Disneyland® Martial Arts Festival, February 3 & 4, 2007 Individual Application
Please mail in only, no faxing. Must be received by January 20, 2007 Divisions will be selected at the event. Visit www.tournament.info/rules for links to divisions. (Please Print Black or Blue Ink Only) Personal Information
First Name MI Last Name
e-mail
Provide e-mail if you would like to updated on Disneyland® Martial Arts Festival information throughout the year.
Gender M F
Age _______ Skill Level/Belt: ___________________________ Experience in Months _____
as of 6/30/2007
DOB _____/ _____/ ______
MM/ DD/ YYYY
Home Address____________________________________________________________________________________Apt: ___________ City ____________________________________________________________________ ST __________________ Zip ______________ Province ________________________________________________ Country ________________________________________________ Phone Number__________________________ Emergency Phone Number _______________________
Martial Arts School Information
School Name ________________________________________________Owner’s Name ____________________________________ School Address________________________________________________________________________________Suite __________ City _________________________________________________________________ St ________________ Zip ____________________ Country ___________________________________________________Phone Number_____________________________________ T-shirt Size Child: [ ] CHS CHM [ ] CHL Adult: [ ] Small [ ] Medium [ ] Large [ ] XL [ ] XXL
Division Information The Tournament Coordinator reserves the right to add, combine, or modify any divisions!
X mark the appropriate Primary and if applicable, Secondary Discipline Divisions will be selected at the event. Visit www.tournament.info/rules for links to divisions. Primary Secondary Primary Secondary Filipino Martial Arts Qualifier Kajukenbo Sports Martial Arts Koshiki (Contact Karate) Bogu Kumite Classical Okinawan Japanese Karate Qualifier Tiger Claw National Elite Championship Qualifier Savate Sports Martial Arts Brazilian Jiu-jitsu Chinese Martial Arts Taiji, Contemporary Wushu and Traditional Gung Fu
Sport Jujitsu Breaking Karate/Martial Arts American Kenpo Olympic Style Taekwondo Sports Grappling
With the Primary or Secondary Disciplines of Karate/Martial Arts, Classical Karate, Filipino Martial Arts, Chinese Martial Arts, Kajukenbo, American Kenpo and Tiger Claw Elite Qualifier you may participate in the same Discipline in additional Divisions. Teams competition will be considered an Additional Division. You will select divisions at the event! Additional Divisions in the same Primary Discipline [ ] Fourth division [ ] Fifth division [ ] Sixth division Additional Divisions in the same Secondary Discipline [ ] Fourth division [ ] Fifth division [ ] Sixth division
Fighter or Grapplers Package may not complete in a Primary or Secondary Disciplines. Fighters Package – May pick one from each group Group One [ ] Classical Kumite [ ] Olympic Style Sparring [ ] American Kenpo [ ] Tiger Claw Elite Qualifier (Black Belts Only) Group Two [ ] Savate [ ] Point Sparring [ ] Kajukenbo Freestyle Martial Arts [ ] Koshiki (Contact Karate) Bogu Kumite Grapplers Package – May pick one from each group Group One [ ] Sport jujitsu [ ] Brazilian Jiu-jitsu Gi Group Two [ ] Sport Grappling [ ] Brazilian Jiu-jitsu No-Gi [ ] Kajukenbo Sports Jujitsu [ ] Kajukenbo Freestyle Martial Arts
REFUND POLICY: In the event a refund is necessary and the refund qualifies, there are two options: 1. Full dollar credit for future Disney's Martial Arts Festival or Disneyland® Martial Arts Festival. 2. If a refund is requested and qualifies, and is received up to 15 days after the event, there will be a full refund minus a 10% service charge. After 15 days a credit to the above mentioned future events will be given. PLEASE NOTE: There is no refund for missed divisions.
