Document 415288
Name Address City State Zip Rank Age Telephone State Zip Karate School Name Personal E-mail City I, the undersigned, hereby release Jeff Hardy, Bodyworks Martial Arts Center, Merrimack Valley High School and all persons associated with this event in any capacity from liability due to injuries, etc., that I may incur as a result of my attendance and/or participation at the above specified event. Furthermore, I hereby waive any compensation whatsoever for the use of pictures, movies, media coverage, etc., utilized by those associated with this event at any time. I also hereby agree to abide by all rules stated in the CKMAA Rules including, but not limited to, my ability to withstand the contact of tournament fighting. Additionally, I am fully aware of my personal medical condition and hereby certify that I am mentally and physically fit to compete at said Karate Tournament. _____________________________________________ Signature _____________________________________________ (Signature of parent or guardian if under 18) Sparring / Under Black Belt Gender (Check One) Male Female (Light helmet contact ......Intermediate & up (NO DIRECT TO THE FACE) Age (Check One) Rank (Check One) 6 Yrs & Under 13 & 14 Yrs (beg) White / Yel / Orange 7 & 8 Yrs 15 Thru 17 Yrs (inter) Purple / Blue / Green 9 & 10 Yrs 18 Thru 34 Yrs (adv) Red / Brown 11 & 12 Yrs 35 Yrs & Over Forms / Under Black Belt Gender (Check One) Male Female Age (Check One) 6 Yrs & Under 7 & 8 Yrs 9 & 10 Yrs 11 & 12 Yrs Rank (Check One) (beg) White / Yel / Orange (inter) Purple / Blue / Green (adv) Red / Brown 13 & 14 Yrs 15 Thru 17 Yrs 18 Thru 34 Yrs 35 Yrs & Over Weapons / Under Black Belt Division (Check One) Male Female 8 Yrs & under 9 - 11 Yrs 12 - 14 Yr 15 - 17 Yrs Rank (Check One) 18-34 Yrs 35 Yrs & over Intermediate Purple / Blue /Green Advanced Red / Brown Black Belt Sparring Division (Check One) 10 Thru 12 Yrs (M) 10 Thru 12 Yrs (F) 13 & 14 Yrs (M) 13 & 14 Yrs (F) 15 Thru 17 Yrs (M) 15 Thru 17 Yrs (F) 18 Thru 29 Yrs (M) 13 – 14 Yrs (M) 13 - 14 Yrs (F) 15 - 17 Yrs (M) 15 - 17 Yrs (F) 18 - 29 Yrs (M) 18 - 29 Yrs (F) 30 - 39 (M) 30 - 39 (F) 40 yrs + (M) 40 yrs + (F) 30 – 39 Yrs (M) 30 – 39 Yrs (F) 40 Yrs + (M) 40 Yrs + (F) Black Belt Weapons Division (Check One) 10 - 12 Yrs (M) 10 - 12 Yrs (F) 40 Yrs & Over (F) Black Belt Forms Division (Check One) 10 - 12 Yrs (M) 10 - 12 Yrs (F) 18 Thru 29 Yrs (F) 30 Thru 39 Yrs (M) 30 Thru 39 Yrs (F) 40 Yrs & Over (M) 13-14 Yrs (M) 13- 14 Yrs (F) 15 - 17 Yrs (M) 15 - 17 Yrs (F) 18 - 29 Yrs (M) 18 - 29 Yrs (F) Dear Martial Artist: I would like to invite you to Combined Kenpo Martial Arts Association Tournament XXV, It will be held on November 8, 2014 at Merrimack Valley High School in Penacook, New Hampshire. On the day of the tournament, registration will run from 7:30 AM until 9:30AM; please note that no registrations will be accepted after 9:30. The tournament will begin promptly at 9:30 AM. Competition starts with UBB weapons followed by youth divisions. To help ensure a smooth-running event, we need Black Belt support. The Black Belt meeting will be held at 8:30 AM. Please be prompt and ready to offer your expertise. Good food and drinks will be available. If you have any questions or need more information, please feel free to contact me at Bodyworks, Inc., 85 Manchester Street, Concord, NH 03301, (603) 225 -5620. I anticipate many exciting events, an atmosphere of good sportsmanship and great competition. I look forward to seeing you for a fun, top-quality event! Jeffrey N Hardy. RANK EQUIVALENTS (Adults) White / Yel / Or - Beginner < 1 yr Purple / Blue / Green - Inter 1-3 yrs Red / Brown - Adv > 3 yrs Black Belt LIGHT helmet/ body Contact for Intermediate & up RANK EQUIVALENTS (Kids) White / Yel /Or - Beginner < 8 mo Purple/ Blue /Green - Inter < 3 yrs Red / Brown / Jr Blk - Adv > 3 yrs Sparring All UBB matches go to three points; no time limit. Black belt division matches go to five (5) points. In the event of a tie, the first point awarded in sudden-death wins. One (1) point