under 50 (41-50), Under 60 (51-60), Under 65 (61-65), Over 65 (66+) (Pairs, Teams and Freestyle)

An athlete MAY compete in multiple State Championships. Athletes competing in World Class Sparring divisions (Cadet

12-14, Junior 15-17 & Senior 17-32) must compete in the same weight class at the National Championships they qualify

in at the State Championships.

Athletes must compete in the age category according to the age he/she will be as of December 31, 2016.

World Class vs. Grassroots

World Class and a Grassroots Division will only be offered for Cadet SPARRING black belts. Cadet World Class divisions

will use adult rules and Cadet Grassroot division will use Junior Safety rules.

Cadet Poomsae; Junior Poomsae and Sparring; Senior Sparring and Poomsae black belts will have World Class

Divisions ONLY (no Grassroots divisions). Those athletes that “participate” at a USA Taekwondo State Championships in

the these black belt divisions will qualify for the World Class Divisions.

Misc. Information

If an athlete wants to compete in both Junior and Senior divisions, they must compete and qualify for both

divisions.

Winner of the Cadet Grassroots divisions will no longer qualify for the World Class division because Grassroots

division will use Junior Safety Rules and World Class divisions will use full head contact rules (see competition

rules for full explanation of rules). Once qualified for World Class, an athlete is not eligible for Grassroots

divisions.

ALL athletes MUST qualify at a State Championship by participating** at 2016 USA Taekwondo State

Championship to compete at a The USA Taekwondo National Championship. If an athlete is in a state that does

not host a State Championship, then they will need to participate in another State’s championship.

Competition Rules & Requirements

All State Championships must use and follow the USA Taekwondo rules and regulations. For current sparring and

poomsae rules please refer to the following link,

http://www.teamusa.org/USA-Taekwondo/Events/Competition-Rules.aspx

Sparring – All State Championships are REQUIRED to use electronic scoring. It is recommended to use electronic body

protector scoring. Daedo Truescore is the official sponsor of USA Taekwondo. We recommend each state association use

them, but other electronic systems may be used.

http://www.teamusa.org/USA-Taekwondo/Events/Competition-Rules.aspx



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Poomsae – All State Championships may choose, AND NOTIFY USA TAEKWONDO IN THEIR PRE-EVENT MANUAL which

format they will follow for Poomsae divisions. Acceptable formats include, single elimination, double elimination, WTF

cut-off, and judged format.

Weigh-In for sparring competitors is REQUIRED to be held the day before each sparring divisions. NO EXCEPTIONS

WILL BE MADE TO THIS RULE.

Competition Area – All State Championships must use a ring size of 8m x 8m with a 1m safety border on each ring. A

10ft. safety zone should be the minimum between rings.

Coaching Requirements

All coaches ARE REQUIRED to hold at minimum an Associate Coach (AC) Certification within the USA Taekwondo CIDP

program, be a current member and taken and cleared the USA Taekwondo background check (every 2 years). Coaches

may obtain the AC certification by passing the Associate Coach Quiz within the Hang-a-star system. AC Coach Quiz

should be completed at least 3 business days prior to State Championship registration deadline to allow for grading.

Coaches will also be required to view the USOC Safe Sport Video.

All documents regarding the State Championship must inform coaches that each coach is required to be a member of

USA Taekwondo, take and clear the USA Taekwondo background check every two years and have, at minimum, an AC

certification to participate in the event. When discussing how to obtain a USA Taekwondo CIDP AC certification, please

use the following link.

http://www.teamusa.org/usa-taekwondo/v2-coaching/coach-education-program

In order to coach in the World Class cadet (12-14), junior (15-17) and/or senior (17-32) black belts in both sparring and

poomsae at the USA Taekwondo National Championships, coaches must have a Level 1 certification through the USA

Taekwondo CIDP program. More information about the Level 1 certification can be found at the following link above.

USA Taekwondo also recommends that each state contact the High Performance Department about hosting a Level 1

Coaching Certification seminar in conjunction with your state championship.