Must be received by January 20, 2007
Individual Payment Page
Name of Athlete ___________________________________________________________________ Date of Birth _____/_____/_____
If Different, Your Name _______________________________________________________________________ Your Role: [ ] Self [ ] Coach [ ] School Owner [ ] Team Manager
Athlete registration fee includes 1. One Discipline (up to three divisions), 2. An event t-shirt 3. One After 4 pm or six hours which ever is earlier admission to either Disneyland® Park or Disney’s California Adventure® Park. Attention Disneyland® Resort Annual Passholder If the registered athlete is a Disneyland® Resort Annual Passholder, then there is a specially-priced participant fee available. (Walt Disney World® Resort Passholders are not eligible for this discount) When asked for the membership number to receive the special-pricing, please write in the Annual Passholder number from the back of the Annual Pass. To receive the specially-priced participation fee, the Annual Pass MUST be present at pre-registration pick-up.
Must be received by January 20, 2007 – On-line is closed January 21, 2007. After January 21st, you may register at the door.
Primary Discipline Package Fighter/Grapplers Package Primary Discipline or Fighter/Grapplers Package with a Disneyland® Resort Annual Passholder See above information for requirements Pass Number _________________________________________________ Disneyland® Resort Annual MUST be presented at Pre-registration for verification or Athlete will be charged full fee. Primary Discipline selection Required: With the Disciplines of Karate/Martial Arts, Classical Karate, Filipino Martial Arts, Chinese Martial Arts, Kajukenbo, American Kenpo and Tiger Claw Elite Qualifier you may participate in the same Discipline in additional Divisions. Theme Park Ticket NOT included Each Secondary Discipline (A different Discipline) up to 3 divisions Theme Park Ticket NOT included Total
US Funds Only
Up to January 15, 2007 On-line Registration
Off-line anytime, after January 15, 2007 and at the door
$99 $109
$110 $120
$65
$76
4th – $15 5th $10 6th $10 $35
4th – $15 5th $10 6th $10 $35
Form of Payment: [ ] Check/MO Number ________ (Please make payable to Disney’s Martial Arts Festival) [ ] MasterCard [ ] AMEX [ ] Discover All Charges will appear as Tournament.Info
Credit Card: [ ] Visa
_____________________________________________________________ ________________________________________________________ Print Name as it appears on form of payment
Account Number
Signature
Expiration Date
Please Note: there is a $32 bank fee for all returned items.
Checklist: [ ] Discipline Application(s) [ ] Payment Page [ ] Sports Waiver [ ] Method of Payment
REGISTRATION INFORMATION Disneyland® Martial Arts Festival Delivery Service (Fed EX, DHL, UPS, others): 740 Riverside Dr., Coral Springs, FL 33071 Postal Service: PO Box 22348, Orlando, FL 32830 Web: disneylandmartialartsfestival.com e-mail: info@tournament.info Phone: 1-866-706-2900
Discipline and Event Schedule for 2007 Disneyland® Martial Arts Festival All Events held at Disneyland® Hotel in Disneyland® Resort, Anaheim CA.
