First Name * Last Name * Contact telephone number * Address * City * State * Email Address * Age Are you comfortable as a Center Official? * Yes No You do not have to be a USAT Referee to referee at the Stars and Stripes Taekwondo Open. This is not a USAT sanctioned event. Are you a USAT Certified Referee? No Yes Not Applicable USAT Membership Number USAT Referee Certification Level Instructor's Name * School Address Instructor's Email School Telephone I have read the Liability Waiver at the bottom of the page and agree to the terms. * Yes No