KOREA CHEERLEADING ASSOCIATION Korea Open .pdf · KOREA CHEERLEADING ASSOCIATION 113, Yeonhui-ro 15-gil, Seodaemun-gu, Seoul, Republic of Korea T. +82-2-322-9606 F. +82-2-725-0482

KOREACHEERLEADINGASSOCIATION113,Yeonhui-ro15-gil,Seodaemun-gu,Seoul,RepublicofKorea

[email protected]

2017KOREAOPEN

DIVISION DIVISION

CODE SKILLLEVEL/RULES AGEREQUIREMENT TEAMSIZE

PartnerStuntDivisionsPartnerStuntOpenCoedLevel4 PSOL4 ICUAdvanced(Level4) 12yearsorolder 1male+1femaleathletePartnerStuntOpenCoedElite PSOL5 ICUElite(Level5) 14yearsorolder 1male+1femaleathletePartnerStuntOpenCoedPremier PSOL6 ICUPremier(Level6) 15yearsorolder 1male+1femaleathleteGroupStuntDivisionsGroupStuntJuniorAllGirlLevel2 GSJRAGL2 ICUIntermediate(Level2) 12to15years Upto5femaleathletesGroupStuntJuniorCoedLevel2 GSJRCOL2 ICUIntermediate(Level2) 12to15years Upto5athletesGroupStuntJuniorAllGirlLevel3 GSJRAGL3 ICUMedian(Level3) 12to15years Upto5femaleathletesGroupStuntJuniorCoedLevel3 GSJRCOL3 ICUMedian(Level3) 12to15years Upto5athletesGroupStuntOpenAllGirlLevel4 GSOAGL4 ICUAdvanced(Level4) 12yearsorolder Upto5femaleathletesGroupStuntOpenCoedLevel4 GSOCOL4 ICUAdvanced(Level4) 12yearsorolder Upto5athletesGroupStuntOpenAllGirlElite GSOAGL5 ICUElite(Level5) 14yearsorolder Upto5femaleathletesGroupStuntOpenCoedElite GSOCOL5 ICUElite(Level5) 14yearsorolder Upto4athletesGroupStuntOpenAllGirlPremier GSOAGL6 ICUPremier(Level6) 15yearsorolder Upto5femaleathletesGroupStuntOpenCoedPremier GSOCOL6 ICUPremier(Level6) 15yearsorolder Upto4athletesPomDivisionsDoublesFreestylePomOpen POMDB ICUFreestylePom 14yearsorolder 2athletesTeamCheerFreestylePomYouth POMYTH ICUFreestylePom 12yearsoryounger 12to16athletesTeamCheerFreestylePomSenior POMSR ICUFreestylePom 12to18years 12to16athletesTeamCheerFreestylePomOpen POMO ICUFreestylePom 14yearsorolder 12to16athletesTeamCheerScholasticDivisionsTeamCheerPrimarySchoolMiniLevel1 SMINIL1 ICUNovice(Level1) 7to9years 12to20athletesTeamCheerPrimarySchoolYouthLevel2 SYTHL2 ICUIntermediate(Level2) 7to12years 12to20athletesTeamCheerHighSchoolJuniorAllGirlLevel3 HSJRAGL3 ICUMedian(Level3) 12to15years 12to16femaleathletesTeamCheerHighSchoolJuniorCoedLevel3 HSJRCOL3 ICUMedian(Level3) 12to15years 12to16athletesTeamCheerHighSchoolSeniorAllGirlLevel4 HSSRAGL4 ICUAdvanced(Level4) 12to18years 12to16femaleathletesTeamCheerHighSchoolSeniorCoedLevel4 HSSRCOL4 ICUAdvanced(Level4) 12to18years 12to16athletesTeamCheerUniversityAllGirlElite UNIAGL5 ICUElite(Level5) 17yearsorolder 12to24femaleathletesTeamCheerUniversityCoedElite UNICOL5 ICUElite(Level5) 17yearsorolder 12to24athletesTeamCheerUniversityAllGirlPremier UNIAGL6 ICUPremier(Level6) 17yearsorolder 12to24femaleathletesTeamCheerUniversityCoedPremier UNICOL6 ICUPremier(Level6) 17yearsorolder 12to24athletesTeamCheerOpenDivisionsTeamCheerOpenMiniLevel1 MINIL1 ICUNovice(Level1) 7to9years 12to20athletesTeamCheerOpenYouthLevel2 YTHL2 ICUIntermediate(Level2) 7to12years 12to20athletesTeamCheerOpenJuniorAllGirlLevel2 JRAGL2 ICUIntermediate(Level2) 12to15years 12to20femaleathletesTeamCheerOpenJuniorAllGirlLevel2Small JRAGL2S ICUIntermediate(Level2) 12to15years 8to12femaleathletesTeamCheerOpenJuniorCoedLevel2 JRCOL2 ICUIntermediate(Level2) 12to15years 12to20athletesTeamCheerOpenJuniorAllGirlLevel3 JRAGL3 ICUMedian(Level3) 12to15years 12to20femaleathletesTeamCheerOpenJuniorCoedLevel3 JRCOL3 ICUMedian(Level3) 12to15years 12to20athletesTeamCheerOpenAllGirlLevel4 AGL4 ICUAdvanced(Level4) 12yearsorolder 12to20femaleathletesTeamCheerOpenCoedLevel4 COL4 ICUAdvanced(Level4) 12yearsorolder 12to20athletesTeamCheerOpenCoedLevel4Small COL4S ICUAdvanced(Level4) 12yearsorolder 8to12athletesTeamCheerOpenAllGirlElite AGL5 ICUElite(Level5) 14yearsorolder 12to24femaleathletesTeamCheerOpenCoedElite COL5 ICUElite(Level5) 14yearsorolder 12to24athletesTeamCheerOpenAllGirlPremier AGL6 ICUPremier(Level6) 15yearsorolder 12to24femaleathletesTeamCheerOpenCoedPremier COL6 ICUPremier(Level6) 15yearsorolder 12to24athletes