Referee Requirements

All referees must be certified by USA Taekwondo to referee at a USA Taekwondo sanctioned State Championship. It is

required to host a USA Taekwondo Referee Seminar prior to the start of the State Championship. This seminar will

ensure all referees participating in the event are up to date on certification and rule changes. First-time seminar

participants are permitted to referee at the Championship. All Referees participating in the events must complete and

pass a background check. Referees participating at the event will need to reference the USA Taekwondo Referee

handbook for certification requirements. USA Taekwondo recommends, but does not require, that referees are paid to

help offset any of their cost incurred during the event.

State Associations are required to complete the Referee Seminar Application, along with the Event Sanction Application

found at the following link:

http://www.teamusa.org/USA-Taekwondo/V2-Resources/Referee-Certification-Request/Referee-Certification-Request-

Form

State Association are required as part of the State Association post event report to provide a list of referees that

officiated the State Championships along with the referee rank, referee number and membership number.

http://www.teamusa.org/usa-taekwondo/v2-coaching/coach-education-program

http://www.teamusa.org/USA-Taekwondo/V2-Resources/Referee-Certification-Request/Referee-Certification-Request-Form

http://www.teamusa.org/USA-Taekwondo/V2-Resources/Referee-Certification-Request/Referee-Certification-Request-Form



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Medical Requirements Personnel - It is required to have one of the following on site at all times:

ALS (Advance Life Support) equipped paramedics unit, Basic Life Support is NOT sufficient. This may be a volunteer crew only if they have all ALS Equipment

One MD (Medical Doctor) or DO (Doctor of Osteopathy)

It is suggested to have the following medical personnel for every two mats. Medical personnel to use –any of the

following, especially if they are sports medicine experienced and/or certified, all do not need to be present:

ATC (Certified Athletic Trainer)

DC (Chiropractic Physician)

EMT (Emergency Medical Technician)

ATC (Certified Athletic Trainer)

Orthopedic Extender

PA (Physician’s Assistant

PT (Physical Trainer)

RN (Regisrered Nurse or Nurse Practicioner)

A copy of the following documentation from each medical staff working the event is required: Medical License or Certification

of Liability/Malpractice Insurance

Updated Resume Liability Waiver signed by each individual

Documentation must be mailed/faxed to the USA Taekwondo office no later than two weeks prior to the start of the event and certificate of insurance will not be issued until this documentation is provided. State Championships will be strictly held to this deadline. If the documentation is not submitted within the timeframe established a $100 penalty fee will be taken out of the registration funds and/or the sanction will be canceled.

Medical Documentation

USAT requires medical documentation for all injuries. All State Championships will be required to use the USA Taekwondo medical/injury forms. Completed forms are to be mailed to the USA Taekwondo office no later than seven days following the event along with the post event report. Medical forms are located for download (Attachment B) on the USA Taekwondo website and will be sent upon verification and approval of the medical staff.

**The following 30-day rule will be applied to any athlete who is “knocked out” or becomes unconscious**

“Any athlete who is knocked out or loses consciousness for any amount of time, whether briefly or for an extended period of time, OR any athlete who does not clear all neurological tests administered by the USA Taekwondo Sports Medicine” Personnel within 20 minutes of head injury/contact will have the 30-day-out rule applied and may not continue participation that day. The athlete is required to seek an evaluation by their own doctor at the conclusion of these 30 days and show written release from this physician before being allowed to return to participation. No activity (running, weightlifting, taekwondo, etc.) is allowed until all signs and symptoms occurring from the head injury have cleared completely. USA Taekwondo Sports Medicine Staff reserves the right to refuse to allow an athlete to participate or continue participation if they deem that a head injury has occurred. All athletes sustaining a hit to the head deemed substantial enough to be seen by the USA Taekwondo Sports Medicine Personnel must remain under observation for a minimum of 20 minutes.”



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Liability Insurance

Once the State Championship has been approved and medical personnel documentation has been submitted, the LOC/State

Association will receive the certificate of liability insurance covering the event and any additional insured entities. This

information needs to be provided in the appropriate section of the event sanction application.

