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Referee Registration Form
I hereby submit this registration and liability waiver form to participate in the Las Vegas International Taekwondo Championship. I certifiy that the above information is true and correct and hereby release, discharge and waive any and all responsibility to the Riviera Hotel and Casino, International Taekwondo Alliance,Tournament Committee, Referees, Instructors, 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 part to my traveling to, training for, being coached in,using any sport equipment in, or participating in the Las Vega International Taekwondo Alliance 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 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 with held if the undersigned cannot be reached. I understand 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. The International Taekwondo Alliance and The Las Vegas Internatioal Taekwondo Alliance Championship commitee reserves the right to take and use photographs of participants for promotional purposes.
By Clicking Submit you agree to the Terms Above
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