24th national karate championshipsikdmanitoba.com/canadacup2014/registration/package.pdf ·...

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Registration & Payment Deadline: Thursday, May 1, 2014 Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0 Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected] Page 1 of 23 International Karate Daigaku Canada Cup 33 rd National Karate Championships Winnipeg, Manitoba Friday, May 16 to Sunday, May 18 2014 Sanctioned by: IKD Canada Hosted by: Budo IKD Manitoba Tournament Participants: All IKD Canada members ranked 3rd kyu and above Clinic Participants: All ranks Website: www.ikdmanitoba.com TABLE OF CONTENTS Page: Schedule of Events and Fees 2 Competition Events 3 Deadlines 3 Transportation & Tourism 3-4 Hotel and Tournament Venue 4 Banquet 4 Judges Clinic & Refresher Credit 5 Judges Examination 5 Kenshusei Credit 5 Dan Examination 5 Friendship Celebration 5 Page: Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire 13 Judges Examination Registration 14 National Judges Registration 15 Youth Team Registration 16-18 Adult Team Registration 19-20 Masters Team Registration 21-22 Program Advertising 23 Dan Registration

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Page 1: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 1 of 23

International Karate Daigaku Canada Cup

33rd

National Karate Championships

Winnipeg, Manitoba

Friday, May 16 to Sunday, May 18

2014

Sanctioned by: IKD Canada

Hosted by: Budo IKD Manitoba

Tournament Participants: All IKD Canada members ranked 3rd kyu and above

Clinic Participants: All ranks

Website: www.ikdmanitoba.com

TABLE OF CONTENTS

Page:

Schedule of Events and Fees 2

Competition Events 3

Deadlines 3

Transportation & Tourism 3-4

Hotel and Tournament Venue 4

Banquet 4

Judges Clinic & Refresher Credit 5

Judges Examination 5

Kenshusei Credit 5

Dan Examination 5

Friendship Celebration 5

Page:

Technical Rules 6-10

Forms

Individual Registration 11

Waiver & Release 12

Medical Questionnaire 13

Judges Examination Registration 14

National Judges Registration 15

Youth Team Registration 16-18

Adult Team Registration 19-20

Masters Team Registration 21-22

Program Advertising 23

Dan Registration

Page 2: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 2 of 23

SCHEDULE OF EVENTS & FEES

DAY TIME EVENT FEES

Friday

May 16th

The Fairmont

Hotel

3:00 – 5:00 pm National Board of Directors Meeting

6:00 – 7:30 pm Judges’ Clinic & Refresher Course $ 25.00

7:30 – 9:00 pm Dan examination IKD Fees

Judges’ exams (including clinic) $ 80.00

Saturday

May 17th

The Fairmont

Hotel

9:00 - 10:00 am

Training classes:

Kyu, Brown, Black, Instructor $ 30.00

Kenshusei credit Signature $ 20.00

10:30 – 11:30 Opening Ceremony

11:30 – 4:30 pm

Youth & Adult Team Kata

Youth & Adult Team Kata Bunkai

Youth & Adult Team Enbu

Youth Individual Kata

Medal Presentation

Spectators – $ 5.00

$ 45.00/youth team

$ 60.00/adult & master team

$ 35.00/person

6:30 – 7:00 pm Reception Cash Bar

7:00 – 9:00 pm Banquet – Live Band $ 57.00 13 years & up

$ 30.00 12 years & under

Sunday

May 18th

The Fairmont

Hotel

9:00 am – 5:00 pm

Adult Individual Kata

Youth & Adult Individual Kumite

Adult Team Kumite

Spectators – $ 5.00

$ 35.00/person

$ 60.00/adult & master team

9:00 pm – 1:00 am Friendship Celebration – DJ music Cash Bar

Registration fees are non-refundable.

Register Online ikdmanitoba.com/canadacup2014

$15.00 Late fees apply to all registration forms and/or fees received after May 1, 2014.

Competitors and/or teams will

NOT be included in tournament

draws until paid in full.

Page 3: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 3 of 23

COMPETITION EVENTS

Category Gender Age Kata Kumite Team

Kata

Team

Kata

Bunkai

Team

Enbu

Team

Kumite

Youth

- Brown & Black

Female

Male

9-11

12-14

15-17

Adult

- Brown & Black

Female

Male 18+

Masters

- Brown & Black

Female

Male 45+

DEADLINES

April 18, 2014 Program Advertisement Entries

April 24, 2014 Hotel Reservations

May 1, 2014 Contestant Registration

Team Registration

Banquet reservations

Tournament Judges

Judges examination registration

Dan examination

TRANSPORTATION

The James Richardson International Airport is located approximately 15 minutes from

The Fairmont Winnipeg

There is no airport shuttle

Taxi - approximately $15 - $18, one-way between airport and hotel.