[email protected]

2017KOREAOPEN

TEAMRESPONSEANDCOMPETITIONGUIDELINESACKNOWLEDGEMENTFORM

Teamname

Coach’sname Assistantcoach/TeamAdvisor’sname

Coach’scellphonenumber Coach’semailaddress

Organisation/Club/School/College/Universityname

Country Nameofnationalgoverningbody

Divisionscompetingin(pleasestatedivisioncodeaslistedinformationpacket)

ACKNOWLEDGEMENTIherebyattestthatIhavereadtheKCA2017KOREAOPENinformationpackandhavereviewedthe CompetitionGuidelineswithmyteamandtheirparents.Onbehalfofmyteam,myorganisation/club,andallparents,Ihereby accepttheKCAstandardisedrulesasthegoverningrulesof2017KOREAOPENandagreetoadheretothepoliciesandprocedurescontainedherein.IherebyverifythatmembersofmyteammeettheageandcriteriaofthedivisionIhavedesignated.

Coach’ssignature Team/Organisation

Organisation/Clubadministrator’ssignatureandtitle Dateverifyingthedivisionofthisteam.


[email protected]

Pleaselistthenamesofalltheparticipantsinthisteamrosterwhowillbeat2017KOREAOPEN.Pleasemarkþþ intherelevantboxesbelowtoindicate participant’sgender,andiftheparticipantisthecoach(C),teamofficial(O)orreserve(R).Cheerleadersnotlistedonyourteamrosterwillnotbe allowedtocompete.

Team School/College/Country

Divisionscompetingin(pleasestatedivisioncodeaslistedininformationpacket)

FORCOACHES,OFFICIALSANDRESERVES

NO. NAMEASPEROFFICIALIDENTIFICATIONDOCUMENTS/PASSPORT KCA MEMBER(YES/NO)

GENDER(M/F)

STATUS(C/O/R)1

2

3

4

5

6 7

8 9

10

Totalnumber: Numberoffemales: Numberofmales:


[email protected]

FORATHLETES(COMPETINGTEAM)

Team School/College/Country

NO.