Time 8 to 1 pm 8 to 8:45 am 9 am 9 am 9 am 9 am 9 am 10 am 10 am 11 am 12 Noon 12 Noon 7 pm Event Subject to change without notice. Saturday, February 3, 2007 Pre-registration Packet pick-up, Registration at the door and weigh-in (for required disciplines) Judo Registration closes at 12 noon on Saturday (no Sunday registration- only pre-registered weigh-ins) Tiger Claw Elite Qualifier Registration (no registration after 8:45 am) Classical Okinawan Japanese Karate & Kobudo Qualifier for all belts (Black Belts will be ran last) Karate/Martial Arts All Belts All Ages Individual – Musical Weapons, Forms and Showmanship Sport Jujitsu Gi Adult and Youth Brazilian Jiujutsu - Weigh-in ring side Tiger Claw National Elite Championship Qualifier for all divisions Olympic Style Tae Kwon Do presented by Master Lion Choi – WTF Rules Not WTF Sanctioned (Black Belts will be ran after Tiger Claw Elite Championships Qualifier) HitMaster’s® S.T.A.R. (Speed, Timing, Accuracy, and Reaction) Fastest Punch Event Qualifier For Friday’s Competitors American Kenpo Competition (Black Belts will be ran after Tiger Claw Elite Chinese Martial Arts Championships Qualifier ) Karate/Martial Arts Teams Youth and Adult Taiji, Contemporary Wushu and Traditional Kung Fu Competition (Will be ran after Tiger Claw Elite Chinese Martial Arts Championships Qualifier) Journey Through the Martial Arts Showcase (Included in all Athlete, Coaches, Volunteer , Saturday Spectator and Length of Event Ticket.) Sunday, February 4, 2007 8 to 11 am 9 am 9 am 9 am 9 am 9 am 10 am 10 am 10 am 10 am 10 am Pre-registration Packet pick-up, Registration at the door and weigh-in (for required disciplines) ALL TEAM COMPETITION: Traditional Forms and Weapons, Point Sparring, Musical and Open Forms and Weapons , and Demonstration (Team Competition Register at Door – All Team Members must be registered as individual) Breaking No-Gi Brazilian Jiujutsu - Weigh-in ring side Savate Sport Martial Arts Karate/Martial Arts All Belts All Ages Individual Traditional Forms & Weapons, Open Weapons, & Point Sparring Kajukenbo empty hands, weapons, self-defense, Kajukenbo sports jujitsu, and free style sparring Competition Koshiki (Contact Karate) Bogu Kumite HitMaster’s® S.T.A.R. (Speed, Timing, Accuracy, and Reaction) Fastest Punch Event Sport Grappling Filipino Martial Arts Revised 11/17/2006 11:34 AM
CLINICS SCHEDULE Please stay up to date on Instructors at www.tournament.info/clinics or call the Discipline Coordinators. (see enclosed contact information) Day Start Time 9:00 AM Saturday Discipline One Sport Grappling 12:30 PM 1:30 PM 2:30 PM 3:30 PM 9:00 AM Sunday Classical 10:45 AM Chinese MA 12:30 PM Chinese MA Filipino Martial Arts Filipino Martial Arts Filipino Martial Arts Filipino Martial Arts Time Discipline Two Time 9:00 AM Discipline Three American Kenpo
10:45 AM Tiger Claw 12:30 PM Tiger Claw 2:00 PM 3:30 PM Tiger Claw Tiger Claw
10:00 AM American Kenpo 11:00 AM American Kenpo 12:30 PM Breaking 2:30 PM Savate
10:30 AM Classical 12:00 PM Classical 1:30 PM 3:00 PM Classical Classical
SECONDARY SATURDAY’S DISCIPLINE CHART
1. Find your Primary Discipline (Vertical Column) 2. Find your desired Secondary Discipline (Header) 3. Follow the Primary row and Secondary column until they meet. If Y = you can compete in that Discipline If N = Sorry there is a scheduling conflict If you are able to compete in the Secondary Discipline: a) If registering on-line, select Primary/Secondary b) If registering off-line, please visit tournament.info/rules, contact info@tournament.info or call 1-866-706-2900 for additional applications. Please state which Secondary Discipline registration form is needed.
