2008 United States International Kuoshu (Kung Fu) Championship Tournament

Transcription

1 2008 United States International Kuoshu (Kung Fu) Championship Tournament Registration Form Competitor Information Last Name: Date of Birth (mm/dd/yy): First Name: Male / Female (circle one) Address: Street Address: Telephone: ( ) City: State: Zip Code: Country: Competitor Total Years Training Chinese Martial Arts: School Information School Name: Style: Street Address: Telephone: ( ) City: State: Zip Code: Country: Shih-Fu: School Address: Registration Fees for USKSF members: $65 for the first event; $20 for each additional event. Registration Fee for All others: $85 for the first event; $20 for each individual event. Members AND Non-Members: $5 late fee to register at the door. THIS REGISTRATION FORM IS NOT COMPLETE UNLESS SIGNED. THANK YOU! Waiver I, the undersigned, knowingly, without duress, do voluntarily submit my entry into the 2008 UNITED STATES INTERNATIONAL KUOSHU (KUNG FU) CHAMPIONSHIP TOURNAMENT sponsored by the United States Kuo Shu Federation, Inc. 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 Huang, Chien-Liang, the United States Kuo Shu Federation, Inc., 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 less than 18 years of age. Signature of Contestant Date Signature of Parent/Guardian

2 2008 United States International Kuoshu (Kung Fu) Championship Tournament Important Notes for ALL Events Competitions Levels are defined as follows: BEGINNER INTERMEDIATE ADVANCED Years of training are < 1.5 years Years of training are > 1.5 years and < 3.5 years Years of training are > 3.5 years Years of training are based on the total years of external and internal training combined. Competitor Age is based on the age at the time of competition. Competitors MUST be entered in the same age/experience level for ALL events entered. Competitors MUST compete with a different form in each event entered. All short weapon events are limited to single hand straightsword or broadsword. NO EXCEPTIONS All long weapon events are limited to long staff and spear. NO EXCEPTIONS All other weapons MUST compete in events noted as other or open weapon events. All weapon events, including 2 person sets, are intended for traditional spring steel weapons unless the event name specifically indicates that it is a Wushu event. If in the Chief Judge s opinion the weapon being used does not meet the criteria of a traditional weapon, the Chief Judge will make a 0.05 point deduction to the final score. Examples of Southern Short Hand Systems include: Southern Praying Mantis, Bak Mei, Wu Mei, and Dragon Style. Competition is NOT limited to the styles mentioned. If in the individual judge s opinion the competitor is not exhibiting a Southern Short Hand form the judge will make a 0.05 point deduction to the score. Examples of Southern Long Hand Systems include: Choy Li Fut, Hung Ga, Hung Mei, Lee Ga, Southern Shaolin, Fu Jow Pai, Hung Fut, Tiger Crane Style, & White Crane. Competition is NOT limited to the styles mentioned. If in the individual judge s opinion the competitor is not exhibiting a Southern Short Hand form the judge will make a 0.05 point deduction to the score. Taiji Quan divisions containing less than 4 people may be combined into other events. Forms learned in China containing characteristics not consistent with traditional kung fu forms should enter the Traditional Wushu Divisions available. There are NO refunds for ANY reasons. The Tournament Committee Reserves the right to combine categories within the same division.

