MAY 5, 2019 TOURNAMENT PACKET
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1 The 5 th Annual MAY 5, 2019 TOURNAMENT PACKET
2 Sunday, May 5, 2019 Venue: Central Bucks West High School 375 West Court Street, Doylestown, PA REGISTRATION FEES AND PRICES ONE PRICE INCLUDES ALL 4 EVENTS: KATA, TEAM KATA, KUMITE, KOBUDO TEAM KUMITE $30 PER/TEAM Early-registration: 2/1/2019 and 4/21/19 = $60.00 Late Registration: 4/22/19 and 5/3/2019 = $75.00 Deadline is 5/3/ :00 pm Spectator fee: $10.00 per/family Tournament T-Shirt $15.00 Mandatory Equipment 1) Traditional White Gi 2) Mouth guard 3) Hand pads: white, red or blue. 4) Groin protection-male 5) Dip-foam Headgear (Ages 18 & under) 6) Shin/Instep pads Event Schedule 7:00 9:00 am Doors Open/Check-in 8:00 am.weapons Division 9:00am Judges Meeting 9:30am Tournament begins 10:00 am Team Kata, Kata and Kumite, Team Kumite Optional: Male or Female chest protector All Information and Registration
3 Division Chart K = Kata = inner (7 th kyu & below) white, orange, yellow S = Sparring = ermediate (6 th, 5 th & 4 th kyu) blue, green, purple TK = Team Kata = anced (3 rd, 2 nd, 1 st Kyu) Brown Belts W = Weapons = Belts TS = Team Kumite Boys & Girls 5-6 All Ranks K1/S1 Men / Boys 7-8 Girls 7-8 Boys 9,10,11 Girls 9,10,11 Boys 12,13,14 Girls 12,13,14 Boys 15,16,17 Girls 15,16,17 / / er K2 / S2 K3 / S3 K4 / S4 K5 / S5 K6 / S6 K7 / S7 K8 / S8 K9/ S9 K10 / S10 K11 / S11 K12 / S12 K13 / K13 K14 / S14 K15 / S15 K16 / S16 K17 / S17 K18 / S18 K19 / S19 K20 / S20 K 21 / S21 K22 / S22 K23 / S23 K24 / S24 K25 / S25 Women Men 35 + up Women 35+up Team Kata 17 & under Team Kata 18 & up Weapons 5-8 Weapons 9-12 Weapons Weapons 18 + above Team Kumite 17 & under /er /er /er er er K30 / S30 K31 / S31 K32 / S32 K33 / S33 K34 / S34 K35 /S35 K36 / S36 K37 / S37 K38 / S38 K39 / S39 K40 / S40 K41 / S41 TK1 TK2 TK3 TK4 TK5 TK6 TK7 TK8 W1 W2 W3 W4 K26/ S26 er K27 / S27 Team Kumite 18 & TS2 K28 / S28 above K29 / S29 Please NOTE: Divisions may be combined to insure adequate match competition for all participants. TS1 All Information and Online Registration:
4 Individual Registration Form Date: Sunday, May 5, 2019 Time: Doors Open 7am Kobudo Division Starts at 8am Location: Central Bucks West High School 375 West Court Street Doylestown, PA PLEASE WRITE CLEARLY Name:, Age: Sex: Male Female Last First Address: Weight: Height: City: State: Zip: Dojo Name: Belt Color/Rank: ALL FEES ARE FINAL: Fee $60 Covers 4 Events (Kata, Team Kata, Kumite and Kobudo) Sensei Name: **Team Kata Teams must have 3 members. Kata Div K Teams will be registered under the TEAM Kumite Div S CAPTAIN S name. Team Kata Div TK ***Captain s Name: Kobudo(weapons) Div W Team Kumite Fee $30 ($10 p/p) Team Kumite Div TS Teams must have 3 members. Teams will be registered under the TEAM CAPTAIN S name. Early Registration 2/1/2019 4/21/19: $60.00 Late Registration 4/22/19 5/3/19: $75.00 All Registration ends 11:00 PM 5/3/ NO DOOR REGISTRATION WILL BE ACCEPTED Mail Registration: Warwick Shotokan; 2632 Virginia Lane, Jamison, PA, ONLINE REGISTRATION: Questions: Sensei Andrew Spivack (215) / warwickshotokan@comcast.net Reserve your Tournament T-Shirt today. Orders will be accepted until April 12, 2019 $15.00 Sizes: Youth Small, Youth Medium, Youth Large, Adult Small, Adult Medium, Adult Large, XL, XXL Size(s) needed: Number of Shirts ordered: Individual Registration Form Page 2
5 Adult & Minor Amateur Athletic Waiver and Release of Liability: I, the undersigned do hereby volunteer my application for the attendance and participation in Warwick Shotokan Karate Championships at Central Bucks West High School on May 5, 2019 and do hereby assume full responsibility for all injuries, damages or losses that I or my child may sustain or incur, if any, while attending/participating. The undersigned agrees to defend, indemnify, and hold harmless Andrew Spivack and Warwick Shotokan its officers, managers, members, employees, agents and coaches/instructors and their successors and assigns from and against all legal liability, claims, suits, damages, losses, and expenses, including attorney fees, threatened or incurred, and arising from participation, or from any cause whatsoever. I fully realize that participation in the Warwick Shotokan Karate Championship can be dangerous and could result in serious injury or possibly death and freely assume that risk. In the event of an emergency, I give permission for Warwick Shotokan to give myself or my child first aid and to arrange for transportation to a hospital and to receive emergency medical treatment. I will assume all costs for medical care and transportation. Please list below any current or previous accidents, illnesses, or physical limitations that could impact, stop, or prevent you or your child from participating in the Warwick Shotokan Karate Championship. The below named participant is physically able to participate in the Warwick Shotokan Karate Championships without limitations (except as described above). I release permission for use of my or my child s picture for promotional material including brochures, advertisements, or warwickshotokan.com website. Names are not used in any promotional material. I also agree that all payments are final. There are no refunds and no transfers allowed Name of participant Signature: Date: Parent/Guardian (if participant is under 18): BOTH PAGES MUST BE RETURNED FOR YOU OR YOUR CHILD TO BE REGISTERED
6 Warwick Shotokan Karate Championship Directions to Competition: Central Bucks High School West LOCATION AND DIRECTIONS 375 West Court Street Doylestown, PA (across the street from Central Bucks Family YMCA) Central Bucks West is located off Route 202 in Doylestown. From the Pennsylvania Turnpike: Exit at Willow Grove North. When approaching Doylestown take route 611 North bypass to the route 202 South exit. At the end of the ramp go left (202 N. Main Street). Go through the light at the Hospital entrance. Take the next right onto Memorial Drive. Turn left onto Court street. From South/ West: Take Route 202 North, through Chalfont and New Britain. Continue on the same road past the Hospital. Take the next right onto Memorial Drive. Turn left onto Court street. From the North/East: Take Route 202 South, follow Route 202 by--pass around Doylestown. Follow signs for Route 202 South (Norristown & Hospital) to exit the bypass. Turn right onto State Street (202 N). Continue as above. From Lower Bucks County: Take Route 413 to Route 202 South and continue as above. or Take Bristol Road or Almshouse Road to Route 611 North and continue as above. For map information use this link:
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