SATURDAY’S DISCIPLINES Tiger Claw National Championship Qualifier Martial Arts//Karate Musical Weapons, Forms & Showmanship Olympic Style Taekwondo presented by Master Choi SUNDAY’S DISCIPLINES Karate/Martial Arts Traditional Forms, Open Weapons, Weapons & Point Sparring
No-Gi Brazilian Jiujutsu
Koshiki Bogu Kumite
Chinese Martial Arts
Gi Brazilian Jiujutsu
American Kenpo
Classical Karate
Sport Grappling
Sport Savate
Sport Jujitsu
Filipino Martial Arts Y Y Y Y Y Y Y Y
SATURDAY’S PRIMARY DISCIPLINES
Gi Brazilian Jiujutsu Saturday Chinese Martial Arts Saturday Classical Karate Saturday Sport Jujitsu Saturday Olympic Style Taekwondo presented by Master Choi Saturday Martial Arts//Karate Musical Weapons, Forms & Showmanship Saturday American Kenpo Saturday Tiger Claw National Championship Qualifier
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
Y*
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
Y*
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
Y*
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
Y*
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
Y*
Y
Y
Y
Y
Y
Y
N
Y*
Y*
N
Y*
Y*
Y*
Y
Y
Y
Y
Y
Y
* Though effort will be made to schedule no conflicts in cross-over disciplines, there is a risk you could miss your cross-over discipline.
Kajukenbo Y Y Y Y Y Y Y Y
Breaking
SECONDARY SUNDAY DISCIPLINE CHART
1. Find your Primary Discipline (Vertical Column) 2. Find your desired Secondary Discipline (Header) 3. Follow the Primary row and Secondary column until they meet. If Y = you can compete in that Discipline If N = Sorry there is a scheduling conflict If you are able to compete in the Secondary Discipline: a) If registering on-line, select Primary/Secondary b) If registering off-line, please visit tournament.info/rules, contact info@tournament.info or call 1-866-706-2900 for additional applications. Please state which Secondary Discipline registration form is needed.
SATURDAY’S SECONDARY DISCIPLINES Tiger Claw National Championship Qualifier
SUNDAY’S SECONDARY DISCIPLINES Karate/Martial Arts Traditional Forms, Open Weapons, Weapons & Point Sparring
Martial Arts//Karate Musical Weapons, Forms & Showmanship
Olympic Style Taekwondo presented by Master Choi
No-Gi Brazilian Jiujutsu
Koshiki Bogu Kumite
Chinese Martial Arts
Gi Brazilian Jiujutsu
American Kenpo
Classical Karate
Sport Grappling
Sport Savate
Sport Jujitsu
Filipino Martial Arts N N N N N N N
SUNDAY’S PRIMARY DISCIPLINES
Breaking Y Y Y Y
Y
Y
Y
Y
N
N
N
N
N
N
Sport Savate Sunday
Y
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
Sport Grappling Sunday No-Gi Brazilian Jiujutsu Sunday Karate/Martial Arts Traditional Forms, Open Weapons, Weapons & Point Sparring Koshiki Bogu Kumite Sunday Filipino Martial Arts Sunday
Y
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
Kajukenbo Sunday
Y
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
Kajukenbo
Breaking
EVENT CONTACT INFORMATION:
Disneyland ® Martial Arts Festival Delivery Service (Fed Ex, UPS, DHL): 740 Riverside Dr., Coral Springs, FL 33071 Postal Box: PO Box 22348, Orlando, FL 32830 Web: www.disneylandmartialartsfestival.com E-mail: info@tournament.info Phone: 1-866-706-2900 No faxed or over the phone registrations or faxed waivers can be accepted.
