DATE & LOCATION NOVEMBER 18, 2017 South Louisville Center 2911 Taylor Blvd. Louisville, KY 40208

SCHEDULE - EST

Doors Open: 9:00am Black Belt Meeting 10:30 Opening Ceremony 10:45 Competition Begins 11:00

GRAND FINALS SHOW Featuring Junior and Adult Black Belt Championships and Team Fight Competition.

TROPHIES & AWARDS Beautiful Awards 1st - 4th place trophies in all divisions. All adult Black Belt Men & Women Grand Champions receive $200.

BB Forms/Weapons Grand

BBM Sparring Grand

BBW Sparring Grand

UB Forms/Weapons Grand

Jr. UB Forms Grand

Jr. BB Forms Grand

ENTRY FEE COMPETITORS:

Pre-Registration via online, email, direct mail, call or text before 11/3/17. ($35.00 All Events In-cluded). Day of Event $45.00. Price includes (3) Divisions:

Weapons

Forms

Sparring

SPECTATORS:

$8.00 Pre Registered or $10.00 Day of Event. Kids 5yrs & Under FREE. www.PKCregion7.org / Call or Text (502)445-0403.

EVENT SANCTIONED

This tournament is sanctioned by the Professional Karate Commis-sion. PKC Triple National Points & PKC Region #7 Points Award-ed.

UNDERBELT DIVISIONS Youth Underbelt Weapons 8yrs & under Beg / Int / Adv 9 - 10yrs Beg / Int / Adv 11 - 12yrs. (Beg / Int / Adv) 13 - 14yrs. (Beg / Int / Adv) 15 - 17yrs Beg / Int / Adv

Youth Underbelt Forms

6yrs. & Under (Beg / Int) 7 - 8yrs. (Beg/Int/Adv) 9 - 10yrs. (Beg/Int/Adv) 11 - 12yrs. (Beg / Int / Adv) 13 - 14yrs. (Beg / Int / Adv) 15 - 17yrs. (Beg / Int / Adv) 17 - Under CMX

Youth Underbelt Fighting 6yrs & Under (Beg/Int) Boys & Girls 7 - 8 yrs. (Beg/Int/Adv) Boys & Girls 9 - 10yrs. Boys (Beg / Int / Adv) 9 - 10yrs. Girls (Beg / Int / Adv) 11 - 12yrs. Boys (Beg / Int / Adv) 11 - 12yrs. Girls (Beg / Int / Adv) 13 - 14yrs. Boys (Beg / Int / Adv) 13 - 14yrs. Girls (Beg / Int / Adv) 15 - 17yrs. Boys (Beg / Int / Adv) 15 - 17yrs. Girls (Beg / Int / Adv)

Adult Underbelt Weapons Men & Women (Beg/Int/Adv)

Adult Underbelt Forms Men (Beg / Int / Adv) Women (Beg / Int / Adv)

Adult Underbelt Fighting 18 - 34 Men (Beg / Int / Adv) 18 - 34 Women (Beg / Int / Adv) 35 - Over Men (Beg / Int / Adv) 35 - Over Women (Beg / Int / Adv)

BLACK BELT DIVISIONS Youth Black Belt Weapons 10yrs. & Under Boys & Girls 11 - 12yrs. Boys & Girls 13 - 14yrs. Boys & Girls 15 - 17yrs. Boys & Girls

Youth Black Belt Forms 10yrs. & Under Boys & Girls 11 - 12yrs. Boys & Girls 13 - 14yrs. Boys & Girls 15 - 17yrs. Boys & Girls 17 - Under CMX

Youth Black Belt Fighting 10yrs. & Under Boys 10yrs. & Under Girls 11 - 12yrs. Boys 11 - 12yrs. Girls 13 - 14yrs. Boys 13 - 14yrs. Girls 15 - 17yrs. Boys 15 - 17yrs. Girls

Adult Black Belt Weapons Men Hard Style Men Soft Style Women

Adult Black Belt Forms 18 - 34 Men - Japanese / Okinawan 18 - 34 Men - Korean 18 - 34 Men - Chinese 18 - 34 Women 18 - Over CMX 35 - 49 Men 35 - 49 Women 50 - Over Men & Women

Adult Black Belt Fighting 18 - 34 Men LW (179 & Under) 18 - 34 Men HW (180 & Over) 18 - 34 Women 35 - 49 Men 35 - Over Women 50 - Over Men

TRIPLE CROWN, P.O. Box 16225, Louisville, KY 40256 OFFICIAL TOURNAMENT ENTRY FORM - (MC/VISA/DEBT/CHECK/M.O. ACCEPTED)

NAME_____________________________________________AGE________D/O/B___________RANK__________________ ADDRESS______________________________________________CITY_______________STATE__________ZIP_________ PHONE________________EMAIL_____________________________________SCHOOL NAME______________________ INSTRUCTORS NAME____________________________ADDRESS_____________________________________________

Please read the following and sign. All participants under 18 years of age must have a parent/guardian’s signature. The undersigned hereby releases Rob Starks, All-City Karate LLC, PKC and PKC Region 7, LLC from any and all liabilities of any nature due to any injures that may result or arise from my attendance and/or participation at above specified event. Furthermore I hereby release and authorize the use of any pictures, movies, media coverage, etc. utilized by those associated with this event at any time and waive any claim to compensation for the use of the same. I also understand the Grand Champion Awards and Cash Prizes are awarded to paid competitors with an application of file. Must be a minimum of (4) for cash payout.

Signature:__________________________ Parent or Guardian Signature:______________________________________ Date:___________________ (If under 18yrs of age)

Competitors Fee: Competitor Pass _1_x35 = ____ TOTAL:_________________ Post Marked after Spectator Pass ___x8 = ____ (Total includes Competition Fee and Nov 3, 2017 Cost is $45.00 Spectator Passes) NO CHECKS after this date. PKC ID#________________

CREDIT CARD PAYMENT INFO (Make Checks or M.O. payable to Rob Starks)

Credit Card #_______________________________________________________________ Billing Zip:__________________

Exp Date:______________ Name as it Appears on Card_________________________________ Verification #____________

TRIPLE CROWN

Open Martial Arts Championship