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
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