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JKA/WF AMERICA
2015 CAMP &
NATIONAL TOURNAMENT
2015
June 11-14 SANTA FE, NEW MEXICO, U.S.A.
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Table of Contents
Deadlines…………………………………………………
Participant Eligibility…………………………………..
General Information Training Camp………………………
General Information National Tournament………………
Information on Individual Roll Call Listing……………….
Schedule of Events ……………………………………….
Judge Seminar & Clinic Information ……………………….
Dan & Qualification Exam Information …………………..
Camp Registration Forms …………………………………
Participant Waiver/Release Agreement ……………………
Dan & Qualification Exam Form …………………………
Request for Dan Registration ……………………………..
Request for Qualification Registration …………………….
Camp Remittance Checklist ………………………………..
Selection of Judges Form …………………………………..
Adult Division-General Information ……………………….
Adult Individual Regional Representative Seeding Form …
Black Belt Adult Individual Registration Form ……………
Brown Belt Adult Individual Registration Form …………..
Adult Regional Team Registration Form …………………..
Senior Individual Registration Form ………………………
Senior Division Qualification and Rules …………………..
Senior Kata Team Registration Form ……………………..
Collegiate General Information ……………………………
Collegiate Contest Rules …………………………………..
Collegiate Individual Registration Form ………………….
Collegiate Team Registration Form ……………………….
Youth Division General Information ……………………..
Youth Division Rules ………………………………………
Youth Individual Registration Form ……………………….
Youth Team Registration Form – Kata Only ………………
T-Shirt Order Form …….……………………………….
Program Advertising Form …………………………………
Area Maps……………………………………………………
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Hotel Reservations:
Important Deadlines
May 1, 2015
After this date reservations at special JKA rates will no
longer be offered
ROOMS ARE LIMITED, SO PLEASE CALL
EARLY
Advertising Entries:
April 1, 2015
Digital files and payment are due together.
Tournament Judges:
May 1, 2015
See enclosed judges selection form.
Qualification Examination
Registrations:
May 1, 2015 No late registrations will be allowed.
Must check in Thursday June 11th by 3:00pm at the
Courtyard by Marriott
Dan Examination
Registrations:
Tournament
Registrations:
Camp Registrations:
May 1, 2015 No late registrations will be allowed.
Must check in Thursday June 11th by 3:00pm at the
Courtyard by Marriott
May 1, 2015 No late registrations will be allowed
May 1, 2015 There will be a $25 late registration fee
for reservations received after May 1st
All Camp Participants must check in at the Courtyard by Marriott on
Thursday, June 11th , 10:00am - 3:00 pm
Who May Participate
Camp—Any current JKA member, regardless of country or JKA organization may participate
Tournament—Any current JKA member, regardless of country or JKA organization may participate
Dan & Qualification Examinations—Any JKA/WF America member (only), regardless of country.
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JKA/WF America Training Camp
Training Camp June 11-8, 2015
Training Facilities:
Registration and Check in are June 11, 2015
Hosted by: NMKA (New Mexico Karate Association) National Camp is held at the Genoveva Chavez Community
JKA/WF America Camp Instructors:
Master Yoshiharu Osaka, 8th Dan
Vice Chief Instructor Japan Karate Association HQ in Japan
Master Shojiro Koyama, 8th Dan
Chief Instructor Western Region, JKA/WF America
Location:
Genoveva Chavez Community Center
3221 Rodeo Road
Santa Fe, New Mexico 87505
www.GCCommunitycenter.com
Center. GCCC features numerous amenities for training and relaxation. The facility includes basketball courts, swimming
pools, hot tub, sauna, racquetball courts, indoor running track,
weight training area, and an ice skating rink.
Camp fees do NOT include use of the of the facilities. (Locker
room facilities are included free of charge) If you wish to use the
facilities, the daily fee is $5 per adult, $2.75 per child.
All National Camp Attendees are responsible for their own
accommodations and transportation to the camp and during
the camp.
Each Dojo will be responsible for any minors they bring to
the camp.