It is understood that if the State Association/LOC does not run the State Championship according to this manual and USA

Taekwondo event sanction agreement, then your liability insurance will be invalid and your State Association will be responsible

for all injuries and liabilities at your State Championship. Also, all qualifying athletes may have the result voided and may have to

re-qualify at a different State Championship in order to participate at the USA Taekwondo National Championships.

Post-Event Report/Requirements

At the completion of the event, a post event report must be submitted to include the following items.

Completed electronic results in the designated USA Taekwondo format.

Completed results in a bracket format or list format in the case of Poomsae

A list of all referees including their level of certification, referee number, membership number and referee rank.

Sealed envelope with complete medical forms.

All documens collected for “pending” athletes.

Complete referee seminar attendance sheet, applications and fees collected.

Contact information for State Championship tournament director and key staff.

This post event report must be submitted to USA Taekwondo (attn.: Events Department) no later than 14 days after the last day

of competition. If required documentations are not submitted within 60 days of competition; the State Association will be

charged an additional 10% fee off the total registration fees collected each month that documents are not submitted.

Any result changes must be submitted by May 31, 2016. The results that the USA Taekwondo has at this date will be the ones

referenced. No changes will be permitted after this date or on-site at the USA Taekwondo National Championships. Errors due to

incorrectly reporting results or failure to submit results will not only jeopardize your states athletes participating at the USA

Taekwondo National Championships, but the right to be approved as the State Association in future years.

A State Association will receive a fine for the following:

Fine or Penalty

Onsite Registration without the permission of the USA Taekwondo Nationals Office

Fine up to $50 per registrant & nullficiation of results and atheltes not eligible for National Championships

Allowing Non-US Resident to compete $25 per occurance

Allowing Non-U.S. Citizen to compete $50 per occurance

Failure to collect and submit missing documentation $100

Medical Personnel detail not provided 2 weeks prior to start of State Championships

$100

For each month after State Championship is completed and necessary documentation is not submitted

10% fee off the total registration fees collected each month documents are not submitted

**Once Post-Event Report/Requirements are met by the State Association, USA Taekwondo will send the remaining balance of

State Association registration funds.



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STATE CHAMPIONSHIP EVENT TIMELINE & CHECKLIST

60-90 Days Prior to State Championship:

State Association Application, Fees ($200) and all required Documents (non-profit status, current bylaws signed by State Association President).

21-30 Days Prior State Championships:

Submit Sanction application, fees ($250) and referee seminar application. Please allow 3-5 business days from USA Taekwondo receiving the application for your state championship to be activated in the USA Taekwondo Hang-a-star online registration and events calendar. Please note: Incomplete application or missing referee seminar application will cause a delay in activating your event.

21 Days Prior to State Championships:

Submit Pre-Event Manual with detailed schedule for approval to the Events Manager. USA Taekwondo will review and approve or request any changes within 2-3 business days of receiving documents.

USA Taekwondo will provide insurance certificate (as long as all requirements have been met). Please Note: Submitting either the Pre-Event Manual or the Medical Personnel List past the deadline will result in a $100 fine for each late submission.

14 Days Prior to State Championships:

Submit list of Medical Personnel and all supporting required documents 7-21 Days prior to state championships:

State Association/Local Organizing Committee must conduct an approved Referee Seminar.

State Championship Final Registration Deadline:

USAT will provide 50% of current registration fees to provided bank account.

USAT will provide event registration list, membership forms, and electronic results template. Day of State Championship Registration

State Association/LOC must collect any membership forms, fees and missing registration documents. Missing registration documents may include proof of citizenship or residency, proof of black belt certification and medical waivers.

7-14 Days after the State Championship Event Date

State Association/LOC must submit a post event report and required documents. (see post event report requirements for detailed list of required information)

State Association/LOC or Instructor assigned to conduct referee seminar must submit seminar attendance sheet, fees and applications

5-7 Days after ALL Post Event Report and Documents are received by USA Taekwondo

USA Taekwondo will remit final amount of State Championship registration fees to provided bank account, minus USA Taekwondo registration and TMS fees if applicable.