Limousine fare is approximately $35 from the airport to the hotel.

Winnipeg Transit service is available to and from the Airport.

Visit Winnipeg Transit's website for rates and schedules.

There are numerous car rental agencies available at the airport.

$15.00 Late fees apply

to all registration

forms and/or fees

received after May 1,

2014.

Page 4: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 4 of 23

All Events to held at the Tournament Hotel – The Fairmont Winnipeg

The Fairmont is located in the heart of vibrant downtown Winnipeg – the corner of Portage and Main

Guest Room Rates

Room Cost

Fairmont - Request $129

Fairmont Gold $229

Fairmont Gold Suite $329

Rates do not include taxes & fees

Rooms have been blocked and reserved until April 24, 2014.

After that rooms will be released to the general public and available at the regular rate

To reserve rooms:

Use the online link ikdmanitoba.com/canadacup2014

Or Call Fairmont Hotels Reservation Department at 1-800-257-7544

Mention the 2014 IKD Canadian National Karate Championships

Credit card number is required

BANQUET:

Buffet Dinner

Live Band & Dancing

o Prices (including taxes and gratuities):

Aged 13& up $57 per person

Youth (12 & under) $30 per person

(Note: Banquet tickets are complimentary to National Executive & Provincial Directors)

Page 5: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 5 of 23

JUDGES’ CLINIC & REFRESHER COURSE

Friday night from 6:00-7:30 pm

Open to all Black belts

Mandatory for those taking Judges’ Examination and those judging tournament

JUDGES’ EXAMINATIONS

Judges will participate in the above Judges’ Clinic, and complete examinations (written and

practical)

Candidates for the exam must be at least 18 years old and have the rank of Shodan or above.

Exam candidates must pre-register by completing the enclosed form by the deadline and enclosing

payment.

Must have a Judges Uniform:

o Whistle on a black lanyard o Black Haori with grey IKD embroidered crest and inside pocket

KENSHUSEI CREDIT (INSTRUCTOR TRAINEE)

Candidates enrolled in the Kenshusei (training) program may participate in the clinic.

Technical credit fee is $20.00 in addition to the clinic fee.

DAN EXAMINATIONS

Must have written permission from the Regional Director or the Chief Instructor of the region.

Complete enclosed examination/registration form (in type) and submit by May 1, 2014 with two

passport-sized photographs and payment.

Bring rank record of previous examinations and present before examinations.

FRIENDSHIP CELEBRATION

Post Tournament Celebration on Sunday evening

Open to all participants, family and friends

Cash bar

NEED MORE INFORMATION? If you have questions that have not been answered in this information packet, please do not hesitate to

contact us by phone, fax or email.

Page 6: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 6 of 23

TECHNICAL RULES – NATIONAL TOURNAMENT

Note: Subject to change by Chief Judge, Arbitrator or Tournament Director

Standard Rules:

All contestants must wear a clean, unmarked white karate gi.

The gi must be IKD regulation gi with the length of the sleeves falling about midway between the

elbow and the wrist. Gi sleeves shall not be rolled up on the outside.

The pants length must fall about midway between the knee and the ankle.

Forearm and/or shin guards, and sweat bands are not allowed.

Jewellery or sharp objects in the hair are not allowed.

Team Kata Bunkai Rules:

Three person teams are free to choose any kata.

All bunkai must adhere to the traditional kata, which must flow from movement to movement. For

the defender, free stances between movements are not allowed.

Slight deviations and in-between techniques are acceptable and are limited to about 10% of the kata

movements.

Only one person shall defend against the other two attackers throughout the bunkai (not like WKF

rules).

There shall be a slight pause whenever a todome waza (finishing blow technique) is executed.

Bunkai is judged the same as team kata.

May use ‘stunt’ weapons (rubber knife/club, bo, or shinai bamboo stick) but no real weapons

No dangerous techniques or throws, comical movements, or “skit” theatrics

Team Enbu Rules:

Each team member shall take turns defending against the other two attackers.

There is no time limit, except enbu shall not be longer than the time it takes to perform team

bunkai.

One may evade attacks, but must follow through with a todome waza before confronting the other

attacker.

