Trailridge Middle School
7500 Quivira Lenexa, KS 66216
At the corner of Quivira and 75th Street
Information
Time Table
Location
David Clifton &
American Sport Karate Centers
Registration: 8:30-10:00 am
Officials Meeting: 9:00 am
Competition Starts: 9:30 am
Trailridge Middle School
913-441-9999
8150 Monticello Terrace
Shawnee, KS 66227
[email protected]
[email protected]
7500 Quivira Road
Lenexa KS, 66216
Weapons and Creative Divisions will be
first, followed by forms and Sparring.
Black Belt Competition Weapons
Junior Black Belt
Registration Fees
Pre-Register and Save $$
See insert for all details
Deadline:
Feb.25th, 2015
No Checks !!! Cash, Money Order, or
Credit Card (Visa, MasterCard)
Awards/Staff
*Awards 1st. 2nd. 3rd. for all Divisions
*Trophies for youth
*All Youth participants receive an award
Open/Extreme
Traditional
bbwo-01 14-17
bbwo-02 13-
bbwt-03 14-17
bbwt-04 13-
Adult Black Belt Weapons
Open/Extreme
Traditional
bbwo-12 18-34 m/f
bbwo-13 35+
bbwt-14 18-34 female
bbwt-15 18-34 male
bbwt-16 35-49
bbwt-17 50+
(Music is optional in open or extreme weapons and forms-you must provide your
own music box-promoters do not provide this service)
Black Belt Competition Kata/Forms
Junior Black Belt
Open/Extreme
Traditional
bfo-05
bfo-06
bft-07
bft-08
bft-09
bft-10
bft-11
14-17
13-
Promoter: David Clifton
Chief Referee: Bob Leiker
Registration: Kimberly Harrison
Ring Director: David Clifton
October 18th, 2014
Long’s Kickout
Dec. 6, 2014
Jarrett Leiker
Feb 7th, 2015
ASKC Championships
Amerikick
Long’s Shotokan
Springfield, MO
Independence, MO
Kansas City, MO
March 7th, 2015 Lenexa, KS
March 20-21, 2015
April 2015
Jap/Okin
Jap/Okin
Korean
Korean
other
Adult Black Belt
Open/Extreme
Traditional
bbfo-20 18+
bbft-18
bbft-19
bbft-21
bbft-22
Upcoming Events
Choptober
14-17
1314-17
1317-
Philadelphia, PA
Independence, MO
18-34 male
18-34 female
35-49
50+
Sparring Male/Female
bbs-28
bbs-29
bbs-30
bbs-31
bbs-32
bbs-33
bbs-34
18-34 F
35 + F
18-34 M. Light
18-34 M. Mid
18-34 M Heavy
35-49 All
50 + M All
Sparring Boys/Girls
bbs-23 12-13 m
bbs-24 14-15 m
bbs-25 16-17 m
bbs-26 12-14 f
bbs-27 15-17 f
* Any youth black belt not listed competes
with under belts.
Pro-Am 2006
RULES AT A GLANCE
Weapons-Youth Creative Coed
ubw-00
ubw-01
ubw-02
ubw-03
ubw-04
ubw-05
ubw-06
7- all
8-9 nov/int
8-9 adv
10-11 nov/int
10-11 adv
12-17 nov/int
12-17 adv
(music is optional)
Weapons-Youth Traditional
ubwt-07
ubwt-08
ubwt-09
ubwt-10
ubwt-11
ubwt-12
ubwt-13
7 under all
8-9 nov/int
8-9 adv.
10-11 nov/int
10-11 adv.
12-17 nov/int
12-17 adv.
Weapons-Adult Traditional
ubw-64
ubw-65
ubw-66
ubw-67
18-39 nov/int
18-39 adv
40+ nov/int
40+ adv
1. You are not allowed to move up or down in
age, belt rank, or weight divisions.
2. Required sparring equipment: mouth piece,
cup (for male competitors, must be worn
under the uniform), foam dipped head, hand,
foot, and shin guards and face mask (youth
only). Chest protectors are recommended
but not required.
