MARTIAL ARTS TOURNAMENT Sunday April 19th, 2015 Orange High School 32000 Chagrin Blvd. Pepper Pike, Ohio SANCTION: PKC NATIONAL DOUBLE POINTS, OHIO PKC STATE POINTS! Self Defense, Weapons, Chanbara, Forms and Sparring; Take Down and Tapout. Competitor Awards: 1st and 2nd Place Trophies, 3rd and 4th Place Plaques Two Millennium Grand Champion Awards: The Soke Cup and Cash Award Black Belts Forms and Weapons + $100; and Men Sparring + $100 Maximimize Your Savings with Advance Pre Registration: Receive a FREE 2015 Millennium T-Shirt and One Free Spectator Pass with Advance Pre-Registration ONLY! Tournament Doors and Registrations Opens 8:00 am. Take Down and Tapout Starts at 9:00 am. Black Belt Meeting 10:30 am, Karate Tournament Starts 11 am. Tournament Arbitrator Darla Medal. Takedown and Tap Out GM Rick Fike. Registration Information and Pre-Registration Deadlines Advance Pre Registration: Maximize your savings on competition fees on or before March 7th 2015: $45.00 One and All Karate Events; or Take Down and Tapout only; $50 All (Karate) Events + Takedown and Tapout. 2015 Millennium T-shirts, One Spectator Pass and Millennium Tournament Patch. Pre Registration Dates: March 8th to April 11th, 2015: $50.00 One and All Karate Events; or Take Down and Tapout only; $55 One and All Karate Events + Take Down and Tapout. Pre-Registration savings and receive a $5 discount coupon for a Millennium t-shirt. Pre-paid Adults: $8.00 Pre-Paid Children: $6.00 Late Registration and Day of Event: April 11th to April 19th, 201d $55.00 One Event $5 Each Additional Event. NOTE: Registration at the Door. CASH ONLY ! No Personal Checks or Credit Cards Accepted. NO REFUNDS! We Reserve the Right To Refuse Entry into the Tournament. All Tournament Spectators: $10.00 12 and under: $6.00 Children 3 years & under: FREE Awards Sanctions: PKC National Double Points& Ohio PKC State Series Event, PKC points 1st through 4th place. Individual Awards: First, Second and Third Place Trophies, 4th Place Plaques. Grand Champions Awards: The Soke Cup Black Belt Form (Forms & Weapons) + $100; Black Belt Sparring + $100. Schedule: 8:00 am Doors Open, 9 am Takedown and Tapout 10:30 am Black Belt and Score Keepers Meeting 11 am Tournament Begins with Bow In and National Anthem, Chanbara competitors must have their own shielded head gear and foamed sword! Takedown and Tapout competitors, please pre registered to give us an idea of the number of competitors we are looking at. This will help us to run a smooth tournament for all! Directions to Orange High School. Pepper Pike is a Cleveland Ohio suburb. All Interstates connect to I-271. From East Side: Take I-90 West to I-271 South. Exit Chagrin Blvd. Turn left heading East on Chagrin Blvd. Go around on Lander Circle to Chagrin. The first Street past Lander to Chagrin Blvd. to Orange High School. From West Side: I-71 to I-271 North to Chagrin Blvd. Exit Chagrin Blvd. Turn right heading East on Chagrin Blvd. Go around on Lander Circle to Chagrin. The first Street past Lander to Chagrin Blvd. to Orange High School. Tournament Hotels, Information: Located 1 mile for Tournament site on Orange Place Dr. at I-271 and Chagrin Blvd. Clarion Hotel, Holiday Inn, Homestead Studios, Hampton Inn. Check Hotels.com for discounts. Great Dinning in area. Divisions and Events Self Defense Weapons Black Belts Adults Black Belts 17 & Under Adult Executive Non Black Belt 35 + Adult Adv. 18 & Older Adult Int. 18 & Older Adults Nov. 18 & Older Handi-Capable 18 & over Handi-Capable 17 & below Teen 13-17 Adv. Teen 13-17 Int. Teen 13-17 Nov. Youth 9-12 Adv. Youth 9-12 Int. Youth 9-12 Nov. Youth 7-8 Adv. Youth 7-8 Int. Youth 7-8 Nov. 6 Year & Under All