Members are free to use their own choreography and imagination in enbu, but must use the three

elements of karate – correct application of power, speed of technique, and body expansion and

contraction, as well as budo spirit.

Enbu is judged the same as team kata and bunkai.

May use ‘stunt’ weapons (rubber knife/club, bo, or shinai bamboo stick) but no real weapons

No dangerous techniques or throws, comical movements, or “skit” theatrics

Page 7: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 7 of 23

YOUTH TOURNAMENT

Rank 3B kyu or above

Separate female and male events

All competitors must have own red & blue belts, red & blue WKF/IKD approved kumite gloves and

own mouthguard

Events Eliminations Finals

Individual

Kata

9-11 years

12-14 years

15-17 years

Shitei Kata (Flag system)

Heian Nidan – Tekki Shodan Tokui Kata (Point system)

may choose any kata

Individual Kumite

9-11 years

Jiyu ippon kumite – (Semi-free) Jodan oi-zuki,

chudan oi-zuki, chudan mae-geri, chudan

yoko-geri kekomi and chudan mawashi-geri

(favorite side)

Jiyu kumite – Free sparring

12-14 years

Jiyu ippon kumite – (Semi-free) Jodan oi-zuki,

chudan oi-zuki, chudan mae-geri, chudan

yoko-geri kekomi and chudan mawashi-geri

(favorite side)

Jiyu kumite – Free sparring

15-17 years Jiyu kumite – Free sparring Jiyu kumite – Free sparring

Page 8: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 8 of 23

Team Kata (3 member teams)

9-11 years (separate male & female divisions)

12-14 years (separate male & female divisions)

15-17 years (separate male & female divisions)

Tokui Kata

may choose any kata

Team Kata Bunkai (3 member teams)

9-11 years (separate male & female divisions)

12-14 years (separate male & female divisions)

15-17 years (separate male & female divisions)

Perform one kata fully with

traditional movements against two

attackers

Team Enbu (3 member teams)

9-11 years (separate male & female divisions)

12-14 years (separate male & female divisions)

15-17 years (separate male & female divisions)

Demonstration of attack/defense.

Jiyu Ippon Kumite Techniques:

In jiyu ippon kumite, red side shall attack first, as per page 20 of the IKD Kyu and Dan

Examination Syllabus Manual. Attacks are: jodan, chudan, chudan mae-geri, kekomi and mawashi-

geri. Favourite side for each attack, however, once announced, attacker cannot change side.

Defender shall use blocking techniques prior to counter attacking. Any counter attack is acceptable

as long as it has the three elements of kime – power (includes correct stance and posture), speed,

sharpness, and ki. There is no restriction in using the same counter each time.

Once distance is established, the attack must begin. At the end of each attack, the attacker must

hold their position. No evading or blocking counter attacks.

No deceptive pre-actions are allowed (no feinting).

In the case of a tie, they shall have a rematch. Judges shall observe the three elements of kime.

The offensive side cannot jump or slide with the lunge attacks. All attacks shall be stepping in. All

attacks shall have the target area announced before attack starts.

No grabbing or holding will be permitted by the offensive or defensive side.

Escaping out of bounds by the defensive side will result in the following:

1st time - jogai keikoku: out of bounds

2nd

time - jogai chui: warning

3rd

time - jogai hansoku: disqualification, loss of match

Contact is not permitted and is likely to result in disqualification.

Page 9: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 9 of 23

ADULT TOURNAMENT – BROWN & BLACK BELTS

Age 18+

Separate female and male events

All competitors must have own red & blue belts, red & blue WKF/IKD approved kumite gloves and

own mouthguard

Events Eliminations Finals

Individual Kata

Shitei Kata

Heian Nidan – Tekki Shodan

Sentei Kata (semi-final)

Bassai Dai, Kanku Dai, Empi, Jion

Tokui Kata

Free Kata

Individual

Kumite Jiyu kumite Jiyu kumite

Team Kata – one 3 member team per province per gender Tokui Kata

Team Kata Bunkai – one 3 member team per province per

gender

Perform one kata fully with

traditional movements against two

attackers

Team Enbu – one 3 member team per province per gender Demonstration of attack/defense.

