Pre-Registration (No Registration On-site)

 SHINN MU KWAN TAEKWONDO TOURNAMENT
Saturday, November 17th, 2007, 10 a.m. to 3 p.m. at Haslett Middle School, 1535 Franklin St., Haslett, MI 48840

Name: (First, Last) _____________________________________	Sex (M/F) ___     Age ____  Date of Birth  ___________

Address  _____________________________________________  City  _____________________________  Zipcode  _________

Weight _______lb.      Height:  __________   Rank (Gup/Dan ) _________    Belt Color _______  Phone (     ) _______________

Number of Tournament Experiences (Sparring):  __________ (This information will be used to help match students evenly)

TKD School Name __________________________  ______________________________________________________________  

Check one

_____	Tiger Tots / Litle Ninja

_____      All Others			Sparring _____ Forms __________
				$39 for one event; $49 for two events
				Fee submitted $ _____________________

Spectator Fee: $5 (5 & Under Free) pay at the door

	Make Check/Money Order payable to:	Shinn’s Taekwondo 
       Send pre-registration form and fee to:	Shinn's Taekwondo Academy   (517) 347-9062
	2189 W. Grand River Ave., Suite #2. Okemos, MI 48864


Pre-registration by mail must be received by November 13th, 2007 (or be postmarked by November 10th, 2007)
To Register Online, go to:  www.shinnstkd.com/MuKwanMain.html



Event Fee __________  =   Total Fee  $__________

LIABILITY WAIVER
In consideration of being allowed to participate in any way in the Shinn Mu Kwan Taekwondo Tournament or
related events, the undersigned acknowledges, appreciates and agrees that, for myself and on behalf of my heirs,
assignees, personal representative and the next of kin, hereby release and hold harmless the Great Lakes Cup, Shinn's
Taekwondo Academy, Inc., their officials, officers, agents and/or employees, other participants, sponsoring agencies,
sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event ('Releases") with
respect to any and all injury, disability, death, or loss or damage to person or property, whether arising from
negligence of the releasees or otherwise.

The risk of injury from the activities involved in this program is significant, including the potential of permanent
paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of
serious injury does exist: and I knowingly and freely assume all such risks, both known and unknown, even if arising
from negligence of the releasees or others, and assume full responsibility for my participation.

I willingly agree to comply with the stated and customary terms and conditions of participation. If however I observe
any unusual significant hazard during my presence or participation, I will remove myself from participation and bring
such to the attention of the nearest official immediately
This is to certify that I (or parent/guardian with legal responsibilities for this participant) HAVE READ THIS RELEASE
OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL
RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. I do consent and agree to release as
provided above of all RELEASEES, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify
the RELEASEES from any and all liabilities provided above, even if arising from their negligence.

Competitors Signature
(Parent or Guardian's Signature if under 18) ________________________________________     Date ________

Emergency Phone Number(s). _________________________________________________________________