Officials Registration Form

(*) Indicates Required Field - Back to Main Forms Page

*First Name:		*Last Name:
*Middle Initial:

*Address:		*City:
*State:		*Zip:
*Home Phone:		*Work Phone:
*Email:		*Current Rank :
*Date of Birth:		*Age:
*AAU District Name:		*AAU Number:

Officials Certification Class: (Check One) IR AA A B C D E

LAST CERTIFICATION CLINIC ATTENDED:

*Date:	Location:	Instructor:

LAST AAU SANCTIONED EVENT WORKED:

Date:	AAU District:	Tournament Director:

TAE KWON DO SCHOOL AFFILIATION:

Head Instructor:	School Name:	School Phone:

School Address:

I understand that officials must be properly attired according to AAU Rules.

I further understand that in order to receive certification, and/or upgrade, as well as, work the event, that I MUST attend a 2008 Officials Clinic prior to the event.

I also understand that an upgrade in certification will be contingent solely upon my performance.

*Enter your initials here if you have read and agree to the above.