SOUTH AFRICAN CHINESE KUOSHU (KUNG FU) NATIONAL TOURNAMENT REGISTRATION FORM. Name: Birthdate: Age: Gender: M/F. Address: Telephone: (

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1 SACKA The South African Chinese Kuoshu Authority SOUTH AFRICAN CHINESE KUOSHU (KUNG FU) NATIONAL TOURNAMENT REGISTRATION FORM Name: Birthdate: Age: Gender: M/F Address: Telephone: ( ) School: Style: Address: Telephone: ( ) Registration Fee: R70.00 for the first event, R15.00 for each additional event. Registration Fee Kuoshu Member: R50.00 for first event, R10.00 for each additional event. THIS REGISTRATION IS NOT COMPLETE WITHOUT SIGNATURE OF THE WAIVER BELOW. PLEASE READ AND SIGN THE WAIVER. THANK YOU. I, the undersigned, knowingly, without duress, do voluntarily submit my entry into the SOUTH AFRICAN CHINESE KUOSHU (KUNG FU) NATIONAL TOURNAMENT sponsored by the South African Chinese Kuoshu Authority. I assume all risk of personal, physical and mental disabilities, injuries, death or losses, which may result from participating in this Tournament. Acting for myself, my heirs, personal representatives, and assignees, I do hereby release the South African Chinese Kuoshu Authority, their officials, agents, representatives, employees, and all other related members from liability due to any injuries or death incurred and any resulting legal claims, actions, suits, or controversies. I also understand that there is a great risk of injury or even death involved in all the competitive divisions, particularly fighting in a light contact or full contact events, and I assume full responsibility for all of my actions activities or omissions during and in connection with the Tournament. I have read, understood, and agreed to abide by the rules of this event, and accept all responsibility and associated liability for infringement of such rules. Additionally, I am fully aware of my personal medical condition and hereby certify that I am mentally and physically fit to compete. I consent to the use of photography/video tapes of my participation in this event for promotional purposes, and hereby waive my rights to any form of compensation or claim. Parent s or Guardian s signature required if contestant is under 21 years of age. Signature of Contestant.. Signature of Parent/Guardian Date.. Date

2 COMPETITION EVENTS Name: Gender: M F (Circle one) Total years training in present style: Total years martial art experience Instructor Signature confirming martial art experience. Age (Circle one) CHILDREN YOUTH ADULT (12 and under) (13-16) (16 and above) Level (Circle one) Beginner Advanced (Under 2 years) (Over 2 years) Please tick appropriate event(s) : Kung Fu Northern Style Kung Fu Southern Long Fist * Kung Fu Southern Short Hand ** Kung Fu Northern Style Long Weapon Kung Fu Northern Style Short Weapon Kung Fu Southern Long Weapon Kung Fu Southern Short Weapon * Southern Long Fist - Choy Lay Fut, Hung, Tiger Claw, etc. ** Southern Short Hand - White Crane, Southern Mantis, White Eyebrow, Southern Lohan etc. LEI TAI FIGHTING. DIVISION A, B or C WEIGHT "A" "B" C Advanced competitor with previous competition fighting experience.(limited protective gear) Full contact with protective gear (hitting head allowed) beginner & intermediate level Beginner, intermediate and advanced, full contact to body but no hitting to head or neck allowed. Important notes for all Divisions. Competitors must be entered in the same experience level in ALL Divisions. Competitors must compete with a different form in each division. *Beginner less than 1 year training. *Intermediate 1 to 3.5 years of training *Advanced more than 3.5 years of training. Note : We reserve the right to combine divisions

