Guidelines for Ban Ki-moon Cup 1st International Taekwondo Championships

Organizing Committee of Ban Ki-moon Cup International Taekwondo Championships

l Outline

□ Title: Ban Ki-moon Cup 1st International Taekwondo Championships

□ Period: August 7-8, 2016 (2 days)

□ Event : Poomsae ('form'), Kyorugi (individual, team - domestic, international), events (scoring, match, breaking), experience event(speed kicking)

□ Opening ceremony : 15:00, August 7 (Sun.), 2016

□ Venue : Eumseong Gymnasium

□ No. of participants : 1,000 (domestic: 700, foreign: 300)

□ Hosted by : Eumseong-gun Sports Council

□ Organized by : Organizing Committee of the International Taekwondo Championships, World Taekwondo Missionary Association (WTMA), Global Vision Christian School

□ Sponsored by : Eumseong-gun, Chungbuk Taekwondo Association, Eumseong-gun Taekwondo Association, Daejeon Taekwondo

Association, Global Vision Christian School, GVCS Taekwondo Academy, Gangdong College, Far East University,

Eumseong-gun Workers Welfare Center, Eumseong-gun Multicultural Family Support Center, Eumseong-gun Branch of the Korean Federation of Lodging Industry, Eumseong-gun Office of Korea Foodservice Industry Association

Category Date Description Remark

Before the Event

Jun. 18-Jul. 8 ○ Receipt of applications Organizing Committee

Jul. 11-18 ○ Application check and revisionOrganizing Committee

11:00, Aug. 6 ○ Team leaders' meeting Organizing Committee

14:00, Aug. 6 ○ Operating staff training & posting Organizing Committee

Events and Poomsae Competition

Aug. 6 (1 day) ○ Welcome reception and international referee education (16:00)

Organizing Committee

Aug. 7 (1 day) ○ Poomsae / competition (Individual, team) Eumseong Gymnasium

Aug. 7-8 (1 days) ○ Sparring (Individual, team - Final round) Eumseong Gymnasium

Official Ceremony

Aug. 7 (Sun.) ○ Opening ceremony and events Eumseong Gymnasium

Aug. 8 (Mon.) ○ Award presentation and closing ceremony Eumseong Gymnasium

Experience Aug. 9 (Tue.) ○ Hands-on events (Visit to Birth Home of Ban Ki-moon, etc.)

Across Eumseong-gun

Event Day 1 (Aug. 7) Day 2 (Aug. 8) Remark

Authorized Poomsae (Color belt) All contests

Preliminary round, final

round

Authorized Poomsae (Poom holder) All contests

Preliminary round, final

round

Authorized Poomsae TeamPreliminary round, final

round

Sparring(Kyorugi)Elementary School / Junior High School /

Senior ITeam

Preliminary round, final

round

Event (Breaking) Adult (High School/ Senior )

Preliminary round, final

round

□ Schedule

※ The said schedule is subject to change depending on the circumstances.

□ Schedule (Events)

※ The said schedule is subject to change depending on the circumstances.

Category

Elementary School

Junior High School

High School SeniorⅠ SeniorⅡ SeniorⅢRemarkLow , Mid

and High Graders

B y Grade B y Grade 29 or younger 39 or younger 40 or o lder

Authorized Poomsae(Color belt)

Men ● ● ●

Women ● ● ●

Authorized Poomsae (Poom holder)

Men ● ● ● ● ● ●Women ● ● ● ● ● ●

Sparring]

(Kyorugi)

Men ● ● ● ●

Women ● ● ● ●

Speed breaking, high jump breaking(Scoring)

Men● High School / Senior division

Women

○ Elementary School: 3 teams - Low graders (1-2nd graders), mid graders (3-4th graders), high graders (5-6th graders) ※ Individual Poomsae only

2 groups - Low graders (1-3rd graders), high graders (4-6th graders)※iKyorugi sector

○ Junior High School: 3 groups - 7th graders, 8th graders, 9th graders○ High School: 3 groups - 10th graders, 11th graders, 12th graders○ College: 25 or younger (enrolled college students)○ Adult: SeniorⅠ, Ⅱ, Ⅲ