If required documents are not submitted within 60 days of competition; the State Association will be charged an additional 10% fee off the total registration fees collected each month that documents are not submitted.

Attachments

The following pages show the required divisions all State Championships must run, plus creative events such as board breaking,

weapons, demo team, etc. You will also find the medical forms that need to be complete at your event if there are injuries.


ATTACHMENTS

**USAT USES DECEMBER 31, 2016 AS THE AGE DATE FOR ALL ATHLETES CHART IS EFFECTIVE FROM JANUARY 1, 2016 ‐ DECEMBER, 31, 2016 COPYRIGHT © USA TAEKWONDO

MALE SPARRING AGE DIVISIONS and WEIGHT CATEGORIES

AGE CLASSES

**AGE DIVISIONS

BELT COLOR

MATCH TIME LIMITS

*WEIGHT CATEGORIES (KG)

WEIGHT CLASSES

DRAGONS

6‐7 YEARS OLD

YELLOW, GREEN, BLUE, RED & BLACK

2 ONE‐MINUTE ROUNDS

30 SECOND REST

U19, U23, U27 & O27

FIN, LIGHT, MIDDLE & HEAVY

TIGERS

8‐9 YEARS OLD



30 SECOND REST

U21, U25, U30 & O30


YOUTH

10‐11 YEARS OLD



30 SECOND REST

U30, U35, U40 & O40


^CADET

12‐14 YEARS OLD



30 SECOND REST

U33, U37, U41, U45, U49, U53, U57, U61, U65, O65

FIN, FLY, BANTAM, FEATHER, LIGHT, WELTER, LT. MIDDLE, MIDDLE,

LT. HEAVY & HEAVY

JUNIOR

15‐17 YEARS OLD

YELLOW, GREEN, BLUE & RED


30 SECOND REST

U45, U48, U51, U55, U59, U63, U68, U73, U78 & O78


LT. HEAVY & HEAVY

^JUNIOR

15‐17 YEARS OLD

BLACK

3 ONE‐MINUTE 30 SECOND ROUNDS

60 SECOND REST

U45, U48, U51, U55, U59, U63, U68, U73, U78 & O78


LT. HEAVY & HEAVY

SENIOR

17‐32 YEARS OLD



30 SECOND REST

U54, U58, U63, U68, U74,

U80, U87, O87

FIN, FLY, BANTAM, FEATHER, LIGHT,

WELTER, MIDDLE, & HEAVY

^SENIOR

17‐32 YEARS OLD

BLACK

3 TWO‐MINUTE ROUNDS

60 SECOND REST

U54, U58, U63, U68, U74, U80, U87 & O87

FIN, FLY, BANTAM, FEATHER, LIGHT, WELTER, MIDDLE, & HEAVY

ULTRA

33+ YEARS OLD



30 SECOND REST

U58, U68, U80 & O80


^11 AND OLDER, 14 AND OLDER & 16 AND OLDER BLACK BELTS CAN COMPETE IN DESIGNATED AGE CATEGORY *U = Under, O = Over

ATTACHMENT A


ATTACHMENTS

**USAT USES DECEMBER 31, 2016 AS THE AGE DATE FOR ALL ATHLETES CHART IS EFFECTIVE FROM JANUARY 1, 2016 ‐ DECEMBER, 31, 2016 COPYRIGHT © USA TAEKWONDO

FEMALE SPARRING AGE DIVISIONS and WEIGHT CATEGORIES

AGE CLASSES

**AGE DIVISIONS

BELT COLOR

MATCH TIME LIMITS

*WEIGHT CATEGORIES (KG)