is awarded for both kicks and punches. A majority of voting judges is required to confirm a point. Each judge has an equal vote. A "No-See" disqualifies a judge from voting on a point. All sparring competitors must wear groin protectors, mouth guards, and foam-type hand, foot, and head protectors. No jewelry of any kind may be worn during competition. No contact is allowed to the spine, kidneys or against the joints . Controlled, light contact is allowed "above the belt" in Intermediate divisions & up No direct face contact in any division One (1) excessive contact violation draws a warning. Two (2) excessive contact violations result in a point awarded to the opponent. Automatic disqualification follows any intentional or malicious contact resulting in injury. The groin is not a legal striking target in Black belt division matches. No open-hand techniques, sweeps or throws are allowed in non-Black belt division matches. Three (3) ring boundary violations (running out of the ring) result in a point awarded to the opponent. Both feet must be judged to be out of the ring for the competitor to be in violation. Each violation thereafter results in a point awarded to the opponent. No spinning back fists are allowed under black belt. A spinning back fist (in BB division) thrown as a means of "bailing out" without control or focus is grounds for disqualification. Controlled spinning back kicks are allowed in all divisions. Each competitor must be present at the proper ring prior to the beginning of the event and may not leave until after participation. No competitor may enter an event after it has started. Attitude problems are not tolerated in any competitor at any rank; disqualification follows any indication of disrespect. We expect all participants and spectators to refrain from un-sportsmanship-like conduct. Equipment: Foam safety equipment, foot/hand/head gear, chest protection (encouraged) mouthpiece and groin protection mandatory! Forms A restart of any form automatically incurs a one (1) point penalty. TIE: students may do the same form w/o penalty Judges must give competitors their undivided attention when viewing a form; they must not allow surrounding activity to detract from their ability to judge effectively, consistently, and fairly. All scores are displayed for competitors. Three (3)-competitors will execute their forms before any scores are given. At that point, each competitor will return to the ring one-at-a-time to receive a score. This should create a consistent scoring standard, eliminating any disadvantage the first several competitors may otherwise have. Dropping or otherwise losing control of a weapon results in disqualification (light incidental floor should not be penalized) REGISTRATION INFORMATION (no family discount after Nov 5) Family discount: for preregistration only Spectator Fees Payment Pre-registration by Nov 5, 2014 $40.00 for the first event and $5.00 for each additional event. 2 Family members - $80 for 1,2, or 3 events 3 family members – $120 for 1,2, or 3 events Registration after Nov 5, 2014 $50.00 for the first event and $5.00 for each additional event. (no discounts) On November 8, 2014: No registrations accepted after 9:30 AM Adult: $5.00 Children 6 YRS AND UNDER FREE Full payment must accompany registration. Cash, Travelers Check: U.S. currency only. Personal Check: Payable to Bodyworks, Inc. Indicate driver’s license number on front of check. Money Order, Certified Check: Payable to Bodyworks, Inc. in U.S. currency at any U.S. bank. Directions to Merrimack Valley High School From Route 93 take Exit 15W (Routes 202 & 3). At the second set of lights, take a right onto Route 3 North to Penacook. Go 4.9 miles. Take the first right after Beede Electric Company (under flashing yellow light). Look carefully for the sign, as you can't see the school from the road. Bodyworks, Inc. 85 Manchester Street Concord, NH 03301 Phone (603) 225-5620 RESPECT THE TRAINING ● HONOR THE COMITTMENT ● CHERISH THE RESULTS
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