to and print Sun Fun Karate Tournament

Karate World of Surfside Beach
720-B Highway 17 North
Surfside Beach, SC 29575
Phone: (843)828-4386
e-mail: [email protected]
2016
PRESENTED BY
*
South Strand Recreation Center
9650 Scipio Lane
Myrtle Beach, SC 29588
(From SC 707, take Holmestown Rd. South to Scipio Ln.
From US 17, take Holmestown Rd. Holmestown Rd. North to Scipio Ln.)
Make it a Sun Fun Family Weekend!
Contact the Surside Beach Resort and make your reservation for
an overnight stay. Enjoy their outdoor swimming pool and hot tub!
Saturday, October 8th
South Strand Recreation Center
Myrtle Beach, SC
www.SurfsideBeachResort.com
(download and print additional copies of this flyer
and Registration Form from our website)
www.KarateWorldSSB.com
Jason McCormick: (843)828-4386
[email protected]
www.KarateWorldSSB.com
Location: South Strand Recreation Center - 9650 Scipio Lane, Myrtle Beach, SC 29588
Times: 9:00am to 1:00pm – Registration and Check-in. Please check-in 10-minutes or more prior to
the start of your phase or event.
Awards: All competitors awarded a 3FT Event Participation Trophy. Ribbons will be awarded to 1st,
2nd, 3rd, & 4th place.
Pre-Registration: $50 (covers ALL events) *Payment must be postmarked by September 26th, 2016.
Door Registration: $55 (Cash only. Covers ALL events.)
Spectator Admission: $6 (FREE for children under 3)
Make it a Sun Fun Family Weekend: Contact the Surside Beach Resort at (843)238-4444 and make
your reservation for an overnight stay. Enjoy their outdoor swimming pool and hot tub!
Registration Form
Full Name: ____________________________________________ DOB: ___ / ___ / ___ M F Age: _____
Address: _______________________________ ____________________ _____ __________
(City)
(State)
(Zip)
Phone: ____________________ ____________________ ____________________
(Daytime)
(Evening)
(Mobile)
Belt Color: _______________________ Novice Intermediate Advanced Black Belt
School: ____________________________ Instructor: ____________________________ Phone: __________________
School Address: _______________________________ ____________________ _____ __________
(City)
Phase 1 – 9:30am to 10:30am
Lil Dragons – 5 year old and under
(pre-schoolers that do not do forms or spar)
5 and under weapons, forms & sparring – all ranks
Handicap – all ages, all ranks
Flag Sparring – 12 year old and under White Belts to Blue Belts
(children may flag spar or point spar – not both)
Show & Tell – 12 year old and under White Belts to Blue Belts
(for children that do not perform forms or sparring)
Weapons, Forms & Sparring – 6 to 9 year old Under Belts
6 to 7 year old Beginner, Intermediate, Advanced
8 to 9 year old Beginner, Intermediate, Advanced
Phase 3 – 12:00pm to 1:00pm
Primary e-mail: ___________________________________________
(Street)
Participants will be separated by gender, size, and rank as they arrive
to their announced ring.
Phase 2 – 10:30am to 12:00pm
Fill out and turn in this form in person - or by mail - with payment:
(Street)
9:00am to 1:00pm Registration & Check in for all 4 Phases of Divisional Events.
(State)
(Zip)
Pre-Registration: $50 (covers ALL events) $_______Enclosed
*Payment must be postmarked by September 26th, 2016. **Please make checks payable to: Karate World.
Spectator Cost: (Free for children under 3) $6 x _____ = $___________ Enclosed Total: $_______
Door Registration: $55 (Cash only. Covers ALL events. Personal or Studio checks will not be accepted.)
I hereby release South Strand Recreatoin Center, Karate World of Surfside Beach, and the agents and staff of
the Sun Fun Classic in any capacity from any liability or injuries that could occur as a result of my attendance
and/or participation in the Sun Fun Classic Karate Tournament. I clearly understand that the fighting aspects of
this sport and competition involves bodily contact that could cause some harm. I have read, understand, and
agree to abide by the rules associated with this event. I assume all responsibility and any associated liability for
infringement of the event rules and guidelines. I am fully aware of my personal medical conditions, have
personal medical insurance, and hereby certify that I am mentally and physically fit to compete in such a
tournament.
Participant (or Parent / Legal Guardian Signature if under 18): ________________________________
Date: ____________
Please deliver this Registration Form with Payment to our location, or you may Mail to:
Karate World, 720-B Highway 17 North, Surfside Beach, SC 29575
Weapons, Forms & Sparring – 10 to 17 year old Under Belts
10 to 11 year old Beginner, Intermediate, Advanced
12 to 13 year old Beginner, Intermediate, Advanced
14 to 15 year old Beginner, Intermediate, Advanced
16 to 17 year old Beginner, Intermediate, Advanced
17 year old and under Black Belts
9 and under Black Belts
10 to 11 year old Black Belts
12 to 13 year old Black Belts
14 to 15 year old Black Belts
16 to 17 year old Black Belts
Phase 4 – 1:00pm
Adult Under Belts and Adult Black Belts
18 to 34 year old Beginner, Intermediate, Advanced
35 year old and up Beginner, Intermediate, Advanced
18 to 34 year old Black Belts
35 year old and up Black Belts