WEIGHT CLASSES

DRAGONS

6‐7 YEARS OLD



30 SECOND REST

U19, U23, U27 & O27


TIGERS

8‐9 YEARS OLD



30 SECOND REST

U21, U25, U30 & O30


YOUTH

10‐11 YEARS OLD



30 SECOND REST

U30, U35, U40 & O40


^CADET

12‐14 YEARS OLD



30 SECOND REST

U29, U33, U37, U41, U44, U47, U51, U55, U59, O59


LT. HEAVY & HEAVY

JUNIOR

15‐17 YEARS OLD



30 SECOND REST

U42, U44, U46, U49, U52, U55, U59, U63, U68 & O68


LT. HEAVY & HEAVY

^JUNIOR

15‐17 YEARS OLD

BLACK

3 ONE‐MINUTE 30 SECOND ROUNDS

60 SECOND REST

U42, U44, U46, U49, U52, U55, U59, U63, U68 & O68


LT. HEAVY & HEAVY

SENIOR

17‐32 YEARS OLD



30 SECOND REST

U46, U49, U53, U57, U62,

U67, U73, O73

FIN, FLY, BANTAM, FEATHER, LIGHT,

WELTER, MIDDLE, & HEAVY

^SENIOR

17‐32 YEARS OLD

BLACK

3 TWO‐MINUTE ROUNDS

60 SECOND REST

U46, U49, U53, U57, U62, U67, U73, O73

FIN, FLY, BANTAM, FEATHER, LIGHT, WELTER, MIDDLE, & HEAVY

ULTRA

33+ YEARS OLD



30 SECOND REST

U49, U57, U67 & O67


^11 AND OLDER, 14 AND OLDER & 16 AND OLDER BLACK BELTS CAN COMPETE IN DESIGNATED AGE CATAGORY *U = Under, O = Over

ATTACHMENT A

2016 USAT STATE CHAMPIONSHIP MANUAL

ATTACHMENTS

INDIVIDUAL POOMSAE AGE DIVISIONS

AGE CLASSES AGE DIVISIONS BELT COLOR RANK COMPETITION TYPE

DRAGONS 6-7 YEARS OLD , GREEN, BLUE & RED YELLOW N/A SINGLE ELIMINATION

DRAGONS 6-7 YEARS OLD BLACK 1ST

– 9TH

SINGLE ELIMINATION

TIGERS 8-9 YEARS OLD , GREEN, BLUE & RED YELLOW N/A MODIFIED WTF FORMAT

TIGERS 8-9 YEARS OLD BLACK 1ST

– 9TH

MODIFIED WTF FORMAT

YOUTH 10-11 YEARS OLD , GREEN, BLUE & RED YELLOW N/A MODIFIED WTF FORMAT

YOUTH 10-11 YEARS OLD BLACK 1ST

– 9TH

MODIFIED WTF FORMAT

CADET 12-14 YEARS OLD , GREEN, BLUE & RED YELLOW N/A MODIFIED WTF FORMAT

CADET 12-14 YEARS OLD BLACK 1ST

– 9TH

WTF FORMAT

JUNIOR 15-17 YEARS OLD , GREEN, BLUE & RED YELLOW N/A MODIFIED WTF FORMAT

JUNIOR 15-17 YEARS OLD BLACK 1ST

– 9TH

WTF FORMAT

1ST

SENIOR 18-30 YEARS OLD , GREEN, BLUE & RED YELLOW N/A MODIFIED WTF FORMAT

2ND

SENIOR 31-40 YEARS OLD , GREEN, BLUE & RED YELLOW N/A MODIFIED WTF FORMAT

1ST

MASTERS 41-50 YEARS OLD , GREEN, BLUE & RED YELLOW N/A MODIFIED WTF FORMAT

2ND


3RD


4th

MASTERS 66 & OLDER , GREEN, BLUE & RED YELLOW N/A MODIFIED WTF FORMAT

1ST

SENIOR 18-30 YEARS OLD BLACK 1ST

– 9TH

WTF FORMAT

2ND

SENIOR 31-40 YEARS OLD BLACK 1ST

– 9TH

WTF FORMAT

1ST

MASTERS 41-50 YEARS OLD BLACK 1ST

– 9TH

WTF FORMAT

2ND


– 9TH

WTF FORMAT

3RD


– 9TH

WTF FORMAT

4TH

MASTERS 66 & OLDER BLACK 1ST

– 9TH

WTF FORMAT

ATTACHMENT A


ATTACHMENTS

TEAM (MALE/FEMALE) POOMSAE AGE DIVISIONS

Division Belt Rank Gender

Dragon (6-7)* Black 1st – 9

th Female

Dragon (6-7)* Black 1st – 9

th Male

TIGERS (8-9)* Black 1st – 9

th Female

TIGERS (8-9)* Black 1st – 9