Ranks Chanbara Black Belt co-ed Jr. Black Belt 17 & under co-ed Adults Kyu Rank All Ranks co-ed Teen 15-17 All Ranks Teen 13-14 All Ranks Youth 11-12 All Ranks Youth 9-10 All Ranks Youth 7-8 All Ranks Youth 6 & under All Ranks Bold Black Belt Divisions with * are in the Run Off for the first Millennium Grand Champion SOKE CUP Award and $100. Black Belt Executive 35 & Older* Black Belt Men Traditional* Black Belt Open (Creative/Extreme)* Black Belt Women* Teen Black Belts 15-17 Teen Black Belts 13 - 14 Junior Black Belts 12 & under. Executive Adult Kyu’s 35 & Older Adults Adv. co-ed Adults Nov. co-ed Handi-Capable 18 & over Handi-Capable 17 & under Teen 13-17 Adv. co-ed Teen 13-17 Int. co-ed Teen 13-17 Nov. co-ed Youth 11-12 Adv. co-ed Youth 11-12 Int. co-ed Youth 11-12 Nov. co-ed Youth 9-10 Adv. co-ed Youth 9-10 Int. co-ed Youth 9-10 Nov. co-ed Youth 7-8 Adv. co-ed Youth 7-8 Int. co-ed Youth 7-8 Nov. co-ed 6 & Under All Ranks co-ed Take Down & Tapout GI’s (uniforms): 6 years & under B/G 7-8 year olds B/G 9-10 year old B/G 11-12 year olds B/G 13-14 year olds B/G 15-17 year olds B?G 18 and older Men/Women Division A (Novice, Intermediate) Division B (Brown & Black). MA Sparring head gear and mouth guard required. Forms Musical: Black Belt* Under Black Belt: Novice; Intermediate; Advance Non Musical: Black Belt Executive 35 & Older* Black Belt Men Traditional 18-34* Black Belt Men Open* Black Belt Women* Teen Black Belt 15-17 Teen Black Belt 13-14 Jr. Black Belt 12 & under Executive Nov. 35 & Older co-ed Executive Adv. 35 & Older co-ed Handi-Capable 18 & over Handi-Capable 17 & under Adult Men Adv. Adult Men Int. Adult Men Nov. Adult Women Adv. Adult Women Int. Adult Women Nov. Teen 15-17 Adv. co-ed Teen 15-17 Int. co-ed Teen 15-17 Nov. co-ed Teen 13-14 Adv. co-ed Teen 13-14 Int. co-ed Teen 13-14 Nov. co-ed Youth 11-12 Adv. co-ed Youth 11-12 Int. co-ed Youth 11-12 Nov. co-ed Youth 9-10 Adv. co-ed Youth 9-10 Int. co-ed Youth 9-10 Nov. co-ed Youth 7-8 Adv. co-ed Youth 7-8 Int. co-ed Youth 7-8 Nov. co-ed 6 Years Old co-ed 5 and Under co-ed Sparring Black Belt Executive 35 & older* Black Belt Men Hvy. Wt. 180+* Black Belt Men Md. Wt. 150-179.9* Black Belt Men Lt. Wt. 149 & under* Black Belt Women Teen Black Belt Girls 15-17 Teen Black Belt Boys 15-17 Teen Black Belt Girls 13-14 Teen Black Belt Boys 13-14 Jr. Black Belts 12 & under co-ed Executive Men Nov. 35 + Executive Women Nov. 35 + Executive Men Adv. 35+ Executive Women Adv. 35 + Adv. Men 18-34 Int. Men 18-34 Nov. Men 18-34 Adv. Women 18-34 Int. Women 18-34 Nov. Women 18-34 Handi-Capable 18 & over Handi-Capable 17 & under Teen 15-17 Adv. Boys; Girls Teen 15-17 Int. Boys; Girls Teen 15-17 Nov. Boys; Girls Teen 13-14 Adv. Boys; Girls Teen 13-14 Int. Boys; Girls Teen 13-14 Nov. Boys; Girls Youth 11-12 Adv. Boys; Girls Youth 11-12 Int. Boys; Girls Youth 11-12 Nov. Boys; Girls Youth 9-10 Adv. Boys; Girls Youth 9-10 Int. Boys; Girls Youth 9-10 Nov. Boys; Girls Youth 7-8 Adv. Boys; Girls Youth 7-8 Int. Boys; Girls Youth 7-8 Nov. Boys; Girls. Youth 6 - 7 (Tall & Small) co-ed Youth 5 (Tall & Small) co-ed Take Down and Tapout Time: 2 minutes Throws: 3 points Take Downs: 2 points Escapes: 1 point Mounts: 1 point Full Guard: 1 point Escape: 1 point Potential Submission: 2 points Winner determined by Total Points or by Verbal or Physical Tap Out. Develop your ground game! Take Down and Tapout Head Referee: Master Rick Fike Complete Rules will be available at the Millennium Tournament. Endorsed by: OHIO FREESTYLE GRAPPLING ASSOCITION - OFGA PO Box 5022 Mentor, OH 44061-5022 KARATE INSTITUTE For Additional Information: Dennis Janes: 440-951-0463 E-mail: [email protected] Ron Balas: 216-691-9391 