VOLUNTEER  APPLICATION
22nd GOLDEN STATE OPEN TAEKWONDO CHAMPIONSHIP
OFFICIAL VOLUNTEER APPLICATION
Saturday, March 24, 2018
Kellogg Gym @ Cal Poly Pomona
3801 W. Temple Ave, Pomona, CA 91768
SATURDAY           7:00 - 8:30AM   COMPETITOR CARD PICKUP (Front of Gym)
                               9:00 AM             ALL BELTS 7 & Under Form & Sparring
                             1:30 PM             ALL BELTS 8 & Above Form & Sparring
First Name:      Middle:      Last Name:
Home Street Address:      Apt#:
City, State, Zip:      Email:
Contact #:           Age:      Birthdate (mm/dd/yyyy):
TKD School Name:      Address:      
TKD City, State, Zip:      TKD Phone:     
I am capable in volunteering in the following areas (Competitor Runner, Time/Score Keeper, Security, Award Tables, Division Writing, Ringmaster System Runner) list all that apply:
      Volunteer Incentives
* COMPLIMENTARY BREAKFAST, LUNCH, AND BEVERAGES
* FREE GSO TOURNAMENT VOLUNTEER T-SHIRT
* INVITATION TO VOLUNTEER DINNER (ALL-DAY VOLUNTEERS ONLY)

(ALL VOLUNTEERS MUST REPORT TO THE KELLOGG GYM BY 7:00 AM ON SATURDAY, MARCH 24, 2018)
PLEASE SELECT T-SHIRT SIZE:           
      Liability Waiver and Consent to Medical Treatment
I hereby submit this registration and liability waiver form to participate in the Golden State Open Taekwondo Championship. I certify that above information is true and correct and hereby release, discharge, and waive any and all responsibility of the Kellogg Gym, Calif. State Polytechnical University, Pomona, S.K. Taekwodo Center, California Taekwondo United, Tournament Organizing Committee, referees, instructors, agents, volunteers and other competitors from liability for any injury, including death, and for damage to or loss of property which may be suffered by myself arising out of, or in any way resulting from or attributable in whole or in part to my traveling to, training to, being coached in, using any sports equipment in, or participating in the Golden State Open Taekwondo Championship. As a competitor or parent/legal guardian of the competitor, I give consent to any x-ray exam, medical, chiropractic, dental or other treatment(s) deemed necessary for the safety and welfare of the contestant. I understand that this authorization is given prior to any diagnosis, treatments or hospital care being required, but is given to provide the medical / chiropractic / dental staff authority to render care as deemed advisable. In the case of minors, it is understood that efforts shall be made to contact the undersigned prior to rendering treatment, but treatment will not be withheld if the undersigned cannot be reached. I understand that in case of injury, only basic first aid will be made available on site, and that I am fully responsible for any and all resulting medical or other expenses.
If you are over 18 years of age, please answer:


                                                           
Please make sure all information have been completed before submitting application.