Shotokan Karate-Do International Fall Championships Saturday, October 1, 2011

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Shotokan Karate-Do International Fall Championships Saturday, October 1, 2011 Time: Contestant Check-in: 9:00 a.m. Rules Review: 9:30 a.m. all contestants and judges Eliminations & Finals: 10:00a.m. To 3:30 p.m. LOCATION: Tournament: Newtown Middle School Queen Street Newtown, CT 06470 COST: Individual: Black/Brown Belts Adult 1 event $20; 2 events $30 White/Green Belts Adults 1 event $15; 2 events $20 Under 18 (any rank) 1 event $15; 2 events $20 Team: Any rank or age $30 per team Spectators: Free REGISTRATION All tournament registration forms and fees must be received by: DEADLINE Wednesday September 28, 2011 Any individuals or teams registering after this date must pay a $5 late fee. Send registration Forms and fees to: JKA Newtown 14 Elizabeth Street Newtown, CT 06470 REGISTRATION FORM Phone: 203-426-3515 Email: jkanewtown@att.net 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. CHECK-IN & RELEASE FORMS Upon arrival at the tournament, all contestants must check in at the registration table. No contestant will be registered without signing a release form. 1

PAYMENT OF FEES Include payment with registration materials. Make checks payable to: JKA Newtown. Please do not send anything by registered mail or by any other System requiring a signature, because this will delay delivery. REFUND POLICY Requests for refunds must be made prior to the day of the tournament. No Refunds will be given for no shows or late contestants. ACCOMMODATIONS Microtel Inn & Suites 80 Benedict Road Bethel, CT 06801 Tel. 203-748-8318 Email: rsproviero@microtel.com Best Western 11 Stony Hill Road Bethel, Ct 06801 Tel. 800-992-2694 JUDGES & TOURNAMENT HELPERS Judges, must be Nidan or higher score keepers, timers, etc, are needed. Please let us know if people from your club can help out. QUESTIONS Call Noel Santella 203-426-3515 Home 203-994-4443 Cell E mail; jkanewtown@att.net 2

2011 SHOTOKAN KARATE-DO INTERNATIONAL FALL CHAMPIONSHIPS GENERAL RELEASE FORM NOTE: Read carefully before signing. Upon acceptance of my application for participation in the2011 Shotokan Karate-Do International Fall Championships held on October 1, 2011 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 realized that participation in a karate competition may result in injury to myself. Therefore, I herby release, discharge and forever acquit JKA Newtown, Shotokan karate-do International, school, 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 maybe 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 of legal guardian Date Name of parent or legal guardian (Print) Phone Address 3

SCHEDULE OF EVENTS KUMITE INDIVIDUAL KUMITE ADULT DIVISION (Ages 18 & UP) Nidan and Above Men Free Sparring Shodan Men (Top 2 to Nidan & up div.) Black Belt Women Brown Belt (1-3 kyu) Men Brown Belt (1-3 kyu) Women Green Belt (4-6 Kyu) Men and Women White Belt (9-7 kyu Men & Women (Ages 14 & up) (Ages 14 & up Basic One Step Sparing (Jodan, Chudan, Mae geri, Kekomi) JUNIOR DIVISION (Ages 14-17 Boys & Girls) Black and Brown Belts Semi-Free Sparing (jodan, chudan, mae geri, kekomi) CHILDREN AGE 9-13 (Boys& Girls) Black and Brown Belt Semi-Free Sparing (jodan, chudan, mae geri, kekomi) Green Belt (4-6 Kyu) Basic One Step Sparing (Jodan, chudan, left & right side) White Belt (7-9 kyu) Basic Three Step Sparing TEAM KUMITE Black and Brown Belt Men (Ages 18 & up) Black and Brown Belt Women (Ages 18 & up) Free Sparing Free Sparing Limit two men s and two women s kumite teams per club 4

