Shotokan Karate-Do International Fall Championships Saturday, November 4, 017 TIME Contestant Check-in: 10:0 a.m. Rules Review: 11:00 a.m. all contestants and judges Eliminations & Finals: 11:0 a.m. to 5:0 p.m. LOCATION Tournament: Keohane Sports Center Wellesley College 106 Central Street Wellesley, MA 0481 COSTS Individual: Black/Brown Belt Adult 1 event $0; events $40 White/Green Belt Adult 1 event $5; events $5 Under 18 (any rank) 1 event $0; events $0 Team: Any rank or age $45 per team event Spectators: Free REGISTRATION DEADLINE All tournament registration forms and fees must be received by: Wednesday, November 1 Any individuals or teams registering after this date must pay a $10 late fee. Send registration forms and fees to: JKA Boston 10 Harvard St. Brookline, MA 0446 Phone: 617-566-966 Email: etoryu@verizon.net REGISTRATION FORMS CHECK-IN & RELEASE FORMS Please fill out registration form neatly. Make sure that your club name is on the top of each form. Each participant must enter name, rank, age, sex, desired events, and fee. Upon arrival at the tournament, all contestants must check in at the registration table. No contestant will be registered without signing a release form.
PAYMENT OF FEES REFUND POLICY ACCOMMODATIONS Include payment with registration materials. May checks payable to: JKA Boston. Please do not send anything by registered mail or by any other system requiring a signature, because this will delay delivery. Requests for refunds must be made prior to the day of the tournament. No refunds will be given for no shows or late contestants. Here are some hotels that are near Wellesley College: Hampton Inn Boston Natick (.5 stars) 5.0 mi from Wellesley College Courtyard by Marriott Boston Natick ( stars) 6.45 mi from Wellesley College Crowne Plaza Boston-Natick (.5 stars) 5.75 mi from Wellesley College Red Roof PLUS+ Boston - Framingham ( stars) 6.4 mi from Wellesley College JUDGES & TOURNAMENT HELPERS Judges, who must be Nidan or higher, score keepers, timers, etc. are needed. Please let us know if people from your club can help out. QUESTIONS? Contact: Eiji Toryu 617-566-966 (dojo) 508-647-946 (home) Email: etoryu@verizon.net
SHOTOKAN KARATE-DO INTERNATIONAL FALL CHAMPIONSHIPS Saturday, November 4, 017 INDIVIDUAL EVENTS REGISTRATION FORM CLUB NAME PHONE NUMBER Name Rank Age Sex Kata Kumite Fee Release Form 1... 4. 5. 6. 7. 8. 9. 10. 11. 1. 1. 14. 15. 16. FEES Individual Black/brown belt 1 event $0, events $40 White/green 1 event $5, events $5 Under 18-1 event $0, events $0 DEADLINE Teams $45 per event Registration materials must be received by Wednesday November 1 Make checks to: JKA Boston $ TOTAL INDIV. FEES $ TOTAL TEAM FEES $ TOTAL INDIV. + TEAM FEES
SHOTOKAN KARATE-DO INTERNATIONAL FALL CHAMPIONSHIPS Saturday, November 4, 017 TEAM EVENTS REGISTRATION FORM CLUB NAME PHONE NUMBER Team Event Name Rank Age Sex 1 1 1 1 4 1 5 1 6 1 FEES: No. of teams X $45 = $ TOTAL TEAM FEES
017 SHOTOKAN KARATE-DO INTERNATIONAL FALL CHAMPIONSHIPS GENERAL RELEASE FORM NOTE: Read carefully before signing. Upon acceptance of my application for participation in the 017 Shotokan Karate-Do International Fall Championships held on November 1, I hereby assure that: a. I am physically, mentally and emotionally fit to participate in a karate competition. b. I will abide by the tournament rules and make every effort to exercise good sportsmanship. c. I will respect the decisions of the judges. d. I realize that participation in a karate competition may result in injury to myself. Therefore, I hereby release, discharge and forever acquit JKA Boston, Shotokan Karate- Do International, Wellesley College, the judges, contestants, and all individuals and groups in any way connected to the tournament from any and all responsibility resulting from any injuries I may sustain while participating in this event. My signature below confirms to all who may be concerned that I have carefully read the above and understand and agree to all the conditions set forth therein. Signature Date Signature of parent or legal guardian if under 18 Witnessed by Medical Treatment Authorization for Minor In the event that I am unable to provide parental/guardian consent, I hereby authorize the physician(s)/staff of the designated hospital to provide hospital care to include routine diagnostic procedures and medical treatment as necessary to my son, daughter or ward. Signature of parent or legal guardian Name of parent or legal guardian (PRINT) Date Phone Address