NAMEASPEROFFICIALIDENTIFICATIONDOCUMENTS/PASSPORT KCA MEMBER

(YES/NO)GENDER(M/F)

DIVISIONSCOMPETING IN(PleaselistDIVISIONCODE)

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

Totalnumber: Numberoffemales: Numberofmales:


[email protected]

MUSICINFORMATIONSHEET

Team Division

IMPORTANT:Allmusic(includingentiresongsoranyportionofanysong)mustbelistedbelowintheorderofyourroutinefor2017KOREAOPEN.Any violationofthisrulemaysubjecttheteamtodisqualificationfromtheChampionshipsandanyassociatedtelevisionprogrammes,webfootageor competitionmediaincludingvideosandDVDs.

NO.

SONG TITLE

ARTISTE'SNAME SONGWRITER(S)

NAMESONG PUBLISHER(S)

NAMELENGTHSONGISUSEDINROUTINE

RECORDLABELNAME

1

2

3

4

5

6

7

8

9

10


[email protected]

INDIVIDUALREGISTRATIONFORM

FullnameasperIC/passport(pleaseunderlinesurname)

Streetaddress

City/District State

Postcode Country

Phonenumber(landline) Faxnumber

Cellphonenumber Emailaddress

IC/Passportnumber Gender Dateofbirth

Organisation/Clubname School/College/Universityname

Nameofnationalgoverningbody

Membershipstatus(pleasemarkþþ):❑ KCAmember ☐Internationalparticipant

Divisionscompetingin(pleasestatedivisioncodeaslistedininformationpacket)

IherebyattestthattheinformationthatIhaveprovidedisaccurateandthatIhavereadthe2017KOREAOPENinformationpackandthecancellationpolicy andunderstandandacceptitscontents.

Participant’ssignature Date


[email protected]

KCA2017KOREAOPEN“VOLENTINONFITINJURIA”

WARNING!Bysigningthisdocument,youacknowledgethattherearerisksinvolvedandwillwaivecertainlegalrights,includingtherighttosue. ThisdeclarationmeansyouwillreleaseandindemnifyKCA,theInternationalCheerUnion(ICU),theassignedcoaches/instructors/staff,their respectivedirectors,officers,managers,members,employees,volunteers,officials,participants,agents,sponsors,owners/operatorsofthe facilitiesandrepresentativesfromanyliabilityorclaimswhatsoever.Pleasereadcarefully.

VIGOROUSACTIVITY–EVERYSPORT,INCLUDINGCHEERLEADINGHASITSRISKS.Asaparticipantofthe2017KOREAOPEN,youwillbeparticipatingandbeinvolvedina vigorousathleticactivitythatwillincludestunts,mounts,gymnastics,jumpsanddance.Duetothenatureoftheactivity,wewishtoinformyouthat thepossibilityofinjurydoesexistaswithanyotherathleticactivity.

CHEERLEADER/COACH’SACKNOWLEDGEMENTANDPARTICULARSIdesiretovoluntarilyparticipatein2017KOREAOPEN.IherebyacknowledgethatIamawareoftherisksandhazardsassociatedwithorrelatedto cheerleading.Therisksandhazardsofcheerleadinginclude,butarenotlimitedto,injuriesrelatingto:� Executingstrenuousanddemandingphysicaltechniques;� Vigorousphysicalexertion,strenuouscardiovascularworkouts,rapidmovementsandquickturnsandstops;� Exertingandstretchingvariousmusclegroups;� Drylandtraining;� Fallingorcollidingwiththefloor,mats,walls,stands,equipmentorwithotherparticipants;� Failingtoproperlyuseanypieceofgymnasticsequipmentorfromthemechanicalfailureofanypieceofgymnasticsequipment;� Contactingorbeingstruckbyotherparticipants(includingspotters),spectatorsorequipment;� Traveltoandfromcompetitiveeventsandassociatednon---competitiveevents.

Initial/signature Date

Furthermore,Iamawarethat:� Injuriessustainedincheerleadingcanbesevere,catastrophicandevenfatal;� Injuriessustainedincheerleadingcanbecatastrophicandrendermepermanentlyparalysed;� Imayexperienceanxietywhilechallengingmyselfduringtheactivities,eventsandprogrammes;� Rulesaredesignedtoenhancethesafetyofmyselfandothersandaretobefollowedatalltimes;� MyriskofinjuryincreasesasIbecomefatigued.