th Male

Youth (10-11)* Black 1st – 9

th Female

Youth (10-11)* Black 1st – 9

th Male

Cadet (12-14) Black 1st – 9

th Female

Cadet (12-14) Black 1st – 9

th Male

Juniors (15-17) Black 1st – 9

th Female

Juniors (15-17) Black 1st – 9

th Male

1st Team (18-30) Black 1

st – 9

th Female

1st Team (18-30) Black 1

st – 9

th Male

2nd

Team (31+) Black 1st – 9

th Female

2nd

Team (31+) Black 1st – 9

th Male

^TEAM POOMSAE IS MADE UP OF 3 ATHLETE OF THE SAME GENDER

*State Championships can chose to do Dragon, Tiger and Youth Team Poomsae, but those divisions will not be available at the USAT National Championships.*

**State Championships can choose to do color belt Team Poomsae, but those divisions

will not be available at the USAT National Championships. **

ATTACHMENT A


ATTACHMENTS

CO‐ED PAIRS POOMSAE AGE DIVISIONS

AGE CLASSES

**AGE DIVISIONS

BELT COLOR RANK GENDER

COMPETITION TYPE

DRAGONS*

6‐7 YEARS OLD

BLACK

1st

– 9th

Co-ed

MODIFIED WTF FORMAT

TIGERS*

8‐9 YEARS OLD

BLACK

1ST

– 9TH Co-ed

MODIFIED WTF FORMAT

YOUTH*

10‐11 YEARS OLD

BLACK

1ST

– 9TH Co-ed

MODIFIED WTF FORMAT

CADET

12‐14 YEARS OLD

BLACK

1ST

– 9TH Co-ed

MODIFIED WTF FORMAT

JUNIORS 15-17 YEARS OLD BLACK 1ST

– 9TH

Co-ed MODIFIED WTF FORMAT

1ST

PAIRS

18‐30 YEARS OLD

BLACK

1ST

– 9TH Co-ed

WTF FORMAT

2ND

PAIRS

31+ YEARS OLD

BLACK

1ST

– 9TH Co-ed

WTF FORMAT

*State Championships can choose to do Dragon, Tiger and Youth Pairs Poomsae, but those divisions will not be available at the USAT National Championships.*

**State Championships can choose to do color belt Co‐Ed Pairs Poomsae, but those

divisions will not be available at the USAT National Championships. **

ATTACHMENT A


ATTACHMENTS

MALE & FEMALE INDIVIDUAL CREATIVE AGE DIVISIONS ‐ BOARD BREAKING ‐

AGE CLASSES

**AGE DIVISIONS

BELT COLOR

SET‐UP TIME LIMITS BOARD BREAKING ‐

ROUTINE TIME LIMITS

DRAGONS

6‐7 YEARS OLD

YELLOW/GREEN, BLUE/RED & BLACK

1 MINUTE

1 MINUTE

TIGERS

8‐9 YEARS OLD


1 MINUTE

1 MINUTE

YOUTH

10‐11 YEARS OLD


1 MINUTE

1 MINUTE

CADET

12‐14 YEARS OLD


1 MINUTE

1 MINUTE

JUNIOR

15‐17 YEARS OLD


1 MINUTE

1 MINUTE

SENIOR

18‐32 YEARS OLD


1 MINUTE

1 MINUTE

ULTRA

33+ YEARS OLD


1 MINUTE

1 MINUTE

DEMONSTRATION TEAM

AGE CLASSES

**AGE DIVISIONS

BELT COLOR

SET‐UP TIME LIMITS

ROUTINE TIME LIMITS

DEMO TEAM

ALL AGES

ALL BELT COLORS

1 MINUTE

10 MINUTES

**State Championships can choose to do Weapons competitions, but this

division will not be available at the USAT National Championships. **

ATTACHMENT A


ATTACHMENTS

Appendix

A

Ap

pen

dix

B

Date

Name

City, State

Age

Right,

Left,

Both

Body

Part

Type of

Injury (Circle

all that apply)