SCHEDULE OF EVENTS KUMITE INDIVIDUAL KUMITE ADULT DIVISION (Ages 18 & up) Nidan and Above Men Free Sparring Shodan Men (Top to Nidan & up div.) Black Belt Women Brown Belt (1- kyu) Men Brown Belt (1- kyu) Women Green Belt (4-6 kyu) Men and Women (Ages 14 & up) Basic One Step Sparring (jodan, chudan, mae geri, kekomi) White Belt (7-9 kyu) Men & Women (Ages 14 & up) Basic Three Step Sparring JUNIOR DIVISION (Ages 14-17, Boys & Girls) Black and Brown Belt CHILDREN AGE 9-1 (Boys & Girls) Semi-Free Sparring (jodan, chudan, mae geri, kekomi) Black and Brown Belt Semi-Free Sparring (jodan, chudan, mae geri, kekomi) Green Belt (4-6 kyu) Basic One Step Sparring (jodan, chudan, left & right sides) White Belt (7-9 kyu) Basic Three Step Sparring CHILDREN AGE 5-8 (Boys & Girls) Black and Brown Belt Green Belt (4-6 kyu) White Belt (7-9 kyu) Semi-Free Sparring (jodan, chudan, mae geri, kekomi) Basic One Step Sparring (jodan, chudan, left & right sides) Basic Three Step Sparring TEAM KUMITE Black and Brown Belt Men (Ages 18 & up) Free Sparring No limit to number of kumite teams.
SCHEDULE OF EVENTS KATA INDIVIDUAL KATA All eliminations: compulsory kata by flag system All finals: kata of choice by point system ADULT DIVISION (Age 14 & up) Elimination Katas Nidan & Above Men First Round: Heian1,,, 4, 5 & Tekki 1 nd Round up: Bassai-dai, Kanku-dai, Jion, Empi Shodan Men First Round: Heian 1,,, 4, 5 & Tekki 1 (Top to Nidan & up div.) nd Round up: Bassai-dai, Kanku-dai, Jion, Empi Black Belt Women First Round: Heian1,,, 4, 5 & Tekki 1 nd Round up: Bassai-dai, Kanku-dai, Jion, Empi Brown Belt (1- kyu) Men Heian 1,,, 4, 5 & Tekki 1 Brown Belt (1- kyu) Women Heian 1,,, 4, 5 & Tekki 1 Green Belt (4-6 kyu) Men & Women Heian 1,, & 4 White Belt (7-8 kyu) Men & Women Heian 1 & Beginner (up to 9 kyu) Men & Women Heian 1 CHILDREN AGE 9-1 (Boys & Girls) Black and Brown Belt Heian 1,,, 4, 5 & Tekki 1 Green Belt (4-6 kyu) Heian 1,, & 4 White Belt (7-9 kyu) Heian 1 CHILDREN AGE 5-8 (Boys & Girls) Black and Brown Belt Heian 1,,, 4, 5 & Tekki 1 Green Belt (4-6 kyu) Heian 1,, & 4 White Belt (7-9 kyu) Heian 1 TEAM KATA Separate White, Green, Brown and Black Belt Categories (men & women mixed, all ages) Kata of choice by point system. No limit to number of kata teams in each category.
Driving Directions to Wellesley College Campus MAP OF KEOHANE SPORTS CENTER AND DAVIS PARKING FACILITY By Car From the West Take the Massachusetts Turnpike to Exit 14 (Weston). Take Interstate 95/Route 18 South for 1/ mile to Exit 1B (Route 16). Follow Route 16 West for.9 miles to a stoplight (5-way intersection) in the town of Wellesley; go straight on Route 15 (West). At the third traffic light turn left into the main entrance of the College. You may park in the new Davis Parking Facility immediately to your right. From the East Take the Massachusetts Turnpike (Interstate 90) to Exit 16 (West Newton). Follow Route 16 West for 4.7 miles to a stoplight (5-way intersection) in the town of Wellesley; go straight on Route 15 (West). At the third traffic light turn left into the main entrance of the College. You may park in the new Davis Parking Facility immediately to your right. From the North Take Interstate 95 (Route 18) South to Exit 1B (Route 16 West). Follow Route 16 West for.9 miles to a stoplight (5-way intersection) in the town of Wellesley; go straight on Route 15 (West). At the third traffic light turn left into the main entrance of the College. You may park in the new Davis Parking Facility immediately to your right. From the South Take Interstate 95 (Route 18) North to Exit 1B (Route 16 West). Follow Route 16 West for.9 miles to a stoplight (5-way intersection) in the town of Wellesley; go straight on Route 15 (West). At the third traffic light turn left into the main entrance of the College. You may park in the new Davis Parking Facility immediately to your right.