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SHOTOKAN KARATE CUP

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SHOTOKAN KARATE CUP Powered By Docstoc
					                   SHOTOKAN KARATE CUP
                                                                            OPEN TO ALL STYLES
                                                                                      SUNDAY 18th MAY 2008
                                                                                               AQUALINK BOX HILL
                                                                            SURREY DRIVE, BOX HILL, MELBOURNE
                                                                                ENQUIRIES: 0438 440 555
          REGISTRATION 8.30am (Closes 9.30am) – competition starts 9.00am finishes approx 2.00pm
          ------------------------------------------------------------------------
                                        TOURNAMENT APPLICATION
     SURNAME____________________________________FIRST NAME________________________________________
     ADDRESS__________________________________________________________________ POSTCODE___________
     PHONE – Home______________ Business______________ Mobile________________SEX – Male/Female_________
     AGE as at 12/09/08___________ WEIGHT__________ KARATE GRADE________ CLUB_________________________
PLEASE                       THE DIVISION YOU WISH TO ENTER                                                                              INSTRUCTOR_ __ ________________________
                KUMITE                                                       KUMITE – (Cont.)                                                         KATA – (Cont.)
 1          MENS OPEN OVER 80KG                                        21   MALE 10-11yrs 4TH KYU & UP                                          40     MALE 16-17yrs 10TH – 5TH KYU
                                                                                                               TH
 2          MENS OPEN 68 – 80KG                                        22   FEMALE 10-11yrs 4                       KYU & UP                    41     FEMALE 16-17yrs 10TH – 5TH KYU
                                                                                                           TH            TH
 3          MENS OPEN 68KG & UNDER                                     23   MALE 10-11yrs 10                    –5            KYU               42     MALE 14-15yrs 4TH KYU & UP
                                       RD                                                                       TH            TH
 4          FEMALE OPEN 3                    KYU & UP                  24   FEMALE 10-11yrs 10                           –5        KYU          43     FEMALE 14-15yrs 4TH KYU & UP
                      RD          ST                                                                 TH
 5          MENS 3         –1          KYU                             25   MALE 8-9yrs 4                 KYU & UP                              44     MALE 14-15yrs 10TH – 5TH KYU
 6          MENS 6TH – 4TH KYU                                         26   FEMALE 8-9yrs 4TH KYU & UP                                          45     FEMALE 14-15yrs 10TH – 5TH KYU
                        TH         TH                                                                 TH            TH
 7          MENS 10          –7         KYU                            27   MALE 8-9yrs 10                 –5            KYU                    46     MALE 12-13yrs 4TH & UP
                             TH         TH                                                                 TH            TH
 8          FEMALE 10             –4         KYU                       28   FEMALE 8-9yrs 10                    –5            KYU               47     FEMALE 12-13yrs 4TH & UP
                                        TH
 9          MALE 16-17yrs 4                   KYU & UP                 29   MALE 7yrs & UNDER ALL GRADES                                        48     MALE 12-13yrs 10TH – 5TH KYU
                                              TH
10          FEMALE 16-17yrs 4                      KYU & UP            30   FEMALE 7yrs & UNDER ALL GRADES                                      49     FEMALE 12-13yrs 10TH – 5TH KYU
11          MALE 16-17yrs 10                 TH
                                                  –5   TH
                                                            KYU                            KATA                                                 50     MALE 10-11yrs 4TH & UP
                                                  TH        TH
12          FEMALE 16-17yrs 10                         –5        KYU   31   MENS BLACK BELT – (16Yrs & Over)                                    51     FEMALE 10-11yrs 4TH & UP
                                        TH
13          MALE 14-15yrs 4                   & UP                     32   FEMALE BLACK BELT – (16Yrs & Over)                                  52     MALE 10-11yrs 10TH – 5TH KYU
14          FEMALE 14-15yrs 4TH & UP                                   33   VETERANS – (35 & Over)                                              53     FEMALE 10-11yrs 10TH – 5TH KYU
                                             TH        TH                            TH         ST
15          MALE 14-15yrs 10                      –5        KYU        34   MALE 4        –1         KYU – (16Yrs & Over)                       54     MALE 8-9yrs 4TH & UP
                                                  TH        TH                            TH         ST
16          FEMALE 14-15yrs 10                         –5        KYU   35   FEMALE 4 – 1                  KYU – (16Yrs & Over)                  55     FEMALE 8-9yrs 4TH & UP
                                        TH                                            TH         TH
17          MALE 12-13yrs 4                   KYU & UP                 36   MALE 10        –5             KYU – (16Yrs & Over)                  56     MALE 8-9yrs 10TH – 5TH KYU
                                              TH                                           TH         TH
18          FEMALE 12-13yrs 4                      KYU & UP            37   FEMALE 10 –5                   KYU– (16Yrs & Over)                  57     FEMALE 8-9yrs 10TH – 5TH KYU
                                             TH        TH                                                 TH
19          MALE 12-13yrs 10                      –5        KYU        38   MALE 16-17yrs 4                    KYU & UP                         58     MALE 7yrs & UNDER ALL GRADES
20          FEMALE 12-13yrs 10TH – 5TH KYU                             39   FEMALE 16-17yrs 4TH KYU & UP                                        59     FEMALE 7yrs & UNDER ALL GRADES

             PAYMENT: $45.00 PLUS $11 ANY ADDITIONAL EVENT – A SURCHARGE OF $15 APPLIES IF YOU PAY ON THE DAY
                           Spectators Admission Adults $8.00; Children (16yrs & under) $5.00; Family $15.00
                                       Method of Payment – Please Tick Box
                                                       EFT: (Ref: Your Surname)                                                Cheque or Money Order:
                                                       Account Name: A.S.S.K.                                                  Payable to: A.S.S.K.
                                                       Account Number: 009184                                                  Post signed application
                                                       BSB Number: 803-143                                                     form with cheque to:
                                  ®                    Email signed application form to:                                       927 High Street
                                                       info@shotokan.com.au (Or Post)                                          Thornbury Vic 3071
                                                                                          DISCLAIMER
     1. I acknowledge that I have read the definitions below. 2. I hereby acknowledge that my entry and/or participation in the tournament carries with it significant risk of personal
     injury. 3. Therefore, I for myself and the Releasors hereby relinquish, release and/or waive any action against the Releasees for any personal injury sustained by me arising out
     of and/or in the course of the tournament whether as a result of any disregard and/or technical breach of the rules of the tournament or otherwise. 4. In addition, in the event of
     any action being commenced, the Releasors and myself hereby indemnify the Releasees against any cost and damages arising from or connected therewith. 5. Releasees
     reserve the right to combine or cancel divisions.
                                                                                          DEFINITIONS
     a) “Personal Injury” has its ordinary English meaning and includes any injury for which a person might be awarded General Damages and/or Special Damages at Common Law.
     b) “The Releasors” means by family, dependants, heirs, executors and/or assigns any person or persons claiming through them. c) “Releasees” means any corporation,
     association or other body and/or person or persons jointly and/or severally and whether servants or agents of any of the aforementioned or otherwise where any such
     corporation, other body or individual is associated with the promotion or conduct of the tournament and includes competitors, referees, and observers or members of the
     audience. d) “Any action” means any claim, right and/or cause of action for damages at Common Law or pursuant to any statute. e) “The Rules” means the rules for the time
     being of the Australian Karate Federation Incorporated, however, there may be a variation in size with the mats and ring size.


     SIGNATURE________________________________________PARENTS SIGNATURE_____________________________________
          REGISTRATION 8.30am (Closes 9.00am) – competition starts 9.00am finishes approx 2.00pm

				
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