Untitled - Dragons Den

Transcription

Doors open at 8AM. Competition starts at 9AM with First Timer Divisions, Self-Defense, and Point Kickboxing. Kata & Kumite for
JUNIORS will begin promptly after, followed by ADULTS. Rules for all divisions can be downloaded at CKChampionships.com
First Timer Kata (Forms)
Div #
Age
Style/Info
FTK-1
FTK-2
FTK-3
FTK-4
7 & under
8-9
10-11
12-17
First Timer
First Timer
First Timer
First Timer
Rank
Gender
All
All
All
All
M/F
M/F
M/F
M/F
First Timer Kumite (Point-Sparring)
Div #
Age
Rank
FS-132
FS-133
FS-134
FS-135
FS-136
FS-137
FS-138
FS-139
FS-140
FS-141
6 & under
7-8
9-11
12-14
15-17
6 & under
7-8
9-11
12-14
15-17
All
All
All
All
All
All
All
All
All
All
Junior Traditional Kata (Forms)
Div #
Age
Rank
K-5
K-5.1
K-6
K-7
K-8
K-9
K-10
K-11
K-12
K-13
K-14
K-15
K-16
K-17
K-18
K-19
K-20
K-21
K-22
K-23
K-24
K-25
K-26
K-27
K-28
K-29
K-30
K-31
K-32
K-33
K-34
K-35
K-36
K-37
K-38
K-39
K-40
K-41
K-42
K-43
K-44
K-45
K-46
K-47
K-48
K-49
K-50
K-51
K-52
K-53
K-54
K-55
K-56
K-57
K-58
K-59
K-60
K-61
K-62
K-63
K-64
K-65
K-66
K-67
K-68
K-69
K-70
K-71
K-72
K-73
K-74
K-75
All
All
Nov
Nov
Int
Int
Adv
Adv
Nov
Nov
Int
Int
Adv
Adv
Nov
Nov
Int
Int
Adv
Adv
Exp
Exp
Nov
Nov
Int
Int
Adv
Adv
Exp
Exp
Nov
Nov
Int
Int
Adv
Adv
Exp
Exp
All
All
Nov
Nov
Int
Int
Adv
Adv
Nov
Nov
Int
Int
Adv
Adv
Nov
Nov
Int
Int
Adv
Adv
Exp
Exp
Nov
Nov
Int
Int
Adv
Adv
Exp
Exp
Nov
Nov
Int
Int
5 & under
5 & under
6-7
6-7
6-7
6-7
6-7
6-7
8-9
8-9
8-9
8-9
8-9
8-9
10-11
10-11
10-11
10-11
10-11
10-11
11 & under
11 & under
12-14
12-14
12-14
12-14
12-14
12-14
12-14
12-14
15-17
15-17
15-17
15-17
15-17
15-17
15-17
15-17
5 & under
5 & under
6-7
6-7
6-7
6-7
6-7
6-7
8-9
8-9
8-9
8-9
8-9
8-9
10-11
10-11
10-11
10-11
10-11
10-11
11 & under
11 & under
12-14
12-14
12-14
12-14
12-14
12-14
12-14
12-14
15-17
15-17
15-17
15-17
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Gender
M
M
M
M
M
F
F
F
F
F
Gender
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
Junior Traditional Kata (Forms)
Div #
Age
Style/Info
K-76
K-77
K-78
K-79
15-17
15-17
15-17
15-17
Rank
Gender
Adv
Adv
Exp
Exp
M
F
M
F
Rank
Gender
Nov/Int
Adv/Exp
Nov/Int
Adv/Exp
N/I/A
Exp
Exp
N/I/A
M/F
M/F
M/F
M/F
M/F
M/F
M/F
M/F
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Junior CMA & Open Kata (Forms)
Div #
Age
Style/Info
K-80
K-81
K-82
K-83
K-84
K-85
K-86
K-87
11 & under
17 & under
12-17
12-17
11 & under
11 & under
12-17
12-17
Kung-fu (CMA)
Kung-fu (CMA)
Kung-fu (CMA)
Kung-fu (CMA)
Open (music opt)
Open (music opt)
Open (music opt)
Open (music opt)
Junior Self-Defense (9AM)
Div #
Age
SD-1
SD-2
SD-3
SD-4
SD-5
11 & under
11 & under
12-17
12-17
17 & under
Rank
