TournReg2015-May - Gulf Coast Martial Art Championships

You are invited to the:
Gulf Coast Martial Art
Championships!
At Davidson Middle School; 6261 Old Bethel Rd,
Crestview, FL 32536 on March 8, 2014
72 Divisions with 5 Events!
(Forms, Sparring, Musical, Self Defense & Weapons)
1st-3rd wins trophies!
Competitors medals for juniors!
Points scored goes toward GCMAC Champion!
May 16, 2015
Crestview, Florida
Exit 56 off of I-10. From I-10, go 3.5 miles north on Highway 85.
On the way, you'll pass Wal-Mart, Central Baptist, Highway 90
intersection, Crestview Theater, Sears, and Crestview High
School. Turn left at red light onto Old Bethel Road. Tournament
is on your left at Davidson Middle School which is almost
immediately after turning onto Old Bethel Road.
Crestview is very easy to get to and centrally located being
roughly 45 minutes east of Pensacola, 2.5 hours west of
Tallahassee, 1.5 hours north of Panama City, and 2.25 hours
south of Montgomery.
Registration
Entry Fee
8:00-10:00AM
$50 for 1-3 events
$10 for each additional event
Black Belt meeting 9:30AM
Bow In at 10:00AM
Spectator Tickets
Adults $5 - Children $3
(5 & under are free)
(More details on proceeding page)
No Refunds - No Personal Checks
Sponsored By:
Gordon Martial Arts
School Owners - Contact us
Traditional or school uniform is absolutely required. Competitors sparring must have protective head, hand, & foot
gear with mouth piece. Men must wear groin protectors and shin guards recommended for everyone. Complete
board break rules on the website.
For more information or sparring rules, see our website at www.gcmac.info or call 850-682-0720.
2015 Gulf Coast Martial Art Championships Entry Form
Competitor’s Last Name________________________ First Name___________________________
Address_______________________ City ___________________ State______________ Zip _________
Phone_(_____)______________ Email_________________________________ DOB (MM/DD/YEAR) _____/_____/____
Instructor______________________ Instructor’s Phone_(____)_________________ Email____________________
Instructor Address______________________ City _____________________ State__________ Zip _________
Check all that apply to you:
BEGINNER forms & sparring:
white, yellow, & orange
(Typically less than year
of training)
INTERMEDIATE forms & sparring:
green, blue, & purple
(Typically 1-2 years of
training)
ADVANCED forms & sparring:
red & brown
(Typically 2+ years of
training)
___JR. BEG. 4-6 Forms
___JR. BEG. 4-6 Sparring
___JR. BEG. 7-8 Forms
___JR. BEG. 7-8 Sparring
___JR. BEG. 9-10 Forms
___JR. BEG. 9-10 Sparring
___JR. BEG. 11-13 Forms
___JR. BEG. 11-13 Sparring
___JR. BEG. 14-17 Forms
___JR. BEG. 14-17 Sparring
___ADULT BEG. 18-33 Forms
___ADULT MALE BEG. 18-33
Sparring
___ADULT FEMALE BEG. 18-33
Sparring
___SR. ADULT BEG. 34+ Forms
___SR. ADULT MALE BEG. 34+
Sparring
___SR. ADULT FEMALE BEG.
34+ Sparring
___JR. INT. 4-6 Forms
___JR. INT. 4-6 Sparring
___JR. INT. 7-8 Forms
___JR. INT. 7-8 Sparring
___JR. INT. 9-10 Forms
___JR. INT. 9-10 Sparring
___JR. INT. 11-13 Forms
___JR. INT. 11-13 Sparring
___JR. INT. 14-17 Forms
___JR. INT. 14-17 Sparring
___ADULT INT. 18-33 Forms
___ADULT MALE INT. 18-33
Sparring
___ADULT FEMALE INT. 18-33
Sparring
___SR. ADULT INT. 34+ Forms
___SR. ADULT MALE INT. 34+
Sparring
___SR. ADULT FEMALE INT. 34+
Sparring
___JR. ADV. 4-6 Forms
___JR. ADV. 4-6 Sparring
___JR. ADV. 7-8 Forms
___JR. ADV. 7-8 Sparring
___JR. ADV. 9-10 Forms
___JR. ADV. 9-10 Sparring
___JR. ADV. 11-13 Forms
___JR. ADV. 11-13 Sparring
___JR. ADV. 14-17 Forms
___JR. ADV. 14-17 Sparring
___ADULT ADV. 18-33 Forms
___ADULT MALE ADV. 18-33
Sparring
___ADULT FEMALE ADV. 18-33
Sparring
___SR. ADULT ADV. 34+ Forms
___SR. ADULT MALE ADV. 34+
Sparring
___SR. ADULT FEMALE ADV. 34+
Sparring
BLACK forms & sparring: Black
belts must compete here
regardless of time in rank
___BLACK 10 & Under Forms
___BLACK 10 & Under Sparring
___BLACK 11-13 Forms
___BLACK 11-13 Sparring
___BLACK 14-17 Forms
___BLACK 14-17 Sparring
___BLACK 18-33 Forms
___BLACK ADULT MALE 18-33
Sparring
___BLACK ADULT FEMALE 18-33
Sparring
___SR. BLACK 34+ Forms
___SR. BLACK MALE 34+
Sparring
___SR. BLACK FEMALE 34+
Sparring
___MASTERS 15+ Years in
training FORMS
___MASTERS 15+ Years in
training SPARRING
Specialty Divisions –
Musical Division
___BEG. & INT. Musical Forms
(Empty hand or weapons)
___ADV. & BLK. Musical Forms
(Empty hand or weapons)
Weapons Division
___Weapons color belts junior
___Weapons color belts adult
___Weapons black belts junior
___Weapons black belts adult
Have you changed
divisions since last
tournament?
Yes □
No □
Schedule of Events:
8AM-10AM Registration
9:00AM Start weapons & musical forms
9:30AM Black Belt meeting
10AM National anthem, prayer, & bow in.
Start with Black Belt Adult Forms so they can judge. Then Colored belts &
Junior Black belts followed by self-defense division. Adult Black Belt
sparring.
MUST pre-register if you're going to do weapons or musical. The
registration line tends to get long at times. As always, we want to have
the best event possible and try to keep things running smoothly.
Self Defense Division
___ Self Defense (color belt junior)
___ Self Defense (black belt junior)
___ Self Defense (color belt adult)
___ Self Defense (black belt adult)
Entry Fee
$50 for 1-3 events
$10 for each additional event
Spectator Tickets
Adults $5 - Children $3
(5 & under are free)
No Refunds - No Personal Checks
Liability Waiver. Read & sign: All minors under 18 must have parent's signature. The participant hereby agrees to comply with the
Gulf Coast Martial Art Championships rules and acknowledges that competition in the tournament is physical and participation can
cause serious injury and even death to the participant. The participant hereby waives any claim of accidental and negligent tort
damages or injuries against the Gulf Coast Martial Art Championships, Thomas Gordon, participants, any officials, and employees
connected with the organization or promotion of the Gulf Coast Martial Art Championships and expressly assumes an assumption of
risk whatever nature resulting in participation. Additionally, participant acknowledges that he/she is fully aware of his/her medical
condition and hereby certifies that he/she is mentally, emotionally, and physically fit to compete. Lastly, the participant waives any
compensation for use of pictures, video tapes, media coverage, statements, interviews, etc. utilized by those producing and/or
directing the Gulf Coast Martial Art Championships.
Signature (participant under 18 must have a parent or legal guardian signature)
Date