3 Attention: All Kuoshu Lei Tai Fighters must also fill out this Form. (Addition to registration form) KUOSHU LEI TAI ENTRY AND WAIVER FORM Name: Sex: Weight: lbs. Birthdate: Tel: (H) (W): Address: Insurance Company: Policy Number: I,, wish to participate in the 2008 U.S. International Kuoshu Championship Tournament, to be held on July 25 through July 27, 2008, in Hunt Valley, Maryland. Neither I, nor my forbears or representatives, will hold liable the promoters, referees, judges, instructors, sponsors, or the establishment where this Tournament is held, for injuries or subsequent health problems sustained by me during this Tournament. I understand that I must provide a doctor s certificate as proof that I am fit to fight in this vigorous, and potentially dangerous, Lei Tai Fighting. I also understand there is a great risk of injury or even death, and I assume full responsibility for all my actions. The certificate must be dated after June 26, I understand without the certificate, I will not be allowed to fight. Date: Signature: Guardian Signature:

4 Adult Events Only ADULT Advanced Competition (Competitor age > 18) 1 Form - Wushu Chang Quan Men 13 Form - Northern Praying Mantis Women 26 Weapons - Kung Fu Short Weapon Women 2 Form - Wushu Chang Quan Women 14 Weapons - Wushu Long Weapon Men 27 Weapons - Kung Fu Other Weapon Women 3 Form - Wushu Nan Quan Men 15 Weapons - Wushu Long Weapon Women 28 ** Adult ADV - Two Man Set Empty Hand 4 Form - Wushu Nan Quan Women 16 Weapons - Wushu Short Weapon Men 29 ** Adult ADV - Two Man Set Weapon 242 Form - Traditional Northern Wushu Men 17 Weapons - Wushu Short Weapon Women 30 Adult ADV - Kenpo Form Men 243 Form - Traditional Northern Wushu Women 18 Weapons - Kung Fu Staff Men 31 Adult ADV - Kenpo Form Women 5 Form - Kung Fu Northern Men 19 Weapons - Kung Fu Spear Men 32 Adult ADV - Kenpo Weapon Men 6 Form - Kung Fu Northern Women 20 Weapons - Kung Fu Broadsword Men 33 Adult ADV - Kenpo Weapon Women 7 Form - Kung Fu Southern Women 21 Weapons - Kung Fu Straight Sword Men 34 Mass Attack - Adult Advanced - Men 8 Form - Kung Fu Southern Short Hand Men 22 Weapons - Kung Fu Other Weapon Men 258 Mass Attack - Adult Advanced - Women 9 Form - Kung Fu Southern Long Fist Men 23 Weapons - Southern Long Weapon Men 35 Light Contact Sparring - Men Heavy Weight 10 Form - Wing Chun Men 24 Weapons - Southern Short Weapon Men 36 Light Contact Sparring - Men Middle Weight 11 Form - Wing Chun Women 25 Weapons - Kung Fu Long Weapon Women 37 Light Contact Sparring - Men Light Weight 12 Form - Northern Praying Mantis Men 38 Light Contact Sparring - Women ADULT Intermediate Competition (Competitor age > 18) 39 Form - Wushu Chang Quan Men/Women 46 Form - Wing Chun Men 54 Adult INT - Kenpo Form Men 40 Form - Wushu Nan Quan Men/Women 47 Form - Wing Chun Women 55 Adult INT - Kenpo Form Women 244 Form - Traditional Northern Wushu Men 48 Form - Northern Praying Mantis Men 56 Adult INT - Kenpo Weapon Men/Women 245 Form - Traditional Northern Wushu Women 49 Form - Northern Praying Mantis Women 57 Mass Attack Adult - Intermediate 41 Form - Kung Fu Northern Men 50 Weapons - Kung Fu Weapon Men 58 Light Contact Sparring - Men Heavy Weight 42 Form - Kung Fu Northern Women 51 Weapons - Kung Fu Weapon Women 59 