Director: Master Joseph Jones / Coordinator: Shihan Larry Isaac

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1 Director: Master Joseph Jones / Coordinator: Shihan Larry Isaac Registration: 8:00 AM Meeting & Breakfast: 9:00 AM. Please be on time! Drawing for gift card to a FANTASTIC restaurant during Black Belt meeting! Tournament Starts: 10:00 AM. Competitors: Basic registration allows competitors to enter one Forms division, one Weapons division, and one Sparring division. Team Forms division is an additional separate registration. There will be no music forms/kata in Team Forms Division. Eligibility: Open to all styles and systems. Grand Champion is for overall grand champion of the adult s Division. Equipment: Groin cup, head gear, foot gear, hand gear and mouthpiece are mandatory. Note: All judges will be in a gi or suit (with or without a tie) to judge or be on the floor. No exceptions. Only judges, score keepers and competitors will be allowed on the floor. PRE REGISTRATION Pre-Registration Spectator Fee: $6 Kids 4 & under free. Basic Pre-Registration:$50 all events (Forms, Weapons & Sparring) Team Forms Pre-Registration: $20.00 per person on a team. Monies MUST be postmarked by Monday, March 16, Payable by check or money order to: Little Union Academy of Martial Arts P.O. Box 2024 Kinston, N.C REGISTRATION DAY OF THE EVENT Spectator Fee at Door: $8 Kids 4 & under free Basic Registration at Door:$60 all events (Forms, Weapons & Sparring) Team Forms Division: $20.00 per person on a team. No refunds. No checks accepted day of the event. Recommended Lodging: Holiday Inn Express 1156 Hill Farm Road, Kinston, N.C Tournament Location: Kinston High School 2601 N. Queen St. Kinston, NC For more information contact Little Union Academy of Martial Arts at: Office Cell Visit us online at:

2 YOUTH AGE 3 TO 5 YOUTH AGE 6 TO 7 YOUTH AGE 8 TO 9 YOUTH AGE 10 TO 11 YOUTH AGE 3 TO 5 YOUTH AGE 6 TO 7 YOUTH AGE 8 TO 9 FORMS -WEAPONS & HAND YOUTH AGE 12 TO 13 YOUTH AGE 14 TO 15 YOUTH AGE 16 TO 17 ADULT M EN 18 TO 34 SPARRING YOUTH AGE 12 TO 13 YOUTH AGE 14 TO 15 YOUTH AGE 16 TO 17 ADULT WOM EN 18 TO 34 ADULT M EN EXECUTIV E 35 TO 55 ADULT WOM EN EXECUTIV E 35 TO 55 ADULT M EN SENIOR EXECUTIV E 56 + ADULT WOM EN SENIOR EXECUTIV E 56 + ADULT WOM EN 18 TO 34 ADULT M EN EXECUTIV E 35 TO 55 ADULT WOM EN EXECUTIV E 35 TO 55 YOUTH AGE 10 TO 11 ADULT M EN 18 TO 34 TEAM FORMS ADULT M EN SENIOR EXECUTIV E 56 + ADULT WOM EN SENIOR EXECUTIV E 56 + Under Belt Teams Youth to Adult Teams Youth To Adult No limit on the number of individuals on a team No Music Forms/Kata Teams may be comprised of males and females Teams may perform weapon or hand form/kata

3 WELCOME to the 12 th Annual Karate Madness Open Championship, formerly known as March Madness Open Karate Championship! The name has changed but the game remains the same! The focus is still on providing competitors a safe, quality tournament for all champions to prove their skills. Why not make it a family day or weekend? Visit our hospitality table and pick up brochures and literature about events, attractions, and dinning options your family can enjoy while in Kinston, NC. Master Jones and his Karate Madness staff wish you the best in the divisions you compete in on Saturday, March 28, 2015 in Kinston, NC! IT WILL BE KARATE MADNESS IN MARCH! MAKE IT A WEEKEND AFFAIR and enjoy Karate Madness hotel accommodations at the Holiday Inn Express! It is conveniently located near Wal-Mart and many family friendly restaurants such as: Golden Corral, Golden China Buffet, Chick-Fil-A, and McDonalds. Holiday Inn Express 1156 Hill Farm Rd. Kinston, NC

4

5 REGISTRATION FORM KARATE MADNESS OPEN CHAMPIONSHIP Sponsored By: Little Union Academy of Martial Arts Competitor Name: Age: DOB: Gender: Weight: Height: Martial Arts Style: Belt Color: Belt Rank: Telephone: Address City: State: Zip: Emergency Name and Cell Number What is the relationship of above person to the competitor? Dojo Name: Instructors Name: Dojo Telephone: Dojo Address: Dojo City: State: Zip: REGISTRATION TOTAL (Y/N?) BASIC (FORMS, WEAPONS, SPARRING) TEAM KATA SPECTATIOR $6 x (Number of Spectators). TOTAL AMOUNT ENCLOSED (Additional Spectators May Pay At The Door If They Were Not Included Above And Decide To Come Later ) Please attach check or money order in the proper amount to this registration form and postmark by Monday, March 16, Make checks or money order payable to: Little Union Academy of Martial Arts P.O Box 2024 Kinston, NC LIABILITY WAIVER: I understand that there are risks involved with Martial Arts Competition. I understand that Safety is Mandatory (mouth guard, groin cups for men, chest protectors for women, hand and foot gear) I AM PHYSICALLY QUALIFIED TO ENTER THIS TOURNAMENT I RELEASE JOSEPH JONES, LITTLE UNION ACADEMY OF MARTIAL ARTS, ALL PROMOTERS, SPONSORS, ADMINIS- TRATORS AND PARTICIPANTS from all responsibilities and claims for injuries or loss that I may receive while competing in this March Madness Open Karate Championship in Kinston/Lenoir County North Carolina. I hereby give my permission to the tournament administrators to have FIRST AID or EMERGENCY TRETMENT administered to me (IN THE CASE OF A MINOR CHILD STATEMENT TO READ MY MINOR CHILD ) should in their opinion it become necessary. I understand that photos/videos of all competitors, spectators and all other participants are taken and may be used in future Karate Madness/ martial arts literature or other advertising literature. *Signature: Date: Parent/Guardian: Date: *Note: Any child under the age of 18 years must have a parent or guardian sign for them prior to competing.

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