8 th. Saturday April 8, 2017 Ranchview High School
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1 Referee Seminar by Fariba Madani Kumite Seminar by John Limcaco on Friday April 7, 2017 at Champion Karate Academy Dojo Saturday April 8, 2017 Ranchview High School 8 th Registration ends on April 7, 2017 Tournament April 8, 9:00am Location Ranchview High School 8401 Valley Ranch Pkwy E, Irving, TX 75063
2 8 th Miya Kalai Cup Tournament & Seminar April 7-8, 2017 Referee Course: Elite Kumite Seminar: Fariba Madani Asst. Secretary, WKF Referee Council April 7, 2017, Friday John Limcaco USA Karate Kumite Coach April 7, 2017, Friday Champion Karate Academy Dojo (See next page for details) Tournament Information: New USA-NKF/WKF Rules April 8, 2017, Saturday 9:00am 5:00pm Ranchview High School 8401 Valley Ranch Pkwy E, Irving, TX $65 for 1 or 2 events Register Online: Pre- Registration only No door registration $7 Spectator Fee for 5 years and up. Free for under 5 years. Age Divisions: 5 & under, 6-7, 8-9, 10-11, 12-13, 14-15, 16-17, 18-34, 35-45, 45+ Categories: Beginners (10, 9, 8, 7 Kyu) 0-1 yr training Novice (6, 5, 4 Kyu) 1-2 years of training Intermediate (3, 2, 1 Kyu) 2-3 yrs. training Advanced (Black Belt) Note: Age as on 8 th April All divisions be separated by gender. Some divisions may be combined or subdivided based on number of competitors, height and/or weight at tournament director's discretion.
3 USA Karate Referee Course Friday, April 7, 2017 at Champion Karate Academy Dojo 4pm 6pm 6:15pm 9pm
4 Elite Kumite Seminar Friday, April 7, 2017 at Champion Karate Academy Dojo Friday, April 6:45pm 8:45pm John Limcaco USA National Karate Coach Former USA & AAU Team Member USA/AAU National Kumite Champion 9 time All Hawaii Kata Champion 8 time All Hawaii Kumite Champion Cost: $40 per person Info: Open to ALL Levels Bring your kumite-gi and gears Come with lots of energy
5 8 th Miya Kalai Cup Hotel Information Champion Karate Academy has worked out special pricing for attendees of the 8th Miya-Kalai Cup at the Staybridge Suites DFW North Irving, 2220 Market Place Blvd Irving, TX When calling for reservations mention CKA to receive the discount rates. You must make reservations soon to avoid the hotels selling out. Right across from Champion Karate Academy Call to book your room ASAP RATE: $ Free Breakfast, Wi-Fi, Parking Shuttle transportation to the competition venue. Complimentary shuttle from DFW Airport on Friday, April 7 th
6 8 th MIYA-KALAI CUP 2017 SPORT KARATE CHAMPIONSHIP Saturday, April 8, 2017 ENTER DIVISION KATA KUMITE KOBUDO MALE FEMALE AGE CATEGORIES TOURNAMENT ENTRY FEES B EGIN N ER S One or Two events $65.00 $ All 3 events $75.00 $ NOVICE Late Fee $10.00 after 04/06 $ INTERMEDIATE ADVANCED Total Amt. Enclosed $ ALL ENTRIES ARE FINAL. NO REFUNDS Please print all information Name Date of Birth Phone Address City State Zip Dojo Phone Your Instructor Style Years training Rank (Belt) Make Payments to Champion Karate Academy or CKA Mail all Pre-Registration with payments and Applications to: Senthil Thiyagarajan, Champion Karate Academy, 535 Poplar Lane, Irving, Texas ADULT & MINOR AMATEUR ATHLETIC WAIVER& RELEASE OF LIABILITY In consideration of being allowed to participate in the Miya-Kalai Cup 2017 and related events and activities, the undersigned: 1. Agrees that prior to participation, they, or if participant is a minor child, the parent(s) or guardian(s) will inspect the facilities and equipment to be used and if they believe anything is unsafe, they will immediately advise their coach or member of the event staff of such condition(s) and refuse to participate. 2. Acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability, death, severe social and economic losses which might result not only from their own actions, inaction or negligence but actions or negligence of others, the rules of fair play, or the condition of the premises or of any equipment used. Further, the participant, and/or parent or guardian acknowledges that there may be other risks not known or not reasonably foreseeable now. The participant and/or parent or guardian assumes all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death. 3. Release, waive, discharge any covenant to sue the Champion Karate Academy, Senthil Thiyagarajan, tournament directors, coaches and instructors, other participants, sponsoring agencies, sponsors, advertisers and if applicable,owners and leasees of the premises used to conduct the event all of which hereinafter referred to as (re-lessees) from any and all liability to each of the undersigned, his or her heirs and next of kin for an and all claims, demands, losses or damages on account of injury including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releases or otherwise. The undersigned have read the above waiver and releases, understand that they have given up all rights by signing it and sign it voluntarily. Contestant s Signature Date Parent or Guardian (if under 18) Date
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