Light Contact Sparring - Men Middle Weight 43 Form - Kung Fu Southern Women 52 Weapons - Kung Fu Other Weapon M/W 60 Light Contact Sparring - Men Light Weight 44 Form - Kung Fu Southern Short Hand Men 53 ** Adult INT - Two Man Set Empty Hand 61 Light Contact Sparring - Women 45 Form - Kung Fu Southern Long Fist Men ADULT Beginner Competition (Competitor age > 18) 62 Form - Kung Fu Northern Men 67 Form - Kung Fu Weapon Men 72 Light Contact Sparring - Men 63 Form - Kung Fu Northern Women 68 Form - Kung Fu Weapon Women 73 Light Contact Sparring - Women 64 Form - Kung Fu Southern Women 69 Form - Wushu Chang Quan Men/Women 74 Adult BEG - Kenpo Form Men/Women 65 Form - Kung Fu Southern Short Hand Men 70 Form - Wushu Nan Quan Men/Women 75 Adult BEG - Kenpo Weapon Men/Women 66 Form - Kung Fu Southern Long Fist Men 71 ** Adult BEG - Two Man Set Empty Hand 76 Mass Attack Adult - Beginner MIXED Competition (Competitor age > 18) 77 Mixed Senior Form Men - 36 to Weapon Free Fighting Long Weapon - M 93 Shuai Chiao - Light 78 Mixed Senior Form Men - over Weapon Free Fighting Long Weapon - W 94 Shuai Chiao - Welter 79 Mixed Senior Form Women - 36 to Weapon Free Fighting Short Weapon - M 95 Shuai Chiao - Middle 80 Mixed Senior Form Women - over Weapon Free Fighting Short Weapon - W 96 Shuai Chiao - Heavy 81 Mixed Senior Weapon Men - 36 to Chi Sao - Light ** Print Two Man Set Partner Name 82 Mixed Senior Weapon Men - over Chi Sao - Welter 83 Mixed Senior Weapon Women - 36 to Chi Sao - Middle Empty Hand: 84 Mixed Senior Weapon Women - over Chi Sao - Heavy Weapon:

5 Internal Events ONLY ADULT Advanced Competition (Competitor age > 18) 97 ADV Tai Ji - Yang Style Men 103 ADV Tai Ji - Chen Style Men 109 ADV Xing Yi Quan - Men 98 ADV Tai Ji - Yang Style Women 104 ADV Tai Ji - Chen Style Women 110 ADV Xing Yi Quan - Women 99 ADV Tai Ji - Guang Ping Yang Men 105 ADV Tai Ji - Chen Pan Ling Style Men 111 ADV Ba Qua Zhang - Men 100 ADV Tai Ji - Guang Ping Yang Women 106 ADV Tai Ji - Chen Pan Ling Style Women 112 ADV Ba Qua Zhang - Women 101 ADV Tai Ji - Cheng Man Ching Men 107 ADV Tai Ji Weapon - Men 102 ADV Tai Ji - Cheng Man Ching Women 108 ADV Tai Ji Weapon - Women ADULT Intermediate Competition (Competitor age > 18) 113 INT Tai Ji - Yang Style Men 117 INT Tai Ji - Chen Style Men/Women 120 INT Tai Ji Weapon - Men 114 INT Tai Ji - Yang Style Women 118 INT Tai Ji - Chen Pan Ling Style Men 121 INT Tai Ji Weapon - Women 115 INT Tai Ji - Guang Ping Yang Men/Women 119 INT Tai Ji - Chen Pan Ling Style Women 122 INT Xing Yi Quan Men/Women 116 INT Tai Ji - Cheng Man Ching Men/Women 123 INT Ba Qua Zhang Men/Women MIXED Competition (Competitor age > 18) 124 BEG Tai Ji - Yang Style Men/Women 129 Mixed Tai Ji Compulsory Form Men 125 ** Mixed Tai Ji - Tai Ji Two Man Set 130 Mixed Tai Ji Compulsory Form Women 126 Mixed Tai Ji - Tai Ji 50 yrs and over Men/Women 131 Mixed Tai Ji Weapon - BEG - Men/Women 127 Mixed Tai Ji - Other Style Tai Ji Men 132 Mixed Xing Yi Quan - Weapon Men/Women 128 Mixed Tai Ji - Other Style Tai Ji Women 133 Mixed Ba Qua Zhang - Weapon Men/Women MIXED Pushing Hands Competition (Competitor age > 18) 238 Mixed Pushing Hands - Men Super Heavy Weight 240 Mixed Moving Step Pushing Hands - Men Super Heavy 134 Mixed Pushing Hands - Men Upper