The!tournament!packet!can!be!downloaded!from!our!website!at!

Transcription

1 February!9,!2015! Dear!Sensei,!Friends,!and!Associates:! We!are!delighted!to!invite!you,!your!students,!family!and!friends!to!attend!the!2015!PN!AAU!Karate!District! Championships,!Saturday,!March!28,!2015,!at!Lynnwood!High!School!in!Bothell,!WA.!This!event!is!the!National!and! AAU!Jr.!Olympic!Qualifier.!Athletes!who!attend!and!participate!will!be!eligible!to!attend!the!2015!AAU!Karate! National!Championships!at!the!Raleigh!Convention!Center!in!Raleigh,!NC,!June!30-July!4!and/or!the!AAU!Jr.! Olympic Games,! August -8!at!the!Chesapeake!Conference!Center!in!Chesapeake,!VA.!! The!Pacific!Northwest!has!very!high!caliber!karate!players.!We!are!delighted!to!host!this!event!not!only!to! create!continuing!opportunities!for!those!who!are!returning,!but!also!for!those!who!attending!for!the!very!first! time.!! This!event!is!sanctioned!by!the!Amateur!Athletic!Union.!All!athletes!and!participants!are!required!to!provide!proof! of!their!aau!membership!at!the!time!of!check-in.!since!adult!memberships!are!no!longer!automatic,!i! respectfully!ask!that!you!register!!at! so!we!can!be!in!compliance!with!the!rules.! Online!tournament!registration!helps!us!to!run!an!organized!and!predictable!event;!therefore,!we! strongly!encourage!everyone!to!register!online!at! The!tournament!packet!can!be!downloaded!from!our!website!at! re!$129.00!per!ni ht,!d ubles!are!$139.00!per!night.!taxes!are!not!included.! Please!contact!me!at!my!direct!line,!206- -,!with!your!questions!or!concerns.!! Very!Truly!Yours,! Joni Sharrah Joni!Sharrah!! Tournament!Director! Dedicated to the preservation, promotion and progression of Traditional Karate-do 1535 NE 177 th Street Shoreline, WA joniwsharrah@comcast.net

2 Saturday, March 28 Online registration is now available at PN AAU KARATE Tournament Date: Saturday, March 2, 201 Location: Lynnwood High School G North Road, Bothell, WA Time: Check-in: 8:00 am Events begin: 9:00 am District Championship and National Qualifier Presented by This event is sanctioned by the Amateur Athletic Union of the U. S., Inc. All participants must have a current AAU membership. AAU membership may not be included as part of the entry fee to the event. Register today! ACADEMY Competition Includes * kata * kumite * * kobudo * team events Watch some of the Finest Karate Athletes in Action! Tickets at the door General Admission - $5 10 Under - $3 AAU outh membership must be obtained before the competition begins except where the event operator has a laptop available with an internet connect. Be Prepared: Adult and Non Athlete memberships are no longer instant and cannot be applied for at event. Please allow 10 days for membership to be processed.participants are encouraged to visit the AAU web site to obtain their membership. For more information, please call or visit our website at