Team Kumite – one 3 member team per province per gender Jiyu kumite

Page 10: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 10 of 23

MASTER TOURNAMENT – BROWN & BLACK BELTS

Age 45+

Separate female and male events

All competitors must have own red & blue belts, red & blue WKF/IKD approved kumite gloves and

own mouthguard

Events Eliminations Finals

Individual Kata

Shitei Kata

Heian Nidan – Tekki Shodan

Sentei Kata

Bassai Dai, Kanku Dai, Empi, Jion

Tokui Kata

Free Kata

Individual

Kumite Jiyu kumite Jiyu kumite

Team Kata – one 3 member team per province per gender Tokui Kata

Team Kata Bunkai – one 3 member team per province per

gender

Perform one kata fully with

traditional movements against two

attackers

Team Enbu – one 3 member team per province per gender Demonstration of attack/defense.

Team Kumite – one 3 member team per province per gender Jiyu kumite

Page 11: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 11 of 23

INDIVIDUAL REGISTRATION

Name: first last

Dojo: Region/Province:

Phone # : Email:

Gender (M / F): Date of Birth (MM/DD/YY): Age on May 17, 2014:

Rank: FEES:

Kata Kumite

Tournament: 9-11 years Brown & Black

(Please tick event(s):) 12-14 years Brown & Black

15-17 years Brown & Black

$35.00 per person Adult Brown & Black

Masters 45+ Brown & Black

Clinics Clinic & Exams/Credits

Examinations / Credits: Training Clinic (all levels) $30

Judges Clinic $25 $ 80

Kenshusei credit $20

Dan: Shodan (Exam fee only) $100

Nidan (Exam fee only) $120

Sandan (Exam fee only) $140

Yondan (Exam fee only) $170

Godan (Exam fee only) $220

Banquet: _____ Teen & Adult (age 13+) x $57 per person

_____ Youth (age 12 & under) x $30 per person

You can register online ikdmanitoba.com/canadacup2014

Date: Total amount enclosed: $

$

$

$

$

Page 12: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 12 of 23

WAIVER/RELEASE AGREEMENT FOR CONTESTANTS / PARTICIPANTS

All participants must complete.

"Event" means the May 16-18, 2014 IKD Canada National Tournament

The undersigned is aware that there are risks and dangers inherent in participating and receiving instruction at the Event. In

consideration of being permitted to participate in the Event, I hereby release and waive any claims against the Budo IKD

Manitoba, the International Karate Daigaku and any and all clubs, schools, instructors, members, judges, officials, officers,

directors and representatives relating thereto (collectively the "Releasees") for any injury or damage which I may suffer while

participating and/or receiving instruction at the Event including travel to and from the Event.

I understand and agree that this Release will have the effect of releasing, discharging, waiving and forever relinquishing any and

all actions, those causes of action that I may have or have had, whether past, present or future, whether now known or unknown

and whether anticipated or unanticipated by me, arising out of my participation at the Event. This Release shall be binding upon

me, my heirs, successors, administrators, assigns and legal representatives.

I assume full responsibility for any and all risk of death or personal injury or property damage, which I may suffer while

participating in the Event. I expressly acknowledge and assume any and all risk that my participation in the Event may subject

me to personal injury to bodily harm.

I confirm that I have no past or present medical condition, injury or other physical or mental restriction which may cause or

contribute to personal injury or property damage while participating in the Event and if in case I have such a condition, I agree to

forthwith nullify the Releasees, as the case may be, and withdraw from the Event.

I further agree by signing this Release, I shall indemnify and hold any of the Releasees harmless from any and all liability or

costs, including legal fees, associated with or arising from my participation at the Event.

I hereby grant permission to the rights of my image, likeness and sound of my voice as recorded as audio or video without

payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed and

that photographic or video recordings of me may be electronically displayed via the Internet or in a public setting for the

purposes of promoting karate. I waive the right to inspect or approve the finished product wherein my likeness appears.

I understand that if I am signing this Release on behalf of a minor child, I will be giving up the same rights for said minor as I

would be giving up if I signed this document on my own behalf.

I acknowledge that I have read this Release and that I understand the words and language in it. I sign this Release freely and

voluntarily.

Parent/Guardian Release:

I am the parent or legal guardian of the minor____________________________ and I am signing this waiver/release on behalf

of the said minor.

NAME (PRINT) DATE

SIGNATURE WITNESS

NAME OF PARENT OR GUARDIAN (PRINT)

SIGNATURE

DATE

Page 13: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 13 of 23

CONTESTANT’S / PARTICIPANT’S MEDICAL QUESTIONNAIRE

All contestants are required to submit a completed medical form with their registration

Name: Age Gender Rank

Address:

Club: Province:

Do you have a history of any of the following conditions?