Treatment

(Circle all that apply)

Right

Left

Both

Sprain/Strain

Bruise

Wound

Nosebleed Concussion

Dehydrate Sick Other

Ice Biofreeze Tape Pad

Clean Drugs Bandage Other

Right

Left

Both

Sprain/Strain

Bruise Wound

Nosebleed

Concussion


Ice Biofreeze

Tape Pad Clean Drugs

Bandage Other

Right

Left

Both

Sprain/Strain

Bruise Wound

Nosebleed

Concussion


Ice Biofreeze


Bandage Other

Right

Left

Both

Sprain/Strain

Bruise

Wound Nosebleed

Concussion


Ice Biofreeze


Bandage Other

Right

Left

Both

Sprain/Strain

Bruise

Wound Nosebleed

Concussion


Ice Biofreeze Tape Pad Clean Drugs

Bandage Other

CO

NF

IDE

N

TIA

L

Right

Left

Both

Sprain/Strain

Bruise

Wound Nosebleed

Concussion


Ice Biofreeze Tape Pad Clean Drugs

Bandage Other

ATTACHMENT B


ATTACHMENTS

ATTACHMENT B USA TAEKWONDO SPORTS MEDICINE ATHLETIC INJURY/ILLNESS REPORT FORM

NAME DOB GENDER ATHLETE COACH_ OFFICIAL PARENT OTHER_

DATE & TIME OF INJURY STATE/COUNTRY OF RESIDENCE_ NAME & YEAR OF COMPETITION

INJURY NATURE: ACUTE CHRONIC RE-INJURY -- DATE OF 1ST INJURY OCCASION: WARM-UP_ COMPETITION NON-SPORT

WEIGHT CLASS BELT COLOR/DAN

CLASSIFICATION: PRE-ADOL JR SR EXEC SR NON-ATHLETE =======================================================================================

VITALS: TEMP BP_ PULSE RESP PUPILS LOC

ALLERGIES

DIAGNOSIS/EVALUATION

HISTORY & EVALUATION

SENT TO HOSPITAL X-RAY RECOMMEND FURTHER EVAL FOLLOW-UP TREATMENT

CLEARED FOR PARTICIPATION 30-DAY OUT HEAD INJURY RETURN DATE

SIGNATURE ATC MD DO DC PA PT MEDIC RN EMT STUDENT


ATTACHMENTS

ATTACHMENT B CIRCLE ONE FOR EACH:

Was the injury sustained from: Body Part:

• blocking a kick Right Left Both Posterior Anterior

• blocking a punch

• attacking with a kick Specific structure:

• attacking with a punch

• charging opponent, no kick or punch Injury Nature:_

• unblocked kick or punch (being attacked, no defense) (refer to NAIRS Listing)

• stepped into kick

• stepped into punch If concussion, what grade:

• recovering from missed kick (Refer to reference card on grading)

• attacked with back turned

• kicked/punched while falling Wearing mouthpiece? YES NO

• kicked after fall/on the ground

• hitting playing surface Brand of headgear

• colliding/clashing with opponent

• warming up Brand of chest protector

• unknown origin

• non-sport related

Was the injury sustained during: Athlete, due to injury (circle one):

• previous injury prior to event lost fight

• 1st round bowed out of fight due to injury

• 2nd round won fight • 3rd round won fight but could not continue

• warm up/between fights won due to illegal hit/move of opponent


Was the injury sustained during: Did athlete receive any bye matches? • previous injury prior to event yes no • 1st fight How many?