Reservations for National Camp:
Accommodations:
To reserve a spot for camp please send in an application form
along with a $50.00 (US) deposit before May 1, 2015. The remaining balance is due in full at camp registration on June 11.
You will not be allowed to attend classes if payment is not
made in full. Please prepay in full if you will be arriving to
camp late and will miss the registration on June 11th.
*Camp registration/meeting location: (preferred hotel)
*Courtyard by Marriot Santa Fe - Ask for JKA Special rate
3347 Cerrillos Road, Santa Fe, NM 87505
1-800-777-3347 www.santafecourtyard.com
The following hotel is offering a special rate for attendees:
Other hotels nearby:
If you prepay in full by May 1, 2015, you will receive your JKA/ The Holiday Inn
4048 Cerrillos RD
WF America National Camp T-shirt FREE! Include size with
Santa Fe, NM 87507
your full payment.
505-473-4646
Camp Tuition:
Airport shuttle: www.sandiashuttle.com
If Registering by May 1, 2015
Tuition is $200 (US) per person
2nd Family member $175
3rd Family member $150
4th Family member $100
Train:
888-775-5696
www.nmrailrunner.com 1-866-795-RAIL
What to Bring:

If Registering AFTER May 1, 2015
Tuition is $225 (US) per person
All fees are due in US currency.
All Camp registrants after May 1, 2015 will be charged $225.
Registration fees should be remitted in the form of a
certified check, money order, or bank draft in U.S.
Dollars and made payable to:
Best Western Inn of Santa Fe
3650 Cerrillos Road
Santa Fe, NM 87507
(505)438-3822
NMKA
PERSONAL CHECKS FROM OUTSIDE THE U.S.
WILL NOT BE ACCEPTED. You may pay your Region
and they will send a Regional check on your behalf.
Cancellations:
If you are unable to attend camp for any reason, and you cancel
before May 1, 2015, a refund of your deposit is available minus a
$25.00(US) clerical fee. No refunds will be given after May 4,
2015.


All your JKA/WF paperwork (passport, membership
card, proof of ranking and qualifications)
At least 2 gis (if possible)
Casual clothes-expect temperatures in the 80's by day,
and in the 60's by night. Rain is always a possibility.
If you have any questions or concerns, feel free to
contact us by mail, phone, fax or e-mail at:
JKA/WF America
6501 Eagle Rock Ave. NE
Albuquerque, NM 87113 USA
Tel: (505) 256-0700 Fax: (505) 823-4806
E-mail: [email protected]
Web: www.jkawfamerica.org
Directions to Genoveva Chavez Community Center
from Albuquerque International Sunport:
North on I-25 (55.2miles)
Merge on to Cerrillos RD Exit 278 (2.9 miles)
Turn Right onto Rodeo RD
Turn Left onto Richards RD
Follow Richards RD to GCCC
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JKA/WF America National Tournament
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Please Note: Only JKA/WF US members may participate in National Tournament
National Tournament is June 14, 2015
Check in is June 11, 2015 or June 13 7:00pm—8:00pm
Hosted by: NMKA (New Mexico Karate Association)
JKA/WF membership cards may be purchased at the
tournament for $45. Members that are 3rd kyu and
higher must have a JKA passport. Passports may be
purchased at the event for $70.
Location:
All Collegiate contestants must show current 2015
JKA/WF membership card or passport and 2015 College ID.