Category

Elementary School

Junior High

School

High School

College SeniorRemark

Low/High Graders

Integrated Integrated Integrated Integrated

Authorized Poomsae Team ● ● ● ● ●

3-membered SparringMen ● ● ● ● ●

Women ● ● ● ● ●

○ Elementary school: 2 groups - Low graders (1-3rd graders), high graders (4-6th graders)○ Junior high school: 1 group - Integrated○ High school: 1 group - Integrated○ SeniorⅠ, Ⅱ, Ⅲ - Integrated

Ⅱ Summary

1. Event A. Individual competition: 4 events (Classified into 'Domestic' and 'International')

B. Team competition: 2 events (Classified into 'Domestic' and 'International')

2. Eligibility and classification

A. Player requirements- A holder of nationality, permanent residency of citizenship of host country- A holder of poom or black belt issued by Kukkiwon B. Classification (by age)- Based on domestic school grades- According to domestic age standards for international students

3. How to participateA. Domestic : Able to participate in all events (Aug. 7 - poomsae, match, parring, team

competition, Aug. 8 -Kyorugi)B. International : Able to participate in all events (Aug. 7 -poomsae, match, parring, team

competition, Aug. 8 -Kyorugi)

4. Competition methodA. TournamentB. Classification into 'Domestic' and 'International'C. An international contestant's desire to compete with a domestic player allowed D. Players Kyorugi domestic and foreign players Integration

5. UniformA. All contestants are required to put on a uniform designated by Kukkiwon.

6. AwardsA. A certificate and metal presented to individual contest winnersB. Trophy, certificate and metal presented to team contest winners

7. Team leaders' meeting A. Date: 11:00, August 6, 2016B. Venue: The Office of the Organizing Committee (in Eumseong-gun Gymnasium)

Individual Team

Local Foreigner Local Foreigner

KRW 20,000 US 20 dollars KRW 50,000/team US 50 dollars/team

8. SubmissionA. Application form- The Office of the Organizing Committee: ☎ 043-872-1145 Fax 872-1148- Official website: www.essports.or.kr B. Submission period and method- Period: June 13 (Mon.) - 18:00, July 8 (Fri.) - How to submit: Visit the website (www.essports.or.kr) and download the application form.

Then, fill out and send it by fax or email (ppk9084@hanmail.net). - Submission in person: Eumseong-gun Sports Council, Eumseong Gymnasium, 47, Seolseong-ro,

Eumseong-eup, Eumseong-gun, Chungbuk※ No postal mail is accepted.

9. Participation fee

※ The participation fee is used for souvenir and compensation insurance.

A. Domestic contestants need to pay the fee to the bank account as soon as the application is submitted.(The Organizing Committee shall not be responsible for any problems arising from the applicant's failure to write down the information.)

E.g.) John Doe from ___ Taekwondo Gym※ The participation fee not refundable after the confirmation and correction period. ※ International contestants need to pay the fee on the spot.

2. Participation fee paid to: Nonghyup 301-0189-5032-71

10. OthersA. Souvenir, certificate of participation and compensation insurance for all contestantsB. International contestants: Hotel (3 night), meal (breakfast), shuttle bus, participation in various

events, metalC. The matters relating to the event are announced through the website of the Organizing

Committee. (www.essports.or.kr).

11. Entry & exit and stay information for international contestants

○ Shuttle bus- Aug. 6 (Sat.), 2016

Day 1) Kukkiwon (airport) → registration center (Eumseong Gymnasium) → HotelAug. 7 (Sun.)

Day 2) Hotel → Eumseong Gymnasium→ HotelAug. 8 (Mon.)

Day 3) Hotel → Eumseong Gymnasium → HotelAug. 9 (Tue.) Hotel → Ban Ki-moon's birth home → Airport

* The officers and contestants are required to inform their entry & exit and flight schedule to the Organizing Committee by July 24 (Sun.).

* Those who fail to inform the said information could be limited in using a shuttle bus.

○ Board and lodging - Hotel: August 6 (Sat.) - 9 (Tue.), 2016 (3 nights)- Meal: August 6 (Sat.) - 9 (Tue.), 2016 (breakfast served)* The additional board and lodging expenses besides those provided by the Organizing

Committee should be individually paid.