Weight 140 Mixed Moving Step Pushing Hands - Men Upper 135 Mixed Pushing Hands - Men Middle Weight 141 Mixed Moving Step Pushing Hands - Men Middle 136 Mixed Pushing Hands - Men Lower Weight 142 Mixed Moving Step Pushing Hands - Men Lower 239 Mixed Pushing Hands - Women Super Heavy Weight 241 Mixed Moving Step Pushing Hands - Women Super Heavy 137 Mixed Pushing Hands - Women Upper Weight 143 Mixed Moving Step Pushing Hands - Women Upper 138 Mixed Pushing Hands - Women Middle Weight 144 Mixed Moving Step Pushing Hands - Women Middle 139 Mixed Pushing Hands - Women Lower Weight 145 Mixed Moving Step Pushing Hands - Women Lower Empty Hand: ** Print Two Man Set Partner Name Weapon:

6 Youth Events ONLY YOUTH Advanced Competition (Competitor age < 18) 146 Form - Teens Boy 156 Form - Wushu Chang Quan Light Contact Sparring yrs - Girl 147 Form - Teens Girl 157 Form - Wushu Chang Quan Weapons - Long Weapons Boy 148 Form yrs - Boy 158 Form - Wushu Nan Quan Weapons - Long Weapons Girl 149 Form yrs - Girl 159 Form - Wushu Nan Quan Weapons - Long Weapons Boy 150 Form yrs - Boy 160 Form - Wushu Nan Quan Weapons - Long Weapons Girl 151 Form yrs - Girl 161 Light Contact Sparring - Teens Boy 207 Weapons - Short Weapons Boy 152 Form yrs - Boy 162 Light Contact Sparring - Teens Girl 208 Weapons - Short Weapons Girl 153 Form yrs - Girl 163 Light Contact Sparring yrs - Boy 209 Weapons - Short Weapons Boy 154 Form - Wushu Chang Quan Boy 164 Light Contact Sparring yrs - Girl 210 Weapons - Short Weapons Girl 233 Form - Wushu Chang Quan Girl 165 Light Contact Sparring yrs - Boy 211 Weapons - Long/Short Weapons Boy 155 Form - Wushu Chang Quan Boy 166 Light Contact Sparring yrs - Girl 212 Weapons - Long/Short Weapons Girl 234 Form - Wushu Chang Quan Girl 167 Light Contact Sparring yrs - Boy YOUTH Intermediate Competition (Competitor age < 18) 169 Form - Teens Boy 178 Form - Wushu Chang Quan Boy 187 Light Contact Sparring yrs - Girl 170 Form - Teens Girl 236 Form - Wushu Chang Quan Girl 188 Light Contact Sparring yrs - Boy 171 Form yrs - Boy 179 Form - Wushu Chang Quan Light Contact Sparring yrs - Girl 172 Form yrs - Girl 180 Form - Wushu Chang Quan Light Contact Sparring yrs - Boy 173 Form yrs - Boy 181 Form - Wushu Nan Quan Light Contact Sparring yrs - Girl 174 Form yrs - Girl 182 Form - Wushu Nan Quan Weapons - Long/Short Boy/Girl 175 Form yrs - Boy 183 Form - Wushu Nan Quan Weapons - Long/Short Boy/Girl 176 Form yrs - Girl 184 Light Contact Sparring - Teens Boy 252 Weapons - Long/Short Boy/Girl 177 Form - Wushu Chang Quan Boy 185 Light Contact Sparring - Teens Girl 253 Weapons - Long/Short 7-9 Boy/Girl 235 Form - Wushu Chang Quan Girl 186 Light Contact Sparring yrs - Boy YOUTH Beginner / Mixed Competition (Competitor age < 18) 192 Beginner Form - Youth Under 7 - Boy/Girl 198 Weapons - Wushu Short Weapon ** 2-Man Sets - 12 and under Empty Hand 246 Beginner Form - Youth 7-9 Boy/Girl 199 Weapons - Wushu Short Weapon ** 2-Man Sets - under 18 Weapon 246 Beginner Form - Youth Boy/Girl 200 Weapons - Wushu Short Weapon Light Contact Sparring - Boys under Beginner Form - Youth Boy/Girl 201 Weapons - Wushu Short Weapon Light Contact Sparring - Girls under Beginner Form - Youth Boy/Girl 202 Weapons - Wushu Open Weapon 222 Weapon Fighting - Short