Please check all that apply to you. If you answer yes to any, please explain:

Yes No

_____ _____ Heart murmur

_____ _____ Hypertension

_____ _____ Recent infection

_____ _____ Bone fracture in the past six months

_____ _____ Concussion or severe head injury in the past six months

_____ _____ Seizures

_____ _____ Eye injury

_____ _____ Severe bone bruises requiring padding

_____ _____ Kidney injury

_____ _____ Allergy to medication (list all):

_____ _____ Other:

________________________________________________________ Date _______________________

Signature of Contestant (Parent or Guardian if under 18 years of age

Every contestant must complete and return a medical questionnaire and Waiver & Release Agreement

** Bring your provincial medical number or card with you to the tournament.

Page 14: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 14 of 23

APPLICATION FOR JUDGES’ EXAMINATION

All examinees must pre-register.

Registration must be received by May 1, 2014

Must be Shodan and 18 Years+

Must have whistle with a black lanyard and Haori (judge’s uniform)

Judges Requirements: Must be at least:

D Level Shodan

C Level Sandan

B Level Godan

A Level Rokudan

Name:

Address:

Telephone: Fax:

Email:

Dojo:

Region/Country:

Date of Birth: Gender M F Present Rank (dan):

Current Judge Qualifications:

Date of Exam Registration Number

D

C

B

Page 15: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 15 of 23

2014 NATIONALS JUDGES REGISTRATION (To be completed by Provincial Director)

Province: __________________________________ Director: ________________________________

Name Rank IKD Judge’s Level

SELECTION OF JUDGES

Judges must meet the requirements as established by the International Karate Daigaku

A minimum of two (2) judges rated class C or above is required from each province.

Judge’s uniform:

o Whistle

o Haori worn over Gi

Mandatory attendance at Judges Clinic Refresher on Friday evening required

Page 16: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 16 of 23

YOUTH TEAM KATA REGISTRATION

(To be submitted by Provincial Director or Dojo Instructor/Coach)

Province: __________ Dojo: Instructor: ___________________________

All teams must pre-register.

Each province may enter any number of teams.

Age of majority members of team determines category to compete in (eg if two members are 14 and one is

15 – they compete in 12-14 category).

Female 9-11

Name Rank Age

1.

2.

3.

Male 9-11

Name Rank Age

1.

2.

3.

Female 12-14

Name Rank Age

1.

2.

3.

Male 12-14

Name Rank Age

1.

2.

3.

Female 15-17

Name Rank Age

1.

2.

3.

Male 15-17

Name Rank Age

1.

2.

3.

FEE: TEAMS X $45.OO PER TEAM Amount Enclosed:

You can register teams online ikdmanitoba.com/canadacup2014

$

Page 17: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 17 of 23

YOUTH TEAM KATA KATA BUNKAI REGISTRATION

(To be submitted by Provincial Director or Dojo Instructor/Coach)

Province: __________ Dojo: Instructor: ___________________________

All teams must pre-register.

Each province may enter any number of teams.

Age of majority members of team determines category to compete in (eg if two members are 14 and one is

15 – they compete in 12-14 category).

Female 9-11

Name Rank Age

1.

2.

3.

Male 9-11

Name Rank Age

1.

2.

3.

Female 12-14

Name Rank Age

1.

2.

3.

Male 12-14

Name Rank Age

1.

2.

3.

Female 15-17

Name Rank Age

1.

2.

3.

Male 15-17

Name Rank Age

1.

2.

3.

FEE: TEAMS X $45.OO PER TEAM Amount Enclosed:

You can register teams online ikdmanitoba.com/canadacup2014 $

Page 18: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 18 of 23

YOUTH TEAM ENBU REGISTRATION

(To be submitted by Provincial Director or Dojo Instructor/Coach)

Province: __________ Dojo: Instructor: ___________________________

All teams must pre-register.

Each province may enter any number of teams.

Age of majority members of team determines category to compete in (eg if two members are 14 and one is

15 – they compete in 12-14 category).

Female 9-11

Name Rank Age

1.

2.

3.

Male 9-11

Name Rank Age

1.

2.

3.

Female 12-14

Name Rank Age

1.

2.

3.

Male 12-14

Name Rank Age

1.

2.

3.

Female 15-17

Name Rank Age

1.

2.

3.

Male 15-17

Name Rank Age

1.

2.

3.

FEE: TEAMS X $45.OO PER TEAM Amount Enclosed:

You can register teams online ikdmanitoba.com/canadacup2014 $

Page 19: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 19 of 23

ADULT FEMALE TEAM REGISTRATION

(To be submitted by Provincial Director)

Province: __________________________________ Director: ________________________________

All teams must pre-register.