Ⅲ Sub Events

A. Taekwondo experience (Speed Kicking)B. Performance by the demonstration teamC. Experience of Eumseong Pungmul Market D. Extra eventsE. Special performancesF. Experience of local special productsG. Special event with parent(s) H. Gift presentation to all contestantsI. Special tour and hands-on programs in connection with Ban Ki-moon's birth home

Ⅳ Contest Rules and Methods

1. 1. Authorized Poomsae□□. Individual

○ Color beltA. Contest : Elementary school(Low graders /mid graders/ high graders),Integrated men and women,

Junior high school/High school-Divided by 'men' & 'women,'

B. Contest method: 1 group with 4 contestants - tournament C. Award: 1st - certificate, metal; 2nd - certificate, metal; 3rd - certificate, metal (2

winners)D. Range of Poomsae: Elementary School (Poomsae 3), Junior High School (Poomsae 5),

High School (Poomsae 5)E. Scoring method: The revised contest rules of the World Taekwondo Federation are

applied.F. Poomsae referee: The referees shall be appointed by the Organizing Committee.

○ IndividualA. Poom (Dan) Holder - Elementary School: 3 groups (Low, Mid and High Gradersr),divided into 'men' and 'women'- Junior High School: Integrated (7th, 8th and 9th graders)- High School: Integrated (10th, 11th and 12th graders)- senior: Divided into 'Men' and 'Women'; tournament competitionB. Contest method: 1 group with 4 contestants - tournament (except for 'Senior' - tournament)D. Award: 1st - certificate, metal; 2nd - certificate, metal; 3rd - certificate, metal (2 winners)E. Range of Poomsae - Elementary school: Taegeuk 6, Goryeo - Final round (Goryeo)- Junior high school: Taegeuk 8, Goryeo - Final round (Goryeo)- High school: Goryeo, Taebaek - Final round (Taebaek)- College: - Senior: Geumgang - Final round (Taebaek) F. Scoring method: In accordance with the Poomsae Rules of the World Taekwondo Federation

□□ Team A. Competition : Mixed (3 contestants) permitted - Elementary school: 2 groups - low graders (1st, 2nd and 3rd graders), high graders (4th, 5th and 6th graders),- Junior high school: 1 group (no classification by school grade)- High school: 1 group (no classification by school grade) - senior: Integrated

B. Contest method: Cut-offC. Award: 1st - Trophy,,certificate, metal; 2nd - Trophy, certificate, metal; 3rd - Trophy, certificate, metal (2 teams)D. Range of Poomsae: Elementary school: Taegeuk 6 (Goryeo); junior high school: Taegeuk 8

(Goryeo); high school: Goryeo, (Geumgang); college, senior: Geumgang, (Taebaek)

E. Judgment: In accordance with the Judgment Rules of the World Taekwondo Federation

2. Sparring(Kyorugi)2. Sparring(Kyorugi)2. Sparring(Kyorugi)1) Contest events and classification◈ Classification① The events are held under amateur rules. ② Basically 1 group with 4 contestants → Preliminary round-final round (tournament by weight); in case of senior (tournament by weight) - Elementary school: Eligibility limited to the holders of poom issued by Kukkiwon - Divided into 'Men' and 'Women'; low graders (1st, 2nd and 3rd graders) and high graders (4th, 5th and 6th graders); divided by weight and group (If not classifiable by weight or group, the weight classes are integrated as one group.) - Junior high school: divided by contest, 'men' & 'women' and weight - High school: divided by contest, 'men' & 'women' and weight - senior: divided by contest, 'men' & 'women' and weight

2) Contest methods◈ Individual① Elementary school: Divided by 'men' & 'women,' school grade, weight and group (4

contestants per group) - tournament② Junior high school, high school: Divided by 'men' & 'women,' weight and group (4

contestants per group) - tournament➂ seniorⅠ: Divided by 'men' & 'women,' weight and group tournament④ In case of a tie score after the completion of the 3rd round, a 4th round of will be

conducted after a 20-second break. (However, in elementary school contests, a 3rd overtime round will be performed in a 20-second break after the 1-minute 2nd round.)

※ However, the said rules are subject to change at a team leaders' meeting.※ The revised contest rules of the World Taekwondo Federation are applied.

◈ Team competition (3 contestants) ① Classification: 3 contestants② Team weight class: Low graders (1st, 2nd and 3rd graders), high graders (4th, 5th and 6th

graders), junior high school, college and senior➂ Competition method: 3 contestants during the 1st half (1 minute per contestant); contestant

substitutable in the 2nd half (2 minutes)➃ Duration of contest: After 3 contestants are played (1 minute per contestant), there will be a

2-minute contest in the second half in a 20-second rest.In case of a tie score, however, there will be a death overtime round played by the team leaders. Then, a contestant who scores first becomes the winner.