3 KUNG FU PROGRAMME SATURDAY 7 August ITEM NO EVENT ITEM NO EVENT Floor 1 ADULT A (ADVANCED)FORM DIVISION (MORE THAN 3.5 YEARS EXPERIENCE) ADULT A (ADVANCED) WEAPON DIVISION 1 Kung Fu Northern Style (Men) 52 Kung Fu Northern Style Long Weapon (Men) 2 Kung Fu Southern Short Hand (Men) 53 Kung Fu Northern Style Long Weapon (women) 3 Kung Fu Southern Long Fist (Men) 54 Kung Fu Northern Style Short Weapon (Men) 4 Kung Fu Northern Style (Women) 55 Kung Fu Northern Style Short Weapon (women) 5 Kung Fu Southern Short Hand (Women) 56 Kung Fu Southern Long Weapon (Men) 6 Kung Fu Southern Long Fist (Women) 57 Kung Fu Southern Long Weapon (women) 58 Kung Fu Southern Short Weapon (Men) 59 Kung Fu Southern Short Weapon (women) ADULT B (intermediate) FORM DIVISION (between years martial art experience) ADULT B (INTERMEDIATE) WEAPON DIVISION 7 Kung Fu Northern Style (Men) 60 Kung Fu Northern Style Long Weapon (Men) 8 Kung Fu Southern Short Hand (Men) 61 Kung Fu Northern Style Long Weapon (women) 9 Kung Fu Southern Long Fist (Men) 62 Kung Fu Northern Style Short Weapon (Men) 10 Kung Fu Northern Style (Women) 63 Kung Fu Northern Style Short Weapon (women) 11 Kung Fu Southern Short Hand (Women) 64 Kung Fu Southern Long Weapon (Men) 12 Kung Fu Southern Long Fist (Women) 65 Kung Fu Southern Long Weapon (women) 66 Kung Fu Southern Short Weapon (Men) 67 Kung Fu Southern Short Weapon (women) ADULT B (Beginner) FORM DIVISION (less than 1 year martial art experience) ADULT B (BEGINNER) WEAPON DIVISION 13 Kung Fu Northern Style (Men) 68 Kung Fu Northern Style Long Weapon (Men) 14 Kung Fu Southern Short Hand (Men) 69 Kung Fu Northern Style Long Weapon (women) 15 Kung Fu Southern Long Fist (Men) 70 Kung Fu Northern Style Short Weapon (Men) 16 Kung Fu Northern Style (Women) 71 Kung Fu Northern Style Short Weapon (women) 17 Kung Fu Southern Short Hand (Women) 72 Kung Fu Southern Long Weapon (Men) 18 Kung Fu Southern Long Fist (Women) 73 Kung Fu Southern Long Weapon (women) 74 Kung Fu Southern Short Weapon (Men) 75 Kung Fu Southern Short Weapon (women) YOUTH FORM DIVISION (ADVANCED) (MORE THAN 3.5 YEARS MARTIAL ART EXPERIENCE) YOUTH FORM DIVISION (INTERMEDIATE) YEARS OLD 12 & UNDER YEARS OLD 19 Kung Fu Northern Style (Men) 76 Kung Fu Northern Style (Men) 20 Kung Fu Southern Short Hand (Men) 77 Kung Fu Southern Short Hand (Men) 21 Kung Fu Southern Long Fist (Men) 78 Kung Fu Southern Long Fist (Men) 22 Kung Fu Northern Style (Women) 79 Kung Fu Northern Style (Women) 23 Kung Fu Southern Short Hand (Women) 80 Kung Fu Southern Short Hand (Women) 24 Kung Fu Southern Long Fist (Women) 81 Kung Fu Southern Long Fist (Women) YOUTH FORM DIVISION (INTERMEDIATE) (BETWEEN YEARS MARTIAL ART EXPERIENCE) YOUTH FORM DIVISION (BEGINNER) YEARS OLD 12 & UNDER YEARS OLD 25 Kung Fu Northern Style (Men) 82 Kung Fu Northern Style (Men) 26 Kung Fu Southern Short Hand (Men) 83 Kung Fu Southern Short Hand (Men) 27 Kung Fu Southern Long Fist (Men) 84 Kung Fu Southern Long Fist (Men) 28 Kung Fu Northern Style (Women) 85 Kung Fu Northern Style (Women) 29 Kung Fu Southern Short Hand (Women) 86 Kung Fu Southern Short Hand (Women) 30 Kung Fu Southern Long Fist (Women) 87 Kung Fu Southern Long Fist (Women)

4 YOUTH FORM DIVISION (BEGINNER) (LESS THAN 1 YEARS MARTIAL ART EXPERIENCE) YOUTH WEAPON (ADVANCED) YEARS OLD YEARS OLD 32 Kung Fu Northern Style (Men) 88 Kung Fu Northern Style Long Weapon (Men) 33 Kung Fu Southern Short Hand (Men) 89 Kung Fu Northern Style Long Weapon (women) 34 Kung Fu Southern Long Fist (Men) 90 Kung Fu Northern Style Short Weapon (Men) 35 Kung Fu Northern Style (Women) 91 Kung Fu Northern Style Short Weapon (women) 36 Kung Fu Southern Short Hand (Women) 92 Kung Fu Southern Long Weapon (Men) 37 Kung Fu Southern Long Fist (Women) 93 Kung Fu Southern Long Weapon (women) 94 Kung Fu Southern Short Weapon (Men) 95 Kung Fu Southern Short Weapon (women) YOUTH FORM DIVISION (ADVANCED) YOUTH B (INTERMEDIATE) WEAPON 12 & UNDER YEARS OLD YEARS OLD 38 Kung Fu Northern Style (Men) 96 Kung Fu Northern Style Long Weapon (Men) 39 Kung Fu Southern Short Hand (Men) 97 Kung Fu Northern Style Long Weapon (women) 40 Kung Fu Southern Long Fist (Men) 98 Kung Fu Northern Style Short Weapon (Men) 41 Kung Fu Northern Style (Women) 99 Kung Fu Northern Style Short Weapon (women) 42 Kung Fu Southern Short Hand (Women) 100 Kung Fu Southern Long Weapon (Men) 43 Kung Fu Southern Long Fist (Women) 101 Kung Fu Southern Long Weapon (women) 102 Kung Fu Southern Short Weapon (Men) 103 Kung Fu Southern Short Weapon (women) YOUTH B (BEGINNER) WEAPON YEARS OLD 44 Kung Fu Northern Style Long Weapon (Men) 45 Kung Fu Northern Style Long Weapon (women) 46 Kung Fu Northern Style Short Weapon (Men) 47 Kung Fu Northern Style Short Weapon (women) 48 Kung Fu Southern Long Weapon (Men) 49 Kung Fu Southern Long Weapon (women) 50 Kung Fu Southern Short Weapon (Men) 51 Kung Fu Southern Short Weapon (women) Preliminary Lei Tai Fights A & B Division Preliminary Lei Tai Fights C Division Note: If Wushu weapons are used in a traditional weapon category, a 0.5 deduction will be given in advance by the judges

5 Saturday 9 April :00 09:00 Weigh in and Registration 09:00 09:05 Welcome By Chairman Of SACKA 09:15 09:30 Referee and Judges Meeting 09:30 10:00 Explanation of Kuoshu rules 10:00 13:00 13:30 17:00 Kung Fu Forms Divisions Hand Forms Division Short Weapon Form Division. Long Weapon Form Division. Forms Divisions Prize Giving 14:00-18:00 (time permitting) Preliminary Lei Tai Rounds (Dependant on time) Sunday 10 April :00 12:00 Preliminary Lei Tai Rounds 12:00 12:30 Lunch Break 13:00 16:00 Semi Finals & Finals 16:00 16:30 Break & Clean Up. 16:30 17:00 Lei Tai Sparring Prize Giving