SCHEDULE OF EVENTS KATA INDIVIDUAL KATA All eliminations: compulsory kata by flag system All finals: kata of choice by point system ADULT DIVISION (Ages 14 & UP) Nidan and Above Men First Round: Heian 2,3,4,5, & Tekki 1 2 nd Round up: Bassai-dai, Kanku_dai, Jion, Empi Shodan Men (Top 2 to Nidan & up div. First Round: Heian 2,3,4,5, & Tekki 1 (Top 2 to Nidan & up div.) 2 nd Round up: Bassai-dai, Kanku dai, Jion, Empi Black Belt Women Bassai-dai, Kanku-dai, Jion, Empi Brown Belt (1-3 kyu) Men Heian 1,2,3,4,5, & Tekki 1 Brown Belt (1-3 kyu) Women Heian 1,2,3,4,5, & Tekki 1 Green Belt (4-6 Kyu) Men and Women Heian 3 & 4 White Belt (7-8 kyu) Men & Women Heian 1 & 2 White Belt (up to 9 kyu) Men & Women Heian 1 CHILDREN AGE 9-13(Boys & Girls) Black and Brown Belts Bassai-dai, Tekki shodan Green Belt (4-6 kyu Heian 2 & 3 White Belt (up to 9 Kyu) Men & Women Heian 1 CHILDREN AGE 5-8 (Boys & Girls) Black and Brown Belt Bassai-dai, Tekki shodan Green Belt (4-6 Kyu) Heian 2 & 3 White Belt (7-9 kyu) Heian 1 TEAM KATA Black Belt Men & Woman separate categories Separate White, Green, And Brown Belt Categories (men & Woman mixed, all ages) Kata by choice by point system No limit to number of kata teams in each category 5

Directions to Tournament Newtown Middle School From New York RT 9A N / Henry Hudson Pky. Take I-95N/ CR Bronx Expy / W178 St exit EXIT 14. Merge onto I-95N / Cross Bronx Expy / US-1 N via the exit on the left. Take the I-87 / Maj Deegan Expwy exit, EXIT 1C, Toward Albany/ Queens. Merge onto I-87 N via EXIT 3n toward ALBANY. Take EXIT 4 toward Cross County Pkwy. Stay straight to go onto Central Park Ave. Take the Cross County Pkwy East ramp toward Bronx River Pkwy. Turn slight left to take the ramp toward Hutchinson Pkwy. Merge onto Cross County Pky East. Cross County Pky E becomes Hutchinson River Pky N. Keep left to take I-684 N toward Brewster (Passing through Connecticut, then crossing into New York). Merge onto I-84 E via Exit 9E toward Danbury (Crossing into Connecticut). Take the US-6 W exit, Exit 10 toward Newtown/ Sandy Hook. From Boston, MA I-90 W / Mass Pike /Massachusetts Turnpike toward Worcester (Portions Toll). Merge onto I-84 W via Exit 9 toward US-20 / Hartford / New York City (Portions toll) (Crossing into Connecticut). Merge onto CT-15 S via Exit 57 on the left toward I-91 S / Charter Oak Br / N.Y. City. Merge onto I-91 S via Exit 86 toward New Haven / N.Y. City. Merge onto I-691 W via Exit 18 toward Meriden / Waterbury. Merge onto I-84 W via Exit 1 on the left toward Waterbury / Danbury. Take the US-6 W exit, Exit 10, toward Newtown / Sandy Hook. FROM HARTFORD CT Take I-84 W toward Waterbury. Take the US-6W exit, Exit 10, toward Newtown / Sandy Hook. FROM EXIT 10 OFF I-84 TO NEWTOWN MIDDLE SCHOOL Go up Hill toward the Diner 0.6 mi Turn left on to Queen Street 0.1mi Newtown Middle School is on the Left FROM HOTEL (Hotels are 12 minutes from Tournament) Go East on Stony Hill Road / US-6 toward Old Hawleyville Road. Continue to follow US-6. Turn Left onto US-6 / Church Hill Road Turn right onto Queen Street 6