3 ACADEMY Ballinger Way NE PMB 222, Shoreline, WA Phone: (206) Fax: (206) usakaratedojo.com 201 Pacific Northwest AAU Karate District Championships and National Qualifier Saturday, March 2, 201 Lynnwood High School Gymnasium, North Road, Bothell, WA Directions to the Venue: From Everett: 1. Take I-5 Southbound -9.4 mi 2. Take exit 183 for 164th St SW 3. Keep left at the fork, follow signs for Mill Creek 4. Turn left at 164th St SW 5. Turn right at North Rd Destination will be on the right From Seattle: 1. Take I-5 Northbound mi 2. Take exit 183 for 164th St SW 3. Keep right at the fork to continue toward 164th St SW and merge onto 164th St SW 4. Turn right at North Rd Destination will be on the right Time: Check-in: 8:00 am Referee Meeting: 8: Events begin: 9:00 am Registration Fees: Synchronized Kata: Entry Deadline: ate Registration: egister by U ail Registration Fees: General Admission 1 Event: $ 2 Events: $ 3 Events: $ 5 $30 per Team March 2. - March 2 Special Rate USA Karate Club Ballinger Way NE PMB 222, Shoreline, WA Make checks payable USA Karate Club. $25.00 fee will be charged for all returned checks. redit card registration online at aratetmaster.com. No refunds. $5 for 1 and Up $3 for 1 and under and seniors 62 Yrs. Up A Special otel Rate offered by Embassy Suites th Ave W., Lynnwood, WA Request special rate by 5:00 pm February 27 '15 Mention USA Karate Academy or Canadian Marital Arts Academy $12 plus tax applicable fees for a King Jr. Suite $1 plus tax applicable fees for a Double Jr. Suite Hot cooked to order breakfasts, Manager s reception, close proximity to the venue This event is sanctioned by the Amateur Athletic Union of the All participants must have a current AAU AAU membership may not be included as USA Karate Club is recognized as a 501 c 3 non-profit by the IRS. All proceeds after expenses help the amateur athletes of USA Karate Academy in Shoreline travel to national and international karate events. Thank you for your support. Rules: Modified AAU Karate rules will be in effect. Visit for a complete listing of tournament rules and regulations.

4 2015 PN AAU KARATE District Championship and National Qualifier INDIVIDUAL(REGISTRATION! AMOUNT!PAID!$! CONTROL!#!!! Saturday,!March!28,!2015! Lynnwood!High!School! Gymnasium! 18218!North!Road,! Bothell,!WA!98012! CheckNin:!8!AM! Events!begin!at:!9!AM! Please!provide!all!information!requested!below.!Failure!to!do!so!may!invalidate!your!registration.! LAST!NAME! FIRST!NAME! HOME!ADDRESS! CITY! STATE! ZIP!CODE! AREA!CODE! PHONE!NUMBER! SEX! DATE!OF!BIRTH!(MM/DD/YY)! /! /! DATE!STARTED!TRAINING!(MM/YY) #!OF!INACTIVE!MONTHS! NAME!OF!DOJO! /! /! CHECK!EACH!CATEGORY!IN!WHICH!YOU!WISH!TO!COMPETE! KATA!(OPEN) KOBUDO! KUMITE!! TEAM!KATA!(MUST!FILL!OUT!SEPARATE!FORM) AGE!(AS!OF!July!1,!2015)!! EIGHT!(IN!LBS) LEVEL!OF!EXPERIENCE! BEGINNER!!(LESS!THAN!12!MONTHS) N VICE!(12-23!MONTHS) INTERMEDIATE!(24-47!MONTHS) ADVANCED!(48!MONTHS!OR!MORE) INDIVIDUAL(REGISTRATION(FEE((1!Event:!$55!!$10!for!each!additional!event)! TEAM(REGISTRATION(FEE:($!! ($30!FOR!EACH!TEAM,!OR!$10!PER!TEAM!MEMBER)! LATE(REGISTRATION(FEE:($!! (A)!REGISTRATION!RECEIVED!BY!MAIL!After!MARCH!23!OR!LATER!WILL!INCURE!AN!ADDITIONAL! $25!FEE.!(B)!$25!LATE!FEE!FOR!REGISTRATION!AT!THE!DOOR.!Best%price%if%register%early%online.! TOTAL(AMOUNT(ENCLOSED:($!! MAKE(CHECKS(PAYABLE(TO:! USA!Karate!Club!or!register!online!at! !Ballinger!Way!NE!!PMB!#222!!Shoreline,!WA!98155! PLEASE(COMPLETE(AND(RETURN(THE(ATHLETE(WAIVER(FORM( IN(ITS(ENTIRETY(AND(RETURN(WITH(THIS(REGISTRATION(FORM! Mail!Entries!To:! USA!Karate!Club! c/o!usa!karate!club! 20126!Ballinger!Way!NE! PMB!#222! Shoreline,!WA!98155! *DO!NOT!SEND!CASH*