Gender
Nov
Int
Nov
Int
Exp
M/F
M/F
M/F
M/F
M/F
Junior Weapon Kata (Forms)
Div #
Age
Style/Info
Rank
Gender
W-111
W-112
W-113
W-114
W-115
W-116
W-117
W-118
W-119
W-120
W-121
W-122
W-123
W-124
W-125
N/I/A
Nov/Int
Adv
Exp
Nov/Int
Adv
Exp
N/I/A
Exp
Nov/Int
Adv
Exp
Nov/Int
Adv
Exp
M/F
M/F
M/F
M/F
M/F
M/F
M/F
M/F
M/F
M/F
M/F
M/F
M/F
M/F
M/F
9 & under
Trad Weapons
10-11
Trad Weapons
10-11
Trad Weapons
11 & under
Trad Weapons
12-14
Trad Weapons
12-14
Trad Weapons
12-14
Trad Weapons
15-17
Trad Weapons
15-17
Trad Weapons
11 & underOpen Weapons (music opt)
12-17 Open Weapons (music opt)
Junior Kumite (Point-Sparring)
Div #
Age
S-142
S-143
S-144
S-145
S-146
S-147
S-148
S-149
S-150
S-151
S-152
S-153
S-154
S-155
S-156
S-157
S-158
S-159
S-160
S-161
S-162
S-163
S-164
S-165
S-166
S-167
S-168
S-169
S-170
S-171
S-172
S-173
S-174
S-175
S-176
S-177
S-178
S-179
S-180
S-181
5 & under
5 & under
6-7
6-7
6-7
6-7
6-7
6-7
8-9
8-9
8-9
8-9
8-9
8-9
8-9
8-9
10-11
10-11
10-11
10-11
10-11
10-11
10-11
10-11
12-14
15-17
12-14
15-17
12-14
15-17
12-14
15-17
12-14
15-17
12-14
15-17
12-14
15-17
12-14
15-17
Rank
All
All
Nov
Nov
Int
Int
Adv/Exp
Adv/Exp
Nov
Nov
Int
Int
Adv
Adv
Exp
Exp
Nov
Nov
Int
Int
Adv
Adv
Exp
Exp
Nov
Nov
Nov
Nov
Int
Int
Int
Int
Adv
Adv
Adv
Adv
Exp
Exp
Exp
Exp
Gender
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
M
F
F
M
M
F
F
M
M
F
F
M
M
F
F
Junior GRAND CHAMPION Divisions
**Junior Grand Championships will start after ALL Junior competitons end.**
7 & under Traditional Kata • 8-11 Traditional Kata • 12-17 Traditional Kata
7 & under Boys Sparring • 7 & under Girls Sparring • 8-11 Boys Sparring
8-11 Girls Sparring • 12-14 Boys Sparring •12-14 Girls Sparring
15-17 Boys Sparring • 15-17 Girls Sparring
Adult Traditional Kata (Forms)
Div #
Age
Style/Info
K-91
K-92
K-93
K-94
K-95
K-96
K-97
K-98
K-99
K-100
K-101
K-102
K-103
K-104
18+
18+
18+
18+
18+
35+
35+
18+
18+
18+
18+
18+
35+
35+
Rank Gender
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
J/K/O
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Kenpo/Kajukenbo
Adult CMA & Open Kata Forms
Div #
Age
Style/Info
K-105
K-106
K-107
K-110
Rank
18+
18+
18+
M/F
M/F
M/F
M/F
Gender
Nov
Int
Exp
Adult Weapon Kata (Forms)
Div #
Age
Style/Info
W-126
W-127
W-128
W-129
W-130
W-131
M/F
M/F
M/F
M
F
M
F
M/F
M/F
M/F
M
F
M
F
Rank Gender
18+
Kung-fu (CMA)
Nov/Int
18+
Kung-fu (CMA)
Adv/Exp
18+ Open Weapons (music opt) N/I/A
18+ Open Weapons (music opt) Exp
Adult Self-Defense (9AM)
Div #
Age
SD-6
SD-7
SD-8
Nov
Int
Adv
Exp
Exp
Exp
Exp
Nov
Int
Adv
Exp
Exp
Exp
Exp
M/F
M/F
M/F
Rank Gender
18+
Traditional Weapons Nov/Int
18+
Traditional Weapons
Adv
18+
Traditional Weapons