➄ Substitution of contestants- First half of the contest: Regardless of weight class, 3 contestants are required to play the game by the order of the contestants on the list (1 minutes per contestant). Ten points shall be given to a contestant who knocks down the opponent. Then, the knocked down contestant shall be immediately substituted and prepares for the next match. If a team has another contestant being knocked down, it shall lose the contest. - Second half: Contestants are freely substitutable by the assistant coach or head coach. If the

substituted contestant can be substituted again after exchanging skills more than 3 times with the opponent. Both contestants cannot be substituted simultaneously.

- How to substitute a contestant: A substitute shall wait out of the boundary line. The assistant

coach or head coach shall shout 'gyoche (substitute)' and raise the substitution flag. Then, the referee shall declare 'galyeo (break)' and 'gyoche' and touch hands on the boundary line. Then, he/she shall declare 'gyesok (continue)' and resume the contest.

(※ Use of lamp: Contestant substitution device)- Loss by gamjeom (deduction penalty): If a team gets 10 points as gamjeom at a single contest,

it shall lose the contest.

- Win by high scores: A team earning 45 points first at a single contest wins the game. - Sudden death: In case of a tie score after the completion of the contest, team leaders shall

have a match. A contest who scores first wins the contest. - 10-second rule: If both contestants show no sign of attack, the referee shall give them a signal

to fight and ‘gyeonggo (warning).'※ The contestants need to prepare their personal devices. (Hand & foot protector, headgear, arm & leg protector, groin guard; all contestants are required to put on a mouthpiece. Otherwise, they shall be banned from participating in the contest.)

※ However, the said rules are subject to change at a team leaders' meeting.

3) Duration of contest① Elementary School: 2 rounds (1 minute per round) (20-second rest between the rounds)Junior high school, high school, college and senior: 3 rounds (1 minute and 30 seconds per round)

(20-second rest between the rounds)(However, the said duration is subject to adjustment at a team leaders' meeting (individual

competition: time, team competition: time and number of rounds)

4) Weighing method① Weight class is checked at the submission of an application (submitted on the Internet).② Weight tolerance for sparring (Refer to the Weight Division for Sparring.)③ Poom / Dan Certificate must be presented at Weigh-in. ④ Men and women (Taekwondo uniform worn): Permitted up to ± 500 grams => Women -

upper garment (short T-shirts)⑤ Weigh-in site: Eumseong Gymnasium ⑥ Date: 18:00 - 20:00 (eve of the event); 19:00 - 21:00 (on the day of the event)However, weigh-in shall be conducted twice. If a contestant is under or over the limit by 1.5kg

at the first weigh-in, he/she shall be disqualified without additional weigh-in. Within the weigh-in time, weigh-in can be performed one more time.

※ Before weigh-in, a coach needs to inform contestants their weight class and contest number and explain them weigh-in procedures. Unless contestants have a stamp on the back of their hand after the weigh-in or affix their seal on the contestant list, they are banned to participate in the event under any circumstances.

5) RefereeRefereed by those appointed by the Organizing Committee

Weight Division for

Sparring <Unit: Kg>

Category

Elementary SchoolJunior High

School(Men)

Junior High School

(Women)

High School(Men)

High School(Women)

Senior(Men)

Senior(Women)

Low Graders

(Men/Women)

High Graders

Men Women

Junior Pin Less than 21 28-30 25-28

Pin 21-23 30-32 28-30 Less than 41

Less than 40

Less than 52

Less than 45

Less than 54

Less than 46

Fly 23-25 32-34 30-32 41-45 40-43 52-56 45-48 54-58 46-49

Bantam 25-27 34-36 32-34 45-49 43-46 56-60 48-51 58-63 49-53

Feather 27-29 36-39 34-37 49-53 46-49 60-64 51-54 63-68 53-57

Light 29-31 39-42 37-40 53-57 49-52 64-68 54-57 68-74 57-62

Light Welter 31-33 42-45 40-43 57-61 52-55 - - - -

Welter 33-35 45-49 43-47 61-65 55-58 68-72 57-60 74-80 62-67

Light Middle 35-37 49-53 47-51 65-69 58-62 72-76 60-64 - -

Middle 37-39 53-57 51-55 69-73 62-66 76-80 64-68 80-87 67-73

Light Heavy 39-42 57-61 55-59 73-77 66-70 80-84 68-72 - -

Heavy Over 42 Over 61 Over 59 Over 77 Over 70 Over 84 Over 72 Over 87 Over 73

◈ 3-contestant team competition (sum of 3 contestants' weights) - Elementary School: Low graders (120Kg); high graders (160Kg); junior high school (180kg); high

school (200kg); senior (220kg)