• 2nd fight • 3rd fight • 4th fight

• 5th

fight • 6th fight Number of Times Competing at the • 7th fight Local Level

• warm up/between fights State Level • non-sport related Regional Level

National Level Type of kick causing injury: International Level

• spinning/swing

• thrust

• axe

• punch/no kick


• fell onto, no kick involved

Has athlete ever sustained a head injury before? YES NO Time Loss• Date(s) of head injury

• Type of head injury Could no longer compete

Completed tournament fights• Evaluated at hospital YES NO Recommended time off following

• Stayed overnight at hospital YES NO tournament -- how many days

• Complications off? To see doctor before return to athletic participation


ATTACHMENTS

ATTACHMENT B USA TAEKWONDO SPORTS MEDICINE HEAD INJURY GUIDELINES

This is a follow-up sheet for your health and safety. Quite often, signs of a head injury do not appear immediately after trauma, but hours, even days, after injury. The purpose of this fact sheet is to alert you to the symptoms of significant head injuries, symptoms that may occur several hours after you leave the care of the athletic trainer.

It is common to have a headache following trauma to the head or face. If you feel the need to take a

medication to relieve this discomfort, you may take 2 acetaminophen tablets (Tylenol®) every 4 hours

for the pain and NOTHING ELSE!!!! DO NOT TAKE ASPIRIN OR IBUPROFEN (Advil ®, Motrin®,

Aleve®, Nuprin®, etc. If under the age of 12, seek the children’s acetaminophen alternative. If in doubt,

contact medical personnel before taking any medication.

If you experience one or more of the following symptoms following a head injury, contact medical personnel:

1. Difficulty remembering recent events or meaningful facts, or change in the ability to

remember 2. Severe headache, particularly in a specific location 3. Stiffening of the neck, causing sharp pain 4. Bleeding or clear fluid dripping from the ears or nose 5. Mental confusion or strange, “foggy” feeling 6. Nausea or vomiting, especially projectile vomit 7. Dizziness, poor balance, or unsteadiness 8. Weakness in either arms and/or legs 9. Abnormal drowsiness or sleepiness & fatigue

10. Convulsions 11. Unequal pupil size, if abnormal for you 12. Loss of appetite 13. Persistent ringing of the ears 14. Slurring of speech 15. Unusual lethargy, or felling blah for no reason

The appearance of any of the above symptoms tells you that you have had a significant head injury that requires medical attention. If any of these symptoms appear, contact the medical personnel listed below, or report IMMEDIATELY to the hospital. DO NOT EAT OR DRINK ANYTHING BEFORE SEEKING MEDICAL ATTENTION.

Evaluator Phone/Pager Number

Hotel/Room #

REPORT TO YOUR INSTRUCTOR THE FOLLOWING DAY BEFORE BEGINNING PARTICIPATION IN ANY ACTIVITY

30-day-out rule applies to your head injury YES NO Return date


ATTACHMENTS

ATTACHMENT C USA TAEKWONDO

BLACK BELT VERIFICATION FORM

Form must be filled out completely to be valid: Athlete Name:

Athlete USAT Membership #

Athlete/Parent or Guardian Email:

Athlete/Parent or Guardian Phone #:

Coach or Instructor Name:

Coach or Instructor Email:

Club Name:

Coach or Club Phone #:

I, certify that is a Black Belt as of

DATE

By signing this form I understand that __________________________ will compete as a black belt in all USA Taekwondo events from this date forward and that I will provide a copy of black belt certification by the final registration deadline for the 2016 National Championships to USA Taekwondo National Office. Signed:______________________________________ Date:________________________ ATTENTION COACH/INSTUCTOR: You will be required to provide USA Taekwondo National Office with a copy of this athlete’s black belt certification by the final registration deadline of the 2016 National Championships. If documentation is not available at the time then it can be presented at time of registration. If a copy is not available at the time of registration then coach/instructor will be required to apply and pay for a USA Taekwondo black belt certification.