AMERICAN KENPO BREAKING
Presented by Mr. Edmund Parker Jr. Coordinator: Mr. Frank Trejo Phone: (626) 449-3684 Website: www.tournament.info/americankenpo Coordinator: Sigung/Hakumau: Bradford Namahoe Phone: (714) 606-5794 Website: www.tournament.info/breaking email: karazenpo92833@yahoo.com Presented by: Jean Jacques Machado Phone: (818) 343-6548 Web: www.jeanjacquesmachado.com Coordinator: Gilberto Faria Phone: (310) 370-0116 Website: (English) www.cbjj.com.br/english/rules.htm (Portuguese) www.cbjj.com.br/regras.htm email: Staff@jiujitsuprogear.com Taiji (forms and weapons) Coordinators: Sigung Antwione Alferos, Sifu William Rosary Jr. Phone: (714) 815-9912 e-mail: anttera@msn.com Website: www.whippingwillow.org Contemporary Wushu (forms and weapons) Coordinators: Sigung Antwione Alferos, Jenny Tang Phone: (714) 815-9912 e-mail: anttera@msn.com Website: www.whippingwillow.org Traditional Gung Fu (forms and weapons) Coordinators: Sigung Antwione Alferos, Terrence Brotherton Phone: (714) 815-9912 e-mail: anttera@msn.com Website: www.whippingwillow.org Classical Okinawan Japanese Karate & Kobudo (WKF modified rules- independent nonsanctioned) Coordinator: Sensei Gene Tibon Phone: (209) 465-0943 Website: www.tibonkarate.com e-mail: senseitibon@tibonkarate.com Finals as part of 2007 Disney’s Martial Arts Festival, October 26-28, 2007, at Disney’s Wide World of Sports® Complex in the Walt Disney World® Resort, near Orlando Florida
BRAZILIAN JIU-JITSU
CHINESE MARTIAL With the Competition Fee you may select three divisions from one, two or three of the Chinese Disciplines CLASSICAL KARATE QUALIFIER
FILIPINO MARTIAL ART QUALIFIER KARATE/ MARTIAL ARTS KAJUKENBO
Coordinator: Elrik Jundis Phone: (510) 499-1454 Website: www.tournament.info/filipino Email: egjundis@yahoo.com Finals as part of 2007 Disney’s Martial Arts Festival, October 26-28, 2007, at Disney’s Wide World of Sports® Complex in the Walt Disney World® Resort, near Orlando Florida
(Open, Musical and Traditional, weapons, forms and point sparring)
Co-Coordinator: Art Ruiz and Sandy Amason Website: www.tournament.info/openmartialarts
Phone: (760) 803-8714 Email: amasons@pacbell.net
(Empty hands, weapons, self-defense, sports jujitsu, and free style sparring) Coordinator: Grandmaster Bob Maschmeier Phone: (650) 359-3085 Website: www.tournament.info/kajukenbo e-mail: ckshqtrs@aol.com Coordinator: Grant Campbell Phone: 954-966-8005 Website: www.koshiki.com Email: usakarate@bellsouth.net Coordinators: Duke Dudley and Jerome Turcan Phone: (510) 252-1131 Website: www.sportsavate.org e-mail: duke@sportsavate.org Coordinator: Steve Cooper Phone: (714) 892-3860 Website: www.tournament.info/sportgrappling Email: longbeachikc@earthlink.net Co-coordinator: Willy Cahill Co-coordinator: Eric Renner Phone: 650-589-0724 Website: www.jujitsuamerica.org E-mail: ekr5@mindspring.com
KOSHIKI BOGU KUMITE SPORT SAVATE
SPORTS GRAPPLING SPORT JUJITSU
HITMASTER’S® S.T.A.R. OLYMPIC STYLE TAEKWONDO TIGER CLAW NATIONAL ELITE CHAMPIONSHIP QUALIFIER
(Speed, Timing, Accuracy, and Reaction) Fastest Punch Event Qualifier Coordinator: Dr. Richard Pumerantz Phone: 877-467-2285 Website: www.impacttrainingsystems.com e-mail: info@ImpactTrainingSystems.com Coordinator: Master Lion Choi Phone: (626) 917-4075 Website: www.tournament.info/taekwondo e-mail: choiskatkd@yahoo.co.kr Tiger Claw National Elite Championship Qualifier – Black Belts Only
(Kajukenbo/Kenpo/Polynesian, Korean, Chinese, Japanese, Musical and Contemporary Marital Arts weapons, forms and point sparring)
Coordinator: Jennifer Oh Phone: (865) 687-1000 Website: www.Tigerclawelite.com e-mail: Jenoh@tigerclaw.com Championship as part of 2007 Disney’s Martial Arts Festival, October 26-28, 2007, at Disney’s Wide World of Sports® Complex in the Walt Disney World® Resort, near Orlando Florida