Weapon Boy Form - Wushu Nan Quan Weapons - Open Weapons Weapon Fighting - Short Weapon Girl Weapons - Wushu Long Weapon Weapons - Open Weapons under Weapon Fighting - Short Weapon Boy Weapons - Wushu Long Weapon Weapons - Youth Weapons 9 and under 225 Weapon Fighting - Short Weapon Girl Weapons - Wushu Long Weapon ** 2-Man Sets yrs Empty Hand 226 Weapon Fighting - Short Weapon under Weapons - Wushu Long Weapon ** 2-Man Sets yrs Empty Hand YOUTH Kenpo Competition (Competitor age < 18) 227 Youth Kenpo Form - Advanced 254 Mass Attack - Advanced - 12 & Under 228 Youth Kenpo Form - Intermediate 255 Mass Attack - Advanced Youth Kenpo Form - Beginner 232 Mass Attack - Intermediate Empty Hand: 230 Kenpo Weapon - Youth ADV - 12 and under 256 Kenpo Weapon - Youth INT - 12 and under 231 Kenpo Weapon - Youth ADV Kenpo Weapon - Youth INT Weapon: ** Print Two Man Set Partner Name

7 Division levels are based on TOTAL years training in Martial Arts, including internal and external. You MUST compete in the same level and age group for all events. Enter Competitor Name: USKSF Member Fees Registration Fees Non-Members (current USKSF member/ buying membership now) DID YOU KNOW? (Use if you are not a current USKSF member) (list event #) (enter amt.) You Can (list event #) (enter amt.) Event #1: Register and Pay Event #1: fee: $65.00 $ online at fee: $85.00 $ Event #2: Event #2: Event #3: Event #3: Event #4: Event #4: Event #5: Mail Registration Event #5: fee: $20.00 $ to: fee: $20.00 $ Event #6: USKSF Event #6: fee: $20.00 $ P.O. Box fee: $20.00 $ Event #7: Baltimore, MD Event #7: fee: $20.00 $ fee: $20.00 $ Event #8: U.S.A. Event #8: Event #9: Event #9: Event #10: For more Event #10: fee: $20.00 $ information call: fee: $20.00 $ Event #11: Event #11: fee: $20.00 $ or fax: fee: $20.00 $ Event #12: Event #12: Event #13: Event #13: USKSF Member Registration $ Fees Total Amount Enclosed $ Buy USKSF Membership NOW ($50 for 2 year membership or $300 for Individual Lifetime Membership) Lei Tai Fee ($75.00) amt: $ Must be USKSF member date rec: Total Amount Enclosed $ date post: Office use only $ c / ck / v / mc / am / d Register Early! cc apr: y / n KUOSHU LEI TAI FIGHTING Weight lbs. Gender: Male/Female (circle one) Lei Tai Registration Fee is $75 (includes blue and yellow T-shirt) address for confirmation: 1. You must be pre-registered by July 7, 2008 (postmark). You will receive confirmation by July 11, If you do not receive confirmation, you must FAX your registration to us by July 14, (Payment by July 18, 2008) 3. Confirmations will only be done via . If WE do not have a confirmation for you, YOU WILL NOT FIGHT. 3. You must have personal insurance and a physician's letter dated after 6/26/2008 certifying your fitness to fight. 3. You must read and understand Lei Tai rules and regulations. 4. You must be an amateur. 5. You must be an active USKSF or TWKSF member 6. You must be 18 years or older. Registration Payment Information (to be used for Event AND Lei Tai Competition): circle one: cash / check (payable to USKSF) / visa / mastercard / american express / discover / money order Credit Card Number: Exp. Date: Amex Security #: Name on Card: There is a $5 late registration fee for anyone who registers after July 24, 2008 (at the door)!