Teams may have youth members in Team Kata, Team Kata Bunkai or Enbu but not Team Kumite.

Age of majority members of team determines category to compete in (eg if two members are 18-44 and

one is 45+ they compete in adult category).

Female Team Kata

Name Rank

1.

2.

3.

Alternate

Female Team Kata Bunkai

Name Rank

1.

2.

3.

Alternate

Female Team Enbu

Name Rank

1.

2.

3.

Alternate

Female Team Kumite

Name Rank

1.

2.

3.

Alternate

FEE: TEAMS X $60.OO PER TEAM Amount Enclosed:

You can register teams online ikdmanitoba.com/canadacup2014

$

Page 20: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 20 of 23

ADULT MALE TEAM REGISTRATION

(To be submitted by Provincial Director)

Province: __________________________________ Director: ________________________________

All teams must pre-register.

Teams may have youth members in Team Kata, Team Kata Bunkai or Enbu but not Team Kumite.

Age of majority members of team determines category to compete in (eg if two members are 18-44 and

one is 45+ they compete in adult category).

Male Team Kata

Name Rank

1.

2.

3.

Alternate

Male Team Kata Bunkai

Name Rank

1.

2.

3.

Alternate

Male Team Enbu

Name Rank

1.

2.

3.

Alternate

Male Team Kumite

Name Rank

1.

2.

3.

Alternate

FEE: TEAMS X $60.OO PER TEAM Amount Enclosed:

You can register teams online ikdmanitoba.com/canadacup2014

$

Page 21: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 21 of 23

MASTERS FEMALE TEAM REGISTRATION

(To be submitted by Provincial Director)

Province: __________________________________ Director: ________________________________

All teams must pre-register.

Age of majority members of team determines category to compete in (eg if two members are 18-44 and

one is 45+ they compete in adult category).

Female Team Kata

Name Rank

1.

2.

3.

Alternate

Female Team Kata Bunkai

Name Rank

1.

2.

3.

Alternate

Female Team Enbu

Name Rank

1.

2.

3.

Alternate

Female Team Kumite

Name Rank

1.

2.

3.

Alternate

FEE: TEAMS X $60.OO PER TEAM Amount Enclosed:

You can register teams online ikdmanitoba.com/canadacup2014

$

Page 22: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 22 of 23

MASTERS MALE TEAM REGISTRATION

(To be submitted by Provincial Director)

Province: __________________________________ Director: ________________________________

All teams must pre-register.

Age of majority members of team determines category to compete in (eg if two members are 18-44 and

one is 45+ they compete in adult category).

Male Team Kata

Name Rank

1.

2.

3.

Alternate

Male Team Kata Bunkai

Name Rank

1.

2.

3.

Alternate

Male Team Enbu

Name Rank

1.

2.

3.

Alternate

Male Team Kumite

Name Rank

1.

2.

3.

Alternate

FEE: TEAMS X $60.OO PER TEAM Amount Enclosed:

You can register teams online ikdmanitoba.com/canadacup2014

$

Page 23: 24th National Karate Championshipsikdmanitoba.com/canadacup2014/registration/Package.pdf · Technical Rules 6-10 Forms Individual Registration 11 Waiver & Release 12 Medical Questionnaire

Registration & Payment Deadline: Thursday, May 1, 2014

Please make cheque payable to: “Budo IKD Manitoba” Mail: Box 782, Stonewall,MB, R0C 2Z0

Tel: 204-467-5787/ Fax: 204-467-5787 / E-mail: [email protected]

Page 23 of 23

Program Advertising Form

Advertising Rates:

Full Page (back cover) $ 240.00

Full Page (interior) 10” high x 7 ½” wide $ 175.00

Half Page 5” high x 7 ½” wide $ 115.00

Quarter Page 5” high x 3 ¾” wide $ 60.00

Eighth Page (business card) 2 ½” high x 3 ¾” wide $ 30.00

Best Wishes lines $ 15.00

Business cards may be used for art.

Advertisement size (Please check one)

___Sponsor ___Inside back cover ___Full Page ___Half Page ___Quarter Pg ___Eighth Pg

___Best wishes lines

Company Name: ______________________________________________________

Company Address: ______________________________________________________

Company Representative: __________________________________Phone:____________________

Signature: __________________________________Date:_____________________

Total amount enclosed:

Deadline for camera-ready art and ad space payment April 18, 2014

Art Work may be emailed to: [email protected]

$