5 ATHLETE(WAIVER/RELEASE(FORM(( AGREEMENT )! (Must!be!filled!out!and!returned!with!your!Team!Entry!Form)! IN!CONSIDERATION! of!being!permitted!to!participate! in!any!way!in!the!pacific!northwest! AAU!District! Championships! and!national!qualifier,! I,for! myself,!my!personal!representatives,!assigns,!heirs,!and!next!of!kin:! 1. ACKNOWLEDGE,! agree,!and!represent!that!i!understand! the!nature!of!the!activity!and!that!i!am!qualified,!in!good!health,!and!in!proper!physical condition!to!participate!in!such!activity.!i!further!agree!and!warrant!that!if!at!any!time!i!believe!conditions!to!be!unsafe,!i!will!immediately!discontinue! further!participation!in!the!activity.! 2. FULLY!UNDERSTAND!that:!(a)!ATHLETIC!ACTIVITIES!INVOLVE!RISKS!AND!DANGERS!OF!SERIOUS!BODILY!INJURY,!INCLUDING PERMANENT! DISABILITY,! PARALYSIS,! AND! DEATH! ( RISKS ):! (b)! these! Risks! and! dangers! may! be! caused! by! my! actions! or! inactions,! the! actions!or! inactions! of!others! participating! in!the!activity,! the!condition!in!which! the!activity! takes! place,! or!the!negligence! OF!THE! RELEASEES! NAMED! BELOW:!(c)!there!may!be!OTHER!RISKS!AND!SOCIAL!AND!ECONOMIC!LOSSES!either!not!known!to!me!or!not!readily!foreseeable!at!this!time!and!I!FULLY! ACCEPT!AND!ASSUME!ALL!SUCH!RISKS!AND!ALL!RESPONSIBILITY! FOR!LOSSES,!COSTS,!AND!DAMAGES!I!incur!as!a!result!of!my!participation!or!that!of! the!minor!in!the!activity.! 3. HEREBY!RELEASE,!DISCHARGE,!AND!COVENANT!NOT!TO!SUE!the!WA!Karate!Services,!USA!Karate!Academy,!Joni!and!Alan!Sharrah,!including!related affiliated!and!subsidiary!companies!of!each,!as!well!as!the!officers,!directors,!agents,!employees!and!assigns!of!each,!lessors!of!premises!on!which!the! Activity!takes!place.!FROM!ALL!LIABILITY,!CLAIMS,!DEMANDS,!LOSSES,!OR!DAMAGES!ON!MY!ACCOUNT!CAUSED!OR!ALLEGED!TO!BE!CAUSED!IN!WHOLE! OR!IN!PART!BY!THE!NEGLIGENCE!OF!THE! RELEASEES!OR!OTHERWISE,!INCLUDING!NEGLIGENT!RESCUE!OPERATIONS,!NEGLIGENT!SECURITY,!TRAVEL,! AND!RECREATIONAL! OPERATIONS! AND!ACTIVITIES:! AND!I!FURTHER! AGREE! that!if,!despite! this!re4lease! AND!WAIVER! OF!LIABILITY,! ASSUMPTION! OF!RISK,!AND!INDEMNITY!AGREEMENT!I,!or!anyone!on!my!behalf,!makes!a!claim!against!any!of!the!Releasee s,!i!will!indemnify,!save,!and!hold! HARMLESS! EACH!OF!THE!RELEASEES! from!any!litigation!expenses,! attorney!fees,!loss,!liability,!damage,!or!cost!as!which!any!may!incur!as!the!result! of!such!claim.! Agreement(to(Participate! I,!or!we,!grant!to!the!Directors,!Assistants,!or!assigned!chaperons!of!this!event!to!act!as!guardians/spokesmen! in!granting!permission!for!emergency! treatment/hospitalization!(including!anesthesia)!if!necessary!for!my!child!en!route!to!or!from!or!at!the!site!of!karate!event!or!hospital!or!other!medical! facility.! I!understand! that!should! a!health! emergency! arise,! I!will!be!attempted!to!be!notified,!but!that!if!I!cannot! be!reached! by!telephone,! such! medical!treatment!as!deemed!necessary!by!competent!medical!personnel!is!authorized.! I!hereby!authorize!the!tournament!directors!to!allow!the!reproduction,!dissemination,!and/or!publication!of!my!name!and!likeness!for!media!coverage,! public!relations,!or!any!other!purpose!which!may!involve!the!use!of!photographs,!films,!and/or!video!tape!recording,!this!is!to!be!done!in!conjunction! with!my!participating!in!this!karate!event!and!i!understand!and!agree!that!i!may!neither!pay!a!fee!to!receive!individual!promotional!consideration!from! my!participation!in!this!event,!nor!will!i!receive!any!payment!for!the!possible!commercial!use!of!my!name!or!likeness.! I!REALIZE!THAT!THERE!ARE!NO!REFUNDS.! MINOR(RELEASE:(AND!I,!THE!MINOR S!PARENT!AND/OR!LEGAL!GUARDIAN,!UNDERSTAND! THE!NATURE!OF!ATHLETIC!ACTIVITIES!AND!THE!MINOR S! EXPERIENCE!AND!CAPABILITIES!AND!BELIEVE!THE!MINOR!TO!BE!QUALIFIED,!IN!GOOD!HEALTH,!AND!IN!PROPER!PHYSICAL!CONDITION!TO!PARTICIPATE! IN!SUCH!ACTIVITY.! I!HEREBY!RELEASE,!DISCHARGE,! COVENANT! NOT!TO!SUE,!AND!AGREE!TO!INDEMNIFY! AND!SAVE!AND!HOLD!HARMLESS! EACH!OF! THE!RELEASEE S!FROM!ALL!LIABILITY,!CLAIMS,!DEMANDS,!LOSSES,!OR!DAMAGES!ON!THE!MINOR S!ACCOUNT!CAUSED!OR!ALLEGED!TO!BE!CAUSED!IN! WHOLE!OR!IN!PART!BY!THE!NEGLIGENCE!OF!THE! RELEASEES!OR!OTHERWISE,!INCLUDING!NEGLIGENT!RESCUE!OPERATIONS!AND!FURTHER!AGREE! THAT! IF,!DESPITE! THIS! RELEASE,! I,!THE! MINOR,! OR!ANYONE! ON!THE! MINOR S! BEHALF! MAKES! A!CLAIM! AGAINST! ANY! OF!THE! RELEASEES! NAMED! ABOVE,!I!WILL!INDEMNIFY,!SAVE,!AND!HOLD!HARMLESS!EACH!OF!THE!RELEASEES!FROM!ANY!LITIGATION!EXPENSES,!ATTORNEY!FEES,!LOSS!LIABILITY,! DAMAGE,!OR!COST!ANY!MAY!INCUR!AS!A!RESULT!OF!ANY!SUCH!CLAIM.! I!HAVE!READ!THIS!AGREEMENT,!FULLY!UNDERSTAND!ITS!TERMS,!UNDERSTAND!THAT!I!HAVE!GIVEN!UP!SUBSTANTIAL!RIGHTS!BY!SIGNING!IT!AND!HAVE! SIGNED! IT!FREELY! AND!WITHOUT! ANY!INDUCEMENT! OR!ASSURANCE! OF!ANY!NATURE! AND!INTEND! IT!TO!BE!A!COMPLETE! AND! UNCONDITIONAL! RELEASE! OF!ALL!LIABILITY! TO!THE!GREATEST! EXTENT,! ALLOWED! BY!LAW!AND!AGREE! THAT! IF!ANY!PORTION! OF!THIS!AGREEMENT! IS!HELD! TO!BE! INVALID!THE!BALANCE,!NOTWITHSTANDING,!SHALL!CONTINUE!IN!FULL!FORCE!AND!EFFECT.! 1!!!! Signature!of!Contestant! Signature!of!Parent/Guardian! Date! 2!!!! Signature!of!Contestant! Signature!of!Parent/Guardian! Date! 3!!!! Signature!of!Contestant! Signature!of!Parent/Guardian! Date! NAME!OF!DOJO!AT!WHICH!ATHLETE!TRAINS:! ATHLETE S!COACH S/SENSEI S!NAME:!