IAGREETOBERESPONSIBLEFORMYSELF:Iagreethattherearerisksincheerleadingasdescribedabove.Byparticipatingvoluntarilyin2017KOREAOPEN,Iamexposedtotheserisksandhazards.IagreetoacceptthemandberesponsibleforanyinjuryorotherlosswhichImightincurwhileparticipatingintheseevents,activitiesand programmes.Inconsiderationofmyparticipationin2017KOREAOPEN,IherebyreleaseKCA,theICU,theassignedcoaches/instructors,theirrespective directors,officers,managers,members,employees,volunteers,officials,participants,agents,sponsors,owners/operatorsofthefacilitiesand representatives’fromanyandallclaims,demands,actions,loss,injuries,expensesandcostswhichmightariseoutofmyparticipation.Andno furtherclaimshallbemadeonmybehalfbymyguardiansormyestateintheeventofmydeatharisingfrominjuriesthroughmyparticipationin2017KOREAOPEN.


IHAVEREADTHISDOCUMENTCAREFULLYANDIACKNOWLEDGEMYRESPONSIBILITIESANDTHEEFFECTOFTHISWAIVEROFLIABILITY.I ACKNOWLEDGEMAKINGTHISAGREEMENT:Ihavereadandunderstoodthetermsandconditionsofthisagreement,andbysigningitvoluntarily,Iamagreeingtoabidebytheseterms.Iagree toco---operatewithKCA/theassignedcoaches/instructorsandwillfollowtheinstructionsandrulesinaccordancewiththeirdirections.I understandthatfailuretoobeytherulesandinstructionsofthecoaches/instructorsandeventofficialsmayresultinmydismissalanddischarge fromtheevent.Asacheerleader,IunderstandthatIamfreetowithdrawmyparticipationuponmyrequestandatmyownfreewillwithout coercion,duressorintimidationofanysort.

Participant’sname Participant’ssignature Date


[email protected]

PARENTALCONSENTFOR2017KOREAOPEN

I/We the Parent(s)/Legal Guardian of the Participant named above have read the above and understand the risk ofvigorous athleticactivity.My/Ourchild/chargeisingoodhealthandphysicallycapableofparticipatingin2017KOREAOPEN.

I/We hereby grant permission to my child/charge, as named above, to be enrolled in/participate in this cheerleadingcompetition organisedbyKCAandagreetothefollowingonmyownbehalfandonmychild/charge’sbehalf:

Therearerisksincheerleadingasdescribedabove.Bymychild/chargeparticipatingvoluntarilyin2017KOREAOPEN,heorsheisexposedto theserisksandhazards.I/Weagreetoacceptthemandberesponsibleforanyinjuryorotherlosswhichhe/shemightreceive whileparticipatingin2017KOREAOPENandthatneithermyselfnormychild/chargeshallholdKCAliablefornegligenceoranyother claimjudgement, loss, liability,costandexpenses(includingwithout limitationattorney’sfees and costs) arising out of or in connectionwith2017KOREAOPEN, includinganyclaimarisingoutoforconnectedtoany illness or injury (minimal, serious, catastrophic and/or death) that my child/charge may incur or sustain duringparticipation in 2017KOREAOPEN, or in connectionwith all activities associatedwiththe2017KOREAOPENand/orwhiletravellingtoandfromthesesiteof2017KOREAOPEN;

In consideration of my child/charge’s participation in 2017 KOREA OPEN, I hereby release KCA, the assignedcoaches/instructors, its sponsors, their respective directors, officers,managers,members, employees, volunteers, officials,participants,agents,servants, owners/operatorsofthefacilitiesandrepresentativesfromanyandallclaims,demands,actions,loss,injuries,expensesandcosts whichmightariseoutofmychild/charge’sparticipationin2017KOREAOPENandwaiveallrightsatanytimetoanylegalactionagainstthem andfurtherexpresslyagreetoindemnifyandholdthemharmlessagainstloss fromany furtherclaims,demandsoractions that may subsequently be brought by my child/charge or by any otherpersons on account of injury and/or damages sustained in connectionwithmychild/charge’sparticipationinwith2017KOREAOPEN;