Genoveva Chavez Community Center
3221 Rodeo Road
Santa Fe, New Mexico 87505
www.GCCommunitycenter.com
All participants for National Tournament must be pre—registered by
May 1, 2015. NO LATE REGISTRATIONS WILL BE ACCEPTED
JKA/WF US National Karate Championship Fees:
(JKA members Only)
Fee
Fee with Paid
Camp tuition
Adult Division:
Individual, Single Event
Individual, Both Events
Team
$45
$55
$100
$35
$45
$50
Senior Division:
Individual, Single Event
Individual, Both Events
$45
$55
$35
$45
Youth Division:
Individual, Single Event
Individual, Both Events
Team Kata
$45
$55
$75
$35
$45
$25
Accommodations:
Please see page 4 for information on hotel accommodations
Competitor Checklist:
______ Mouthpiece (approved by the JKA/WF of America)
_______Gloves (approved by the JKA/WF of America)
_______Current (2015) JKA/WF membership card (or passport
if 3rd kyu or higher rank)
_______ Current (2015) student ID card for Collegiate Events
_______ Standard White Gi
National/Collegiate Tournament Fees:
Individual, Single Event
$45
Individual, Both Events
$55
Team
$75
$30
$40
$25
______Completed & Signed Medical Questionnaire & Waiver
(form on page 10)
JKA/WF America
2015
Individual Roll Call
Registration fees should be remitted in the form of a certified check, money order, or bank draft in U.S. Dollars and
made payable to: NMKA
Any individual interested in getting their
name on the JKA/WF America Roll Call
List may do so for $10. This list will be
in the 2015 Camp/Tournament Program
book. It will also be posted on the website for a period of time after the Tournament.
NOTE:
REGISTRATIONS WILL NOT BE ACCEPTED
AFTER MAY 1, 2015
Please see page 35 for more information.
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JKA/WF America 2015 Camp & National Tournament Schedule
DAY
CLASS
Class Time
Location
Thursday 6/11/2015 Registration
10:00am-3:00pm
Courtyard Hotel
Thursday 6/11/2015 Regional Representative meetings1
11:00am—2:00pm
Courtyard Hotel
Thursday 6/11/2015 Training Session I
5:00pm– 7:00pm
GCCC
Friday 6/12/2015
Training Session II
7:00am – 9:00am
GCCC
Friday 6/12/2015
Judge Seminar2
10:00am—11:30am
GCCC
Friday 6/12/2015
Late Camp & Tournament Registration
12:30am—1:30pm
Courtyard Hotel
Friday 6/12/2015
Judge Practical Clinic2
1:30pm—3:00pm
GCCC
Friday 6/12/2015
Training Session III
4:00pm—6:00pm
GCCC
Saturday 6/13/2015 Training Session IV
7:00am – 9:00am
GCCC
Saturday 6/13/2015 Qualification Written & Practical Exam
10:00am-11:00am
Courtyard Hotel
Saturday 6/13/2015 Dan & Qualifications Testing
1:00pm– 3:00pm
GCCC
Saturday 6/13/2015 Training Session V
4:00pm—6:00pm
GCCC
Saturday 6/13/2015 Camp Reception Party
7:00pm—8:00pm
Courtyard Hotel
Sunday 6/14/2015
Judges Meeting
8:30am-9:00am
GCCC
Sunday 6/14/2015
Doors Open/ warm –up
9:00am—9:30am
GCCC
Sunday 6/14/2015
Tournament Begins
9:30am
GCCC
Sunday 6/14/2015
Finals Begin
1:00pm
GCCC
1
3&4
Meeting is for Regional Reps or their proxy only. Please RSVP in advance.
2
Judge Seminar & Practical clinic are mandatory for all members currently holding judge qualifications (for renewal purposes) and optional for any black belt member interested in obtaining a judge qualification in the future. The
cost is $20 for the two classes if pre –registered. $25 at door. Open to Camp participants Only. Prior notification
requested for late registration.
3
Please notify us if you are attending camp and will be arriving late, especially if you wish to attend the early
morning class before late registration.
4
Tournament check-in are for those members participating in the tournament who did not attend camp. Deadline
to register for tournament is May 1, 2015. NO late registrations will be allowed.
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Judge Seminar and Practical Clinic
Friday June 12, 2015
Seminar 10:00am—11:30am
Practical Clinic—1:30pm—3:00pm
Cost: $30 (for both Seminar & Practical Clinic) if pre-register
by May 1, 2015
$40 Pay at door
Open to Camp Participants Only
This Class is mandatory for all JKA W/F America members currently holding judge qualifications (for renewal
purposes) and optional for any black belt member interested in obtaining a judge qualification in the future. You
must be a Dan rank JKA/WF member and a registered camp participant to attend this event.