6 March 28, Pacific Northwest AAU KARATE District Championship and National Qualifier (ONE!APPLICATION!PER!TEAM)! PLEASE!CHECK!THE!APPROPRIATE!BOX! 11!and!under!(mixed)! 12?14!years!old!(mixed)! 15?17!years!old!(mixed)! 18+!years!old!(mixed)! $30$for$each$team$ Fees: PLEASE$SEND$TEAM$APPLICATION$FORM$WITH$INDIVIDUAL$FORM! TEAM! NAME:!! CAPTAIN:! DOJO! OR! SCHOOL! NAME:! MEMBERS: COACH:! (EACH&MEMBER&MUST&FILL&OUT&A&SEPARATE&INDIVIDUAL&APPLICATION&AND&WAIVER&FORM)! Presented$by! 20126!Ballinger!Way!NE!PMB!222,!Shoreline,!WA!98155! March 28, Pacific Northwest AAU KARATE District Championship and National Qualifier (ONE!APPLICATION!PER!TEAM)! PLEASE!CHECK!THE!APPROPRIATE!BOX! 11!and!under!(mixed)! 12?14!years!old!(mixed)! 15?17!years!old!(mixed)! 18+!years!old!(mixed)! $30$for$each$team$ Fees: PLEASE$SEND$TEAM$APPLICATION$FORM$WITH$INDIVIDUAL$FORM! TEAM! NAME:!! CAPTAIN:! DOJO! OR! SCHOOL! NAME:! MEMBERS: COACH:! (EACH&MEMBER&MUST&FILL&OUT&A&SEPARATE&INDIVIDUAL&APPLICATION&AND&WAIVER&FORM)! Presented$by! 20126!Ballinger!Way!NE!PMB!222,!Shoreline,!WA!98155!