3. 2,1 point system (2 point head kicks, 1 point
all other legal techniques) and total points
are used for all sparring divisions.
4. 1 minute matches for all team sparring
matches. All other sparring matches are 2
minutes or a 10 point spread.
5. No harassment/screaming/back talking/bad
sportsmanship to the referees will be
tolerated.
6. Divisions may be split or combined at the
promoters discretion.
Sparring-Youth Coed
ubs-38
4- all coed*
ubs-39
5 all coed*
ubs-40
6-7 nov coed
ubs-41
6-7 int coed
ubs-42
6-7 adv coed
ubs-43
8-9 nov coed
ubs-44
8-9 int coed
ubs-45
8-9 adv coed
*1 min round per match
(no music in traditional – must be
recognized traditional weapons form.)
Forms-Youth Traditional
ubf-21
ubf-22
ubf-23
ubf-24
ubf-25
ubf-26
ubf-27
ubf-28
ubf-29
ubf-30
ubf-31
ubf-32
ubf-33
ubf-34
ubf-35
ubf-36
ubf-37
4 & under all
5 all
6-7 nov.
6-7 int.
6-7 adv.
8-9 nov.
8-9 int.
8-9 adv.
10-11 nov.
10-11 int.
10-11 adv.
12-13 nov.
12-13 int.
12-13 adv.
14-17 nov.
14-17 int.
14-17 adv.
Competition age = Age you
are on January 1, 2015.
Sparring-Youth
Male
ubs-46
ubs-47
ubs-48
ubs-49
ubs-50
ubs-51
ubs-52
ubs-53
ubs-54
10-11 nov.
10-11 int.
10-11 adv.
12-13 nov.
12-13 int.
12-13 adv.
14-17 nov.
14-17 int
14-17 adv
Sparring-Youth
Female
ubs-55
ubs-56
ubs-57
ubs-58
ubs-59
ubs-60
ubs-61
ubs-62
ubs-63
10-11nov.
10-11int.
10-11adv.
12-14nov.
12-14int.
12-14adv.
15-17nov.
15-17int.
15-17 adv.
Novice = white, yellow, orange
Intermediate = blue, green, purple
Advanced = Red,Brown(will have light face
contact in sparring,a mask is required)
Open/Creat. Form Youth
ubfo-14
ubfo-15
ubfo-16
ubfo-17
ubfo-18
ubfo-19
ubfo-20
7 under all
8-9 nov/int
8-9 adv
10-11 nov/int
10-11 adv
12-17 nov/int
12-17 adv
(music is optional)
Open/Creat. Form Adult
ubfo-68
18+ all
(music is optional, adult only may be
empty hand or weapons)
Team Sparring – Pre
registered Only
One from each age category
Ubs-087 9-11, 12-14, 15-17
*team sparring held at end of the day
**All Ranks may participate
***No face contact will be allowed
****Each round is 1 minute
Team Forms
(2+ players)
ubtf-085 all ages all ranks
Forms-Adult Traditional
ubf-69
ubf-70
ubf-71
ubf-72
ubf-73
40+ nov. coed
40+ int/adv. coed
18-39 nov. coed
18-39 int. coed
18-39 adv. coed
Sparring-Adult Female
ubs-74
ubs-75
ubs-76
ubs-77
ubs-78
18-39 f nov.
18-39 f int.
18-39 f adv.
40+ f nov.
40+ f int./adv.
Sparring-Adult Male
ubs-79
ubs-80
ubs-81
ubs-82
ubs-83
ubs-84
18-39 m nov.
18-39 m int
18-39 m adv.
40+ m nov
40+ m int.
40+ m adv.