Judge Seminar & Practical Clinic Registration
Name __________________________________________Age_______DOB ________ Sex
Rank ______
Address _______________________________________City_______________ State _________ Zip ______
Region ____________________________________________________ Country _______________________
Dojo _______________________ Tel (
)_________________ Email _________@___________________
Are you JKA/WF America member?
Are you a registered JKA/WF Instructor or Instructor Trainee?
Yes / No
Yes / No
Judge Qualification Rank ____
Payment Form: amount enclosed $___________
Mail with $20.00(US) payment to: NMKA c/o JKA/WF America, 6501 Eagle Rock Ave. NE A-1Albuquerque,
NM 87113
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Dan & Qualification Exams:
All written & practical qualification exams (Judge, Examiner and Instructor) will take place on Saturday June 13 from
9:15am to 11:15am. Dan testing will take place on Saturday June13, 2015, at 1:00pm
Those who wish to take any of these exams must pre-register by completing the testing and registration forms and sending
them along with the appropriate exam and registration fees to JKA/WF America Administrative Office no later than
May 1, 2015. No applications or fees will be accepted at the National Camp site. Dan Examinees must have written
permission from their country or regional Chief Instructor.
Examinees must be JKA/WF America members. All Dan, Examiner & Instructor examinees must attend the entire National Camp to be permitted to take these exams. All examinees must have a current JKA/WF America membership
passport.
Dan Examinations
Qualification Exams
Dan Examination Fees: These fees are for this Event ONLY.
Judge, Instructor and Examiner Fees:
These fees are for this Event ONLY
Rank
Shodan
Nidan
Sandan
Yondan
Godan
US/Others
$100.00 (US)
$120.00
$140.00
$190.00
$240.00
Dan Registration Fees: These fees are for this Event ONLY
Rank
Shodan
Nidan
Sandan
Yondan
Godan
US/Others
$150.00 (US)
$2000.00
$240.00
$340.00
$630.00
One copy of your Dan testing form, two copies of your dan registration form and two (2) passport photos must be sent with the exam fee and registration fee for the Dan rank for which you are testing. Your exam fee and registration fees must be separate checks.
Please make Examination check payable to: NMKA.
Please make Dan Registration check payable to: JKA/WF America.
The Dan registration form and Dan testing form are included in
this brochure. A separate copy of all your paperwork should be
kept at your Regional office. A mouthpiece and sparring gloves
are required for all Dan Examinees.
Qualification
Instructor
Instructor
Examiner
Examiner
Judge
Judge
Level
C
D
C
D
C
D
Exam Fee
$80
$80
$80
$80
$80
$80
Registration Fee
$100.00(US)
$100.00(US)
$3000.00(US)
$180.00(US)
$120.00(US)
$100.00(US)
Examiner and Instructor qualification examinations are open to those
registered JKA/WF Instructor Trainees who have completed all other
requirements as stated in the previous JKA/WF Instructor Trainee Manual. The qualification testing form and the qualification registration
form are included in this brochure. One copy of your qualification testing form and two copies of your qualification registration form must be
submitted along with payment. Your exam fee and registration fees
must be separate checks.
Please make Examination check payable to: NMKA.
Please make Dan Registration check payable to: JKA/WF America.
If you are registering to take the D level Instructors exam, two copies
each of all completed trainee reports along with the completed technical
subject sheet with signatures and your valid CPR certification must also
be sent to JKA/WF America administrative office no later than May 1,
2015. Please adhere to instructor trainee policy regarding format of
submitted report as stated in instructor trainee manual. A separate copy
of all of your paperwork should be kept at your regional office.
Important Notices!
JKA/WF America Passports
All JKA/WF America members who are brown belt or black belt are required to have a JKA/WF America passport. This passport lists
the individual’s certifications in each area and is accepted as proof of such when the services are required in an official capacity during
any JKA/WF Event. The JKA/WF America passport is mandatory for all brown and black belts and must be shown at each JKA/WF
event. All other JKA/WF America members are required to have either a passport or a membership card. Passports and membership
cards can be acquired through your regional office. You will be charged $45.00 (US) for a replacement card or $70.00(US) for replacement passport at camp.
