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A-Team Taekwondo is proud to host:

USAT Referee Certification Seminar

Administered by:  Head Referee John Seiber

February 26, 2011 - 11:00am to 7:00pm

$60 (includes lunch)


Referee Certification Registration

Email Address:
Current USAT Membership Number:
Date of Birth:
Please upload a current Photo (Headshot)
First Name:
Last Name:
Address1
City
State
Zip Code
Telephone #:
TKD School:
Please select your current rank:

Payment of $60 must be paid at the door on February 26th 10:00am-11:00am.   Please bring a check or money order payable to COSTA (no credit cards will be accepted).

I hereby voluntarily submit my application for participation in the USAT Referee Certification Seminar offered at A-Team TKD and hereby assume full responsibility for any & all damages, injuries, or losses that I sustain while participating.  I hereby waive all claims against COSTA, A-Team TKD, promoters, officials individually or otherwise.  I give consent to take pictures & video.

I have read and fully understand the above paragraph

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A-TEAM Taekwondo

"Champions in Sport & Life"