Exp
35+
Traditional Weapons
Exp
18+ Open Weapons (music opt) N/I/A
18+ Open Weapons (music opt) Exp
M/F
M/F
M/F
M/F
M/F
M/F
Adult Kumite (Point-Sparring)
Div #
Age
Info
Rank Gender
S-182
S-183
S-184
S-185
S-186
S-187
S-188
S-189
S-190
S-191
S-192
S-193
S-194
Nov
Int
Adv
Exp
Exp
Exp
Exp
Exp
Exp
Nov
Int
Adv
Exp
18+
18+
18+
18+
18+
18+
18+
35+
35+
18+
18+
18+
18+
all weights
all weights
all weights
155 & under
156-170
171-189
190+
169 & under
170+
all weights
all weights
all weights
all weights
M
M
M
M
M
M
M
M
M
F
F
F
F
Adult GRAND CHAMPION Divisions
18+ N/I/A Kata • 18+ Black Belt Kata • 18+ N/I/A Mens Sparring
18+ Black Belt Mens Sparring • 18+ All Ranks Adult Womens Sparring
CKC Point Kickboxing (9AM)
Div #
Age
Weight
Gender
CFM-13 8 & under
CFM-14 8 & under
CFM-1 11 & under
CFM-2 11 & under
CFM-3
12-14
CFM-4
12-14
CFM-5
15-17
CFM-6
15-17
CFM-7
15-17
CFM-8
18+
CFM-9
18+
CFM-10
18+
CFM-11
18+
CFM-12
18+
55 lbs. and under
55.1 lbs.+
66 lbs. and under
66.1 lbs. +
99 lbs. and under
99.1 lbs. +
121 lbs. and under
122.1 -145 lbs.
145.1 lbs. +
130 lbs. and under
131.1-146 lbs.
146.1-173 lbs.
173.1-200 lbs.
200.1 lbs. +
M
M
M
M
M
M
M
M
M
M
M
M
M
M
CFF-13
CFF-14
CFF-1
CFF-2
CFF-3
CFF-4
CFF-5
CFF-6
CFF-7
CFF-8
CFF-9
CFF-10
CFF-11
CFF-12
55 lbs. and under
55.1 lbs. +
66 lbs. and under
66.1 lbs. +
99 lbs. and under
99.1 lbs. +
121 lbs. and under
121.1-145 lbs.
145.1 lbs.
130 and under
130.1-151 lbs.
151.1-173 lbs.
173.1-200 lbs.
200.1 lbs. +
F
F
F
F
F
F
F
F
F
F
F
F
F
F
8 & under
8 & under
11 & under
11 & under
12-14
12-14
15-17
15-17
15-17
18+
18+
18+
18+
18+
2016 ENTER THE DRAGONS DEN REGISTRATION FORM
REGISTRATION MUST BE POSTMARKED BY PRE REG DATE FOR PRE REG PRICES TO BE HONORED - THANK YOU!
Make Copies of This Registration Form - One Form Per Competitor - Please Print Clearly -
2. LIST DIV #’S ENTERING:
1. COMPETITOR INFORMATION:
Last Name:__________________________
First: ________________ M/ F:___ Weight: ____
Rank: (Circle) NOV INT ADV BLK
E-Mail: _________________________________
Birthdate:______/______/______
Competition Age (as of 1/1/16): _________
Address:____________________________
City: _______________ State _____ ZIP ______
Home Ph:_______-________-____________
Emergency Ph: _______ - ________ - _________
Instructor: __________________________
Team: _________________________________
Dojo: ______________________________
Emergency Ph: _______ - ________ - _________
1_____________
2_____________
3_____________
4_____________
5_____________
6_____________
7_____________
8___________
Example- N-5
9___________
Please Print
Clearly
How did you hear about Enter the Dragons Den? (circle)