Event Breaking Object Dimension (L×W×T)

Speed Breaking Breaking Block (Knife Hand) 40.5cm×14cm×1.6cm

High Jump Breaking Pine Board 30cm×22cm×0.9cm

3. Contest event ※ Demonstrative event: For international contestants only

◇ Breaking object and breaking board○ The breaking targets used for gyeokpa (breaking) are as follows:

※ All breaking objects are provided by the Organizing Committee. The same breaking objects are used during both

preliminary and final rounds. However, similar breaking objects should be individually prepared and must go through an inspection prior to the event.

○ For speed breaking and high jump breaking, the breaking boards provided by the Organizing Committee are used.

□ High jump breaking After an approach run, jump high and break the target with foot.

A. Contest method: Cut-offB. Contest time: 20 seconds or lessC. Compulsory regulations 1. The contestant shall apply the desired target height before the contest. 2. The contestant cannot apply for less than 5 cm increment for his applying distance.3. The breaking targets shall be those authorized by the Organizing Committee.4. Breaking shall be done within 20 seconds after the 'sijak ('start')' command.5. The approach run should be shorter than 7m.

D. Technical regulations1. When a contestant successfully breaks the object, he/she is able to challenge the next level.

Including the first attempt, a total of 3 attempts are given. 2. After successfully breaking the object at the first attempt, a contestant is free to set the height

for his/her 2nd or 3rd attempt. However, the 3rd attempt cannot be done without passing the 2nd attempt.

3. The winer of the final round is able to challenge the record regardless of the number of his/her attempts.

E. Penalty (warning, deduction, disqualification)1. Penalties are given by the referees.2. The penalties are warning, deduction, and disqualification.- One warning penalty shall not be counted.- Two warning penalties are equal to a 1 deduction.- One deduction penalty is equal to 1.0 point deduction, and the 1.0 point deduction is equal to a 10cm addition to the height of the breaking object. 3. Penalty shall be given to the following acts:① Internationally interrupts the opponent's breaking verbally or by act② Interferes the referee or staff during the competition③ Exceeds the competition time (1.0 deduction per 10 seconds, and a one point deduction refers

to a 10cm addition to the height of the breaking object)④ The referee can declare a point deduction if the contestant repeats a minor act of the above

articles ① and ② after getting the warning penalty, or commits such acts intentionally.4. Penalties are applied at the challenged breaking contest only. 5. The sum of penalties are deducted from the final scores.

F. Disqualification is given to the following acts:1. When any parts of the body above the knees touch the ground after breaking (hands on the

grounds acceptable) 2. Breaking using an unauthorized skill or technique 3. A contestant participating in the event under the other's name

G. Decision1. A contestant shall be disqualified unless he/she breaks the object he/she has set. 2. If a contestant fails to break the object at the 2nd or 3rd attempt after successfully breaking

it at the 1st attempt, the last successful breaking would be his/her record. 3. If a contestant fails to break the object at his/her second attempt after success at the first

attempt is in a tie with the other contestant who fails to break the object at his/her 3rd attempt after successfully breaking it at the 2nd attempt, both contestants shall be given another attempt.

4. A contestant with the highest final record shall be a winner. 5. If the final records are a tie, the contestants are given another attempt. If the records are still

the same after the reattempt, a shorter contestant shall be the winner.

□ Speed breaking It shall be measured by the pushed distance of targets that is broken and pushed back due to the strike using the knife hand technique with fast speed.

A. Contest method: Cut-offB. Contest time: 20 secondsC. Compulsory regulations1. The breaking targets shall be those authorized by the Organizing Committee.2. Contestant are banned to put on any material for breaking.3. The contestant shall place the protective pad provided by the Organizing Committee on the breaking targets to avoid any injuries.

D. Technical regulations Knife hand strike breaking breaks the targets with the knife hand or the reversed knife.

E. Penalties (Warning, deduction, and disqualification)1 Penalties are given by the referees.2. The penalties are warning, deduction, and disqualification.3. One warning penalty shall not be counted.4. Two warning penalties are equal to a 1 deduction.5. One deduction is equal to 1.0 point deduction, and the 1.0 point deduction shall be a 10cm addition to the record distance.