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2015 JKA/WF America National Camp Registration Form
Name __________________________________________Age_______DOB ________ Sex
Rank ______
Address _______________________________________City_______________ State _________ Zip ______
Region ____________________________________________________ Country _______________________
Dojo ____________________________________ Tel (
)_________________ Email __________________
Are you JKA/WF America member?
Yes / No
Are you a JKA/WF member?
Yes / No
Are you a registered JKA/WF Instructor or Instructor Trainee?
Yes / No
Qualification Rank ________
Do you have a JKA Passport?
Yes / No
Every member must have a JKA/WF Passport or Membership Card. If you do not have one please obtain one
through your regional office. If you have further questions about obtaining a passport you may contact the administrative office.
JKA/WF America National Camp 2015 T-shirt Order Form:
In order to guarantee your T-shirt, you must pre-order and include full payment with pre-registration. We may not
guarantee availability or size at National Camp. Pre-order postmarked deadline: May 1, 2015. No shirts will be preordered without payment in advance.
Attendees who prepay IN FULL before May 1, 2015 will receive free T-shirt. Please indicate size below.
Price per additional shirt: Pre-ordered for additional shirt $20.00 (US) / At Camp $25.00 (US) - subject to availability T-shirt sizes: Youth S, M, L Adult S, M, L, XL and XXL
Dojo name:______________________________________________ Country __________________________
Name_____________________ Size __Qty __ Amount Enclosed
Additional $_____
Name_____________________ Size __Qty __ Amount Enclosed
Additional $_____
Name_____________________ Size __Qty __ Amount Enclosed
Additional $_____
Payment Form:
Mail with $50.00(US) deposit to: NMKA c/o JKA/WF America, 6501 Eagle Rock Ave. NE A-1Albuquerque, NM
87113
Camp Deposit/Tuition (from page 2)
T-shirt (total amount)
Total
$_____
$_____
$_____
All fees are due in US currency. Please make check or money order payable to: NMKA
All JKA/WF America members that are brown and black belts must have their JKA/WF passport with them at camp. All other members
must have their JKA/WF America membership card or passport.
Participant’s Medical Questionnaire and Waiver on page #5 must be completed and signed.
Children must be accompanied by an adult or guardian at all times. Each dojo is responsible for enforcing this policy for their students.
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Participant's Medical Questionnaire & Waiver:
To be completed by all adults and guardians of minors attending JKA/WF America Camp or Tournament 2015
Name ________________________________ Date of Birth ________ Sex ______ Rank ______________
Address __________________________________________ City ___________ State _____ Zip ______
Region _______________________________ Country ________________ Dojo _____________________
Do you have a history of any of the following conditions? Please check either yes or no for each one.
If you answer yes to any, please explain:
Yes
____
____
____
____
____
____
____
____
____
____
____
____
No
____
____
____
____
____
____
____
____
____
____
____
____
Heart murmur
Hypertension
Recent infection
Bone fracture in the past six months
Concussion or severe head injury in the past six months
Seizures
Eye injury
Severe bone bruises requiring padding
Kidney injury
Allergy to medication (list all):
Any other medical conditions affecting your physical activity. If yes please specify _____________
Are you currently taking any medications? If yes please specify _______________________________
Other_______________________________________________________________________
___________________________________________________
__________
Signature of Participant (Parent or Guardian if under 18 years of age)
Date
Waiver/Release Agreement: PLEASE INITIAL AND SIGN WHERE INDICATED
Japan Karate Association/World Federation America National Camp 2015, I understand that there are risks and dangers inherent in martial arts
training and in participating in and/or receiving instruction at the EVENT. I understand and agree that by signing this Waiver/Release, I am assuming full responsibility for any and all risk of personal injury or death or for property damage suffered by me while participating in and/or receiving instruction at the EVENT. I expressly acknowledge that my participation in the EVENT may subject me to personal injury or bodily harm
and I assume any and all risks of that participation. I also understand that in order to be allowed to participate in and/or receive instruction at
the EVENT, I must give up my rights to hold Japan Karate Association World Federation America and its affiliates, and all other clubs, schools,
instructors, members, judges, officials, representatives and all other participants (collectively the "Releases") liable for any injury or damage