ToallowKCAtherighttophotographand/orvideotapemychild/charge’sparticipationwith2017KOREAOPENandtoutilise,broadcast and print such videotapes and photographs andmy child/charge’s name, face, likeness, voice and appearanceas KCA shall deem fit for any purpose whatsoever without any form of payment whatsoever, including but not limitedto the purpose of advertising and promoting the programme(s) or similar future events. It is hereby acknowledged thatthe copyright to such videotapesandphotographsshallbelongtoKCAabsolutely;

Toauthorisethecoachorsquadofficialstoseektreatmentforanyillnessorinjurythatmaybesustainedbymychild/chargewhilst performing the said cheerleading duties (this includes travel and clinic/treatment) and also authorise the doctorand/orhospital nearbytoperformtreatmenttoanyinjury.I/WeunderstandthatKCAandthecoaches/instructorsassignedassumenofinancial obligationforanyinjurythatmayoccurbefore,duringandaftertheprogramme.IfurtheracknowledgeandunderstandthatIwill beresponsibleforanyandallmedicalbillsthatmaybeincurredonbehalfofmychild/chargeforanyillness/injurysustainedduring 2017KOREAOPENandwhiletravellingtoandfromthesiteof2017KOREAOPEN.

NameofParent/LegalGuardian(asperIC/passport)

Phonenumber(landline) Mobilenumber

Participant’sname

RelationshiptoParticipant Signature Date


[email protected]

INDIVIDUALCONSENTFORPARTICIPATIONIN

2017KOREAOPEN

I,theParticipantnamedabove,havereadtheaboveandunderstandtheriskofvigorousathleticactivity.Iamingoodhealthand physicallycapableofparticipatingin2017KOREAOPEN.

Iherebywillinglyenrol/participateinthischeerleadingcompetitionorganisedbyKCAandagreetothefollowingonmyownbehalf:

thattherearerisksincheerleadingasdescribedabove.Bymyparticipatingvoluntarilyin2017KOREAOPEN,Iamexposedtotheserisksand hazards.IagreetoacceptthemandberesponsibleforanyinjuryorotherlosswhichImightreceivewhileparticipatingin2017KOREAOPEN andthatneithermyselfnormyfamily/club/associationshallholdKCAliablefornegligenceoranyotherclaimjudgement,loss, liability,costandexpenses(includingwithoutlimitationattorney’sfeesandcosts)arisingoutoforinconnectionwith2017KOREAOPEN, includinganyclaimarisingoutoforconnectedtoanyillnessorinjury(minimal,serious,catastrophicand/ordeath)thatImayincur orsustainduringparticipationin2017KOREAOPEN,orinconnectionwithallactivitiesassociatedwith2017KOREAOPENand/orwhiletravellingtoand fromthesesiteof2017KOREAOPEN;

Inconsiderationofmyparticipationin2017KOREAOPEN,IherebyreleaseKCA,theassignedcoaches/instructors,itssponsors,their respectivedirectors,officers,managers,members,employees,volunteers,officials,participants,agents,servants, owners/operatorsofthefacilitiesandrepresentativesfromanyandallclaims,demands,actions,loss,injuries,expensesandcosts whichmightariseoutofmyparticipationin2017KOREAOPENandwaiveallrightsatanytimetoanylegalactionagainstthemandfurther expresslyagreetoindemnifyandholdthemharmlessagainstlossfromanyfurtherclaims,demandsoractionsthatmay subsequentlybebroughtbymeorbyanyotherpersonsonaccountofinjuryand/ordamagessustainedinconnectionwithmy participationinwith2017KOREAOPEN;

ToallowKCAtherighttophotographand/orvideotapemyparticipationwith2017KOREAOPENandtoutilise,broadcastandprintsuch videotapesandphotographsandmyname,face,likeness,voiceandappearanceasKCAshalldeemfitforanypurpose whatsoeverwithoutanyformofpaymentwhatsoever,includingbutnotlimitedtothepurposeofadvertisingandpromotingthe programme(s)orsimilarfutureevents.Itisherebyacknowledgedthatthecopyrighttosuchvideotapesandphotographsshall belongtoKCAabsolutely;