20
Official Registration
15
[Competition cards available at the event] You may copy this form-
Post mark by 2-25-2015
Office use only
Date Received:______________________
NO EXCEPTIONS
First Name______________________________________ Last Name ______________________________________________M/F_______
Parents Name if under 18 First______________________________________Last______________________________________________
Address____________________________________________________City_______________________________State_______________
Zip_________________________Country____________EMail______________________________________________________________
Phone(
)_____________________________________________D.O.B.______/_______/______Age______________ Age Jan.1-2015
Rank_____________________________________________ Yrs In Martial Arts________ Weight______________ Height____________
SchoolName__________________________________________________Instructor___________________________________________
School Address___________________________________________________________________Phone(
)_______________________
City___________________________________________State_________________________________________Country_____________
ZipCode_____________________________TeamName___________________________________________________________________
Pre-Register by 02-25-2015
Competitors 1 Event
Pre
$40
$10
$30
Additional Events
Team Forms/Sparring (per team)
***NEW LOWER PRICES***
Door
$50
$15
$45
Spectator Passes and Fees (Child Age 6-12) (5 & Under Free)
Gen. Admission
Adult
$7
Child
$5
Under 5 Free
$7
$7
Free
Totals
______________x ___________
______________x___________
______________x___________
= ______________________
= ______________________
= ______________________
please pick up your wrist bands at registration
______________x___________
______________x___________
______________x___________
= ______________________
=______________________
=______________________
Registered Division Numbers
1.____________2___________3____________4____________5___________6___________7____________8________
___
Registration Checklist
1.Release waiver signed and dated
2.Divisions numbers are filled in correctly
3.Please be sure totals are correct
4.Credit card information is correct
No Refund Policy
No refunds or credits for any Registrations
Money Orders are payable to Clifton
Enterprises Inc. send to: ASKC
8150 Monticello Terrace
Shawnee, Ks. 66227
#_____________-___________-____________-_________________ Security Code_________________
Billing Zip Code _____________ Exp.________________,20________________
Signature___________________________________________________
(Please write your card number legibly, should your card not clear you will be assessed a $10 fee)
I (Print name)_________________________________the undersigned release American Sport Karate Centers, operated by Clifton Enterprises Inc., David Clifton, all officials,
Shawnee Mission Unified School District 512, Pro-am, and all associated with the American Sport Karate Championships, promoters, any and all other persons associated
with this event in any capacity, from any liability due to injuries, etc., that I may incur as a result of my attendance and/or participation at any Pro-Am event. Furthermore, I
hereby waive any compensation what so ever for the use of pictures, movies, media coverage, etc., utilized by those associated with this event, for profit making motives, at
anytime. I understand that I am entirely responsible for obtaining permission from the artists of any music I use for my competition and verify this by signing this document. I
agree to indemnify, defend and hold harmless all of the above named parties from any liability or compensation for use of such music and further state that the above named
parties may use such music in any recorded performances of myself for profit making motives at any time. I clearly understand that the fighting aspect of this sport and
competition involves bodily contact and completely release and hold harmless all of the above named parties for any injuries I may sustain. I have read, understand and
agree to abide by the rules associated with Pro-Am events and assume all responsibility and any associated liability for infringement of such rules. Additionally, I am fully
aware of my personal medical condition, have personal medical insurance and hereby certify that I am mentally and physically fit to compete at said tournaments and also
understand that a valid birth certificate should be presented to compete at Pro-Am events.
Competitor Signature_______________________________________________________________________________Date___________________
Signature of parent or guardian if under 18______________________________________________________________Date___________________
David Clifton
19th American Sport Karate Championships
8150 Monticello Terrace
Shawnee, Ks.,66227
[email protected]
[email protected]
Top Ten Reasons to attend this event……………..Don’t Miss This Event
1. FUN for everyone
2. Try out the team events
3. One of the top regional tournaments in the country
4. Great, fun, and friendly competition
5. Organized Event…..Starts ON-Time…..Ends-ON-Time….Not all Day!!!!!
6. Professional Referees
7. World & Regional Champions in Action
st
nd
8. Trophies for 1 and 2 Place Youth Underbelts
9. Everybody is treated fairly
10. Meet Some New Friends