City State Zip
Bio Information for Black Belt Officials
Years Training in Martial Arts Earned Black Belt in (year)
Current Rank Style
Other Martial Arts Ranks earned or styles studied
Titles and Competitions won and entered: (favorites):
Years as Officer at the Battle of Atlanta First time at Battle? No Yes
Please email your photo at your earliest convenience for use in Officials’ Bios on www.battleofatlanta.com
Ring Personnel:
I am available on Friday Saturday I am competing Yes No
I prefer to be placed in the Black Belt Division Under Belt Division
I prefer a Ring with Children Teens Adults Male Female
Special Requests
I prefer to be a Center Corner Scorekeeper Timekeeper
Ring Coordinator Arbitrator
Other Volunteers:
I am interested in helping prior to Battle Weekend No Yes
I am available on Battle Friday from (time) to
I am available on Battle Saturday from to
I am My Child is
competing in Division(s):
I prefer to work: Registration Information Booth Set Up
Data Entry (Results) Results Runner
Official’s Check-In/Out Anywhere I am Needed
I will be using my 2 Ringside Tickets on Saturday Night. Yes No
(If possible, I would like to be seated with/near )
T-Shirt Size S M L XL Special Requests
We look forward to seeing you at the Battle of Atlanta!!
Please select Submit only ONCE, after submission you will receive a confirmation page with instructions on how to return here, DO NOT select Submit again!
Office Use Only
Received Photo Received Sent to Web Package Sent
FRI BB UB CO O SK TK RING RC ARB
SAT BB UB CO O SK TK RING RC ARB
FRI REG DE RR IB IN OUT SET
SAT REG DE RR IB IN OUT SET
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