Toauthorisethecoachorsquadofficialstoseektreatmentforanyillnessorinjurythatmaybesustainedbymewhilstperforming thesaidcheerleadingduties(thisincludestravelandclinic/treatment)andalsoauthorisethedoctorand/orhospitalnearbyto performtreatmenttoanyinjury.IunderstandthatKCAandthecoach/instructorsassignedassumenofinancialobligationfor anyinjurythatmayoccurbefore,duringandaftertheprogramme.IfurtheracknowledgeandunderstandthatIwillberesponsible foranyandallmedicalbillsthatmaybeincurredonmybehalfforanyillness/injurysustainedduring2017KOREAOPENandwhiletravellingto andfromthesiteof2017KOREAOPEN.

Participant’sname Participant’ssignature Date


[email protected]

MEDICAL DECLARATION

Fortheabovementionedpurposes,IherebyrepresenttoKCA,theICUandtheassignedcoaches/instructors/staff,mymedicalconditionasfollows:

Seriousillness,injury,ormedicaltreatmentoverthelast6months(ifany)

Allergies/asthma(ifany)

1.

2.

3.

4.

5.

Name(s)ofmedication/asthmainhalerI’mcurrentlyon(ifany)

Nameoffamilyphysician Contactnumber(s)offamilyphysician

Medicalinsurancecompany(ifany)

EMERGENCY CONTACTDETAILS

*Tobecompletedbyeach2017KOREAOPENparticipant.

Ifyou’reagedbelow18,pleaseprovidethedetailsofsomeoneotherthanyourparent(s)guardian– thisisintheeventthatyourparent(s)/guardiancannotbecontacted.

Nameofemergencycontact

Phonenumber(landline) Faxnumber

Cellphonenumber IC/Passportnumber

Gender Relationshiptoparticipant


[email protected]

ACCOMMODATIONS

DIRECTIONS:1.Onlytwopackagetypeforyou.2.Allroomtypeistwinincludingbreakfast,LunchandDinner.

IFyoudonotwanttousePackage,youcanpayonlyregistrationfeeUSD50

■ThreeNIGHTS(26/5-29/5)Package:AirportTransportation,Accommodations(2pax/1room),

Transportationbetweenhotelandvenue,Tour.

PackageFeeUSD380.00/PAX

DAY1 DAY2 DAY3 DAY4

26May2017. 27May2017. 28May2017. 29May2017.

Arrive Competition Training Departure

■FourNIGHTS(26/5-30/5)Package:AirportTransportation,Accommodations(2pax/1room),

Transportationbetweenhotelandvenue,Tour.

PackageFeeUSD480.00/PAX

DAY1 DAY2 DAY3 DAY4 DAY5

26May2017. 27May2017. 28May2017. 29May2017. 30May2017.

Arrive Competition Training Shopping&SiteSeeing Departure


[email protected]

2017KOREAOPEN

PAYMENTDETAILS

❑ US$

❑ Cashdeposit(ATM) ☐Cheque ☐Onlinebanking❑ ElectronicFundTransfer(forforeignteams)

Amountpaid Paymentmode

Paymentvia(bankname) Branch/Country Dateofpayment

Transactiondetails(bankingslipnumber,chequenumber,onlinereferencenumber,etc.

PAYEE’S DETAILS

Paymentonbehalfof(participant’sname)

Paymentmadeby(e.g.parent’sname,ifpaymentisnotmadebytheparticipant)

Teamname School/Clubname

Contactnumber Emailaddress

PAYMENTBREAKDOWN

Divisionspaidfor(pleasestatedivisioncodeaslistedinformationpacket) Totalnumberof

participants paidfor:

☐☐

RMUS$

X

persons

Totalnumberof

divisionspaidfor:

Totalnumberof

crossoverspaidfor:

☐☐

RMUS$

X

persons

Bankchargespaidfor

☐☐

RMUS$

KOREA CHEERLEADING ASSOCIATION Korea Open .pdf · KOREA CHEERLEADING ASSOCIATION 113, Yeonhui-ro 15-gil, Seodaemun-gu, Seoul, Republic of Korea T. +82-2-322-9606 F. +82-2-725-0482

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