7 Directions from USA Karate Academy to Lynnwood High School (venue) START: 1535 NE 177th St, Shoreline, WA Turn right onto 15th Ave NE 2. Turn left onto NE 205th St 3. Merge onto I-5 N via the ramp to Vancouver B C 4. Take exit 181B for Alderwood Mall Parkway toward 196th St Southwest/WA Continue onto Alderwood Mall Pkwy 6. Turn right onto WA-524 E/196th St SW Continue to follow WA-524 E 7. Turn left onto North Rd Turn left DESTINATION: Lynnwood High School! Bothell, WA N Rd, Directions from Hotel to USA Karate Academy dojo START: Embassy Suites Seattle - North/Lynnwood! th Ave W, Lynnwood, WA Get on I-5 S from 44th Ave W 1. Head southwest 2. Turn left toward 44th Ave W 3. Turn right toward 44th Ave W 4. Turn left toward 44th Ave W 5. Turn left onto 44th Ave W 6. Sharp left to merge onto I-5 S Continue on I-5 S to Shoreline 1. Merge onto I-5 S 2. Take exit 177 for WA-104 E toward Lake Forest Park

8 3. Turn left onto WA-104 E/NE 205th St Follow 15th Ave NE to NE 177th St 1. Turn right onto 15th Ave NE 2. Turn left onto NE 177th St Destination will be on the right DESTINATION: USA Karate Academy! 1535 NE 177th St, Shoreline, WA Directions from Hotel to Lynnwood High School (venue) START: Embassy Suites Seattle - North/Lynnwood, th Ave W, Lynnwood, WA Continue to 44th Ave W 1. Head southwest 2. Turn left toward 44th Ave W 3. Turn right toward 44th Ave W 4. Turn left toward 44th Ave W Drive from 204th St SW and WA-524 E to Martha Lake 1. Turn left onto 44th Ave W 2. Take the 1st right onto 204th St SW 3. Take the 1st right to stay on 204th St SW 4. Turn left onto Poplar Way 5. Turn right onto WA-524 E/196th St SW Continue to follow WA-524 E 6. Turn left onto North Rd Turn left DESTINATION: Lynnwood High School! N Rd, Bothell, WA 98012