F. Warning and deduction shall be given to the following acts:1. Internationally interrupts the opponent's breaking verbally or by act2. Interferes the referee or staff during the competition3. Exceeds the competition time (1.0 deduction per 10 seconds, and a one point deduction

refers to a 10cm addition to the record distance)4. The referee can declare a point deduction if the contestant repeats a minor act of the above articles 1 and 2 after getting the warning penalty, or commits such acts intentionally.5. The sum of penalties are deducted from the final scores.

G. Disqualification is given to the following acts:1. When any parts of the body above the knees touch the ground after breaking 2. Breaking using an unauthorized skill or technique 3. A contestant participating in the event under the other's name4. The target object is not completely broken.

H. Decision1. A contestant who completely breaks the target with the target pushed back the least

becomes the winner. 2. If the breaking target is completely broken, and the distance of the target pushed back is the same, the contestants shall be given another attempt. 3. If the scores are still the same even after the reattempt, both contestants shall be

co-winners.

Date of

ArrivalFlight No.

Airport of

ArrivalDate of

DepartureFlight No.

Airport of

Departure

CategoryPlayer Assistant Coach Head Coach Officer

Total No. of Participants

Application No.

Application of Ban Ki-moon Cup 1st International Taekwondo Championships

❍ Team

Country Team

Team Leader Job Title

Date of Birth Contact f)

Address E-mail:

❍ No. of Participants

❍ Entry and Exit Schedule (*foreign teams only)

❍ Participation by Event

Category EventNo. of Participants Participation Fee

(KRW)RemarkMen Women Total

IndividualAuthorized Poomsae

Individual: KRW 20,000

Sparring

EventHigh Jump Breaking

Speed Breaking

Sub-total

TeamAuthorized Poomsae _________ Team Team: KRW

50,0003-membered Sparring _________ Team

Sub-total _________ Team

I hereby submit this application to participate in Ban Ki-moon Cup 1st International Taekwondo Championships.

MM/DD/2016Head of the Organization: _______ /Seal/

The Organizing Committee of Ban Ki-moon Cup World Youth Taekwondo Festival

Application No.

Poomsae Contest Participation Form

※ Please out the form (colored belt, poom holder, school grade, male/female) with correct information.

※ Enter your name, date of birth and telephone number correctly for the purchase of compensation insurance policy.

Team Event□ Individual □ Doubles □ Colored Belt □ Poom (Dan) Holder * Put a check mark (√) in the box.

Leader Telephone ☎ F:

No.Name (Team Name)

Name Date of Birth Poom Poom (Dan) No. School and Grade Remark

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

Application No.

Sparring( Contest Participation Form

※ Read carefully and fill out the form in detail. ※ Enter your name, date of birth and telephone number correctly for the purchase of

compensation insurance policy.

Team Event □ Individual □ Team* Put a check mark (√) in the box.

Team Leader

Telephone ☎ F:

No.Weight Class

Name Gender Date of Birth School and Grade Team Remark

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

Recording Contest Participation Form ※ Content Events (Gyeokpa ('Breaking'))

※ Enter your name, date of birth and telephone number correctly for the purchase of compensation insurance policy.

※ 19 or older (integrated)

Team Event□ High Jump Breaking □ Speed Breaking* Put a check mark (√) in the box.

Team Leader

Telephone

■ Contestant List

No. Name GenderResident

Registration No.

Poom (Dan) Poom (Dan) No. Remark

1

2

3

4

5

6

7

8

9

10

Participation Consent Form

◈ Title: Ban Ki-moon Cup 1st International Taekwondo Championships

◈ Team (No. of Gym): (Tel)

◈ Name: (Mobile)

◈ Resident Registration No.: -

I hereby attest and confirm that I would exempt Eumseong-gun Sports Council and the Organizing Committee from any liabilities regarding an accident or injury during the contest. In addition, I agree to Article 15 (Collection and Use of Personal Information) and Article 17 (Provision of Personal Information) of Personal Information Protection Act for the signing, maintenance and management of the insurance contract.

※ If you are a minor, you must have your parent's signature.

※ The Organizing Committee is buying a group personal accident insurance policy. We shall be responsible for the accidents covered by the insurance only. In addition, the accidents which occur during the event (August 7-8, 2016) are only covered.

MM/DD/2016

Name: (Signature or Seal)