E-mail: [email protected] World Head of Family Sokeship Council EUSAIMAA Advisory Committee 2015 Millennium Invitational Martial Arts Tournament—Pre-Registration Form WAIVER: I do hereby release the Promoter of this Event, the Karate Institute, the Partners, the Tournament Participants and its Officials from any liability due to injuries that I may incur as a result of my attendance and participation in any of the events. Furthermore, I hereby permanently waive an compensation whatsoever for the use of pictures, videos, media coverage, etc., utilized by those associated with this event which may be used for profit making purposes. I clearly and fully understand the fighting aspect of this sport and competition involves bodily contact. I agree to abide by the rules of this event and assume all responsibility and any associated liability for infringement of such rules. Additionally, I am fully aware of my personal medical conditional and hereby certify that I am mentally and physically fit to compete at this tournament and also understand that any medical attention would be on a first aid basis. Name _____________________________ Parent or Guardian_______________________________ Date ___/___/___ Pre-Registration Form: Send Check or Money Order to: Karate Institute, PO Box 5022, Mentor, OH 44061-5022. Visa/MC Discovery Accepted. Fax Registration Fee with Credit Card Number and Information: 440-951-9918. Check Your Pre Registration DEADLINE: Deadlines are the post marked on the envelope sent. To expedite late registrations, please fax your form by due date. Advance Pre-Registration: Before March. 7th: $45.00 One and All Karate Events or Takedown and Tapout only; $50 Karate Events + Takedown and Tapout. Advance Pre –Registration only will receive a Free NEW MILLENNIUM T-SHIRT, One Free Spectator Pass ($10 Teen/Adult or $6 Child value). T-Shirt Size: Child Large ___, Adult Small ____, Adult Medium ____, Adult Large ____, Adult XL____, Adult XXL ____. NEW Millennium T-Shirts on sale only $25 at the tournament. Pre-Registration: March 8th - April 11th: $50 One and All Karate Events, $50 Takedown and Tapout Only, $55 Karate Events + Takedown and Tapout. No FREE T-Shirt. Pre-Paid Spectators: Adults $8.00, Children $6.00 Check Your Registration Date: Advance Pre Registration Pre Registration E-Mail:___________________________________________________ Please Print Neatly and Completely Fill Out Form. Name________________________________________ Age (______) Address:__________________________________________________ City________________________ State____ Zip Code ___________ Parents __________________________ Phone. _________________ KARATE EVENTS: Self Defense ___ Sparring ___ Weapons___ Forms___ Musical Forms ___ Chanbara ____ TAKE DOWN AND TAPOUT: Takedown & Tapout ___ Takedown & Tapout Event Only ____ Total Competition Fees: $_____.___ Pre Paid Spectators Discounts Adult Spectators ___ x $8 = $_____.___ Child Spectators ___ x $6 = $_____.___ One Free Spectator ____ (March 7th Deadline) Extra T-Shirt ____ x $25 = $_____.___ Size______________________________________________ Martial Arts School__________________________________________ Total Amount Due $_____.___ Instructor __________________________ PKC No.________________ Competitors: Rank/Color Belt_____________________ Nov.___ Int. ___ Adv. ___ Take Down and Tapout: Group A (Nov. and Int.) ____ , Group B (Adv. and Black Belts)____ . Credit Card: Discovery, Visa-MC: No.___________________________________________ Exp. Date ____/____ CVS #____ (Three Digit Number Back of Card) THANK YOU FOR YOUR PRE-REGISTRATION! Have a great tournament!
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