Brochure
Mailing
TigerClaw.com
Word of Mouth
PRE-REG BEFORE MAY 27
3. DEADLINES, FEES & PAYMENT INFORMATION:
MAIL IN
COMPETITORS
2016 Enter the Dragons Den
Tournament Date: June 4, 2016
Location: Itliong Vera Cruz Middle School
31604 Alvarado Blvd.
Union City, CA 94587
Doors Open:
Competition begins:
Promoter:
Phone:
8AM
9:30AM
Jeff & Liza Macalolooy
510-477-6800
First Division
Each Additional
Coach’s Pass
Flyer at a
Tournament
Internet
$45
$15
$15
AT DOOR
$60
$20
$20
QTY X
1 X
_____ X
1 X
COST=
TOTAL
$____ = $_________
$____ = $_________
$____ = $_________
YOU CAN ALSO GO TO CKCHAMPIONSHIPS.COM TO REGISTER ONLINE.
SPECTATORS
Each Person (16 yrs+)
Kids 6 - 15 years old
5 & under or seniors 65+
4. COMPETITORS & PARENTS PLEASE READ & SIGN BELOW
I, hereby waive any and all rights or claims I may have against Jeff & Liza Macalolooy, Dragons Den LLC, California Karate Championships,
NHUSD, Enter the Dragons Den, it's events, it's staff, vendor's, volunteers or Sponsors. Cities and Districts of Dragons Den LLC Sanctioned
events, all Dragons Den LLC Sanctioned Tournaments, and all their agents, servants & employees, and I hereby release & discharge them
from any and all claims resulting from injuries, including death, damages or loss, which may accrue to me or my heirs arising out of or in any
way connected with my attendance &/or participation at any Dragons Den LLC sanctioned event. I represent and warrant that I am physically
and mentally fit, able to participate, & I do hereby assume responsibility for my own well-being, understanding that participation involves bodily
contact. I have read, understand and agree to abide by the Dragons Den LLC rules associated with Dragons Den LLC events & assume all
responsibility & any liability for infringement of such rules & agree to accept the tournament arbitrator's decision as final. I consent to allow any
reproductions of me or likeness created in any manner whatsoever, photographed, filmed or video taped in connection with the Dragons Den
LLC events which can be used for instruction, publicity, promotion or television broadcast & I waive any & all compensation in regards thereto.
I agree that I have obtained permission form the artist's of any music I use in conjunction with my competition & verify by signing this
permission that in doing such, I will indemnify, defend & hold harmless all the above named parties from any liability for use of such music &
that this artist's permission permits the above named parties to use such music in recorded performances of myself for instructional purposes,
publicity, promotion, video &/or televised broadcast & I waive any & all compensation for such.
STAFF/ OFFICIALS MUST ALSO SIGN THIS WAIVER
__________________________________________________________________________________
Competitor or Parent/Guardian Signature Assuming responsibility if under 18
_____/_____/_____
DATE
$15
$5
FREE
$20
$10
FREE
_____ X
_____ X
$____ = $_________
$____ = $_________
TOTAL DUE = $
To be filled in by CKC Staff ONLY.
RCVD:________/________ AMT: $__________ #:_____________ Processed by____________
STA
MP
Checkklist - DID YOU:
Fill in the correct division #’s @ BOX 2? (Double check! DRAGONS DEN is not
responsible for divisional entry errors. Absolutely NO AT DOOR Division Switching.)
Please Sign the release on this enrollment form and fill out player cards per div.
Make M.O./Checks for correct amount payable to: DRAGONS DEN MMA
Mail THIS FORM, & PAYMENT to: DRAGONS DEN MMA
2801 Whipple Road,
Questions? Call 510-477-6800
Union City, CA 94587
POSITIVELY NO REFUNDS - PLEASE DON’T ASK
Thank you for your HARD WORK & LOYALTY SUPPORTING ENTER THE DRAGONS DEN!
We appreciate YOU!
Circle: Judge Score/Time keeper Other_____________________________ Are you Competing? Y/ N
Rules experienced in: SKITA NASKA Other_______________ Style(s)_______________________________ Yrs exp. Officiating:_________
Judging Prefrences: (Circle) Forms - Trad / Contemp Sparring- Point / Team
Weapons- Trad / Contemp
Name__________________________________________________ Age ______ Phone:______________________ Mobile:___________________
Address__________________________________________________ City__________________________ ST_______ Zip___________________
Dojo:____________________________________ Phone__________________________ E-mail:________________________________________

Untitled - Dragons Den

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