which I may suffer while participating in and/or receiving instruction at the EVENT. _____Initial
I also understand and agree that by signing the Waiver/Release, I acknowledge that I am solely responsible for having or obtaining all insurance coverage
which may be necessary or desirable in connection with my participation in and/or receipt of instruction at the EVENT and for any travel to and from the
EVENT and in all lodging or any other activities which may be related directly, indirectly or incidentally to the foregoing. ____Initial. I further understand
and agree that any fees or costs required for necessary or requested medical attention shall be my sole responsibility and that I shall not seek indemnification
or contribution from any Release in connection therewith. I also understand that the Releases shall not be responsible for any incidental, consequential or
exemplary damages of any kind even if they are notified of the possibility of such in advance. I also understand and agree that any damage to any lodging
sites or the tournament site that I cause is my full responsibility. In no case are said damages the responsibility of any of the Releases. I further understand
and agree that as consideration for my participation in the EVENT, Japan Karate Association World Federation America and or its designees shall have the
right to use my name, image or likeness in the promotion of the EVENT or in any publication relating to the EVENT (or similar Events) and in any broadcast
or rebroadcast transmission of the EVENT without any additional consideration to me for the use of my said name, image or likeness. ____Initial
I understand and agree that this Waiver/Release will have the effect of releasing, discharging, waiving and forever relinquishing any and all
actions or causes of action that I may have or have had, whether past, present or future, whether known or unknown, and whether anticipated
or unanticipated by me, arising out of my participation in and/or receipt of instruction at the EVENT. ____Initial
Knowing this, and in consideration of being permitted to participate in and/or receive instruction at the EVENT, I hereby release and agree to indemnify and
hold harmless the above-named Releases individually and their entities, and their officers, agents, principals, partners, shareholders, directors and employees
from any and all liability or costs, including attorney fees, associated with or arising from my participation in and/or receipt of instruction at the EVENT. I
further understand and agree that this Waiver/Release will be binding on me, my spouse, my heirs, my personal representative, my assigns, my children and
any guardian ad litem for said children. ____Initial
I understand that if I am signing this Waiver/Release on behalf of my minor child, that I will be giving up the same rights for said minor, as I would be giving
up if I signed this document on my own behalf. ____Initial
I acknowledge that I have read this Waiver/Release Agreement and that I understand the words and language in it. ____Initial
Print Name
Sign Name
Date ________________10
Witness _________________________
11
JKA/WF America__________Request for_Dan and Qualification Testing _____________________________
Testing for: ____________Dan Rank
Qualification Rank
Judge
(D C B)
Instructor
(D C B)
Examiner
(D C B)
Please type or print clearly. Unclear spelling will be delayed your registration process or sending it back to retype.
Name _________________________________________Date of Birth _____/_____/_____ Age ____ Gender M F
Address _______________________________ City _____________ State ____ Zip ______ Country ___________
Telephone (
) _______________ Fax (
) _______________ Email___________________
Dojo
Region __________________ Present Rank (Dan) __________________
I plan to take the following examination (s):
Examination
Current Rank (if any)
Date of Last exam
If you have previously tested for this next rank, please
list dates of each previous exam. If this is your first time
testing for this rank, please list “first time”.
Dan
*Judge
*Instructor
*Examiner
Record of existing qualifications: JUDGE/INSTRUCTOR/EXAMINER/
Judge Qualifications
Date of Exam Registration Number
D ___/___/___ _________________
C ___/___/___ _________________
B ___/___/___ _________________
Instructor Qualifications
Date of Exam
Registration Number
D ___/___/___ _______________
C ___/___/___ _______________
B ___/___/___ _______________
Examiner Qualifications
Date of Exam
Registration Number
D ___/___/___ ________________
C ___/___/___ ________________
B ___/___/___ ________________
If you are planning to take the next level exam and already have qualification in any of these areas, you must provide proof of your
current qualifications. If you do not have a qualification passport, you must obtain one from your region before testing.
If you are taking the Dan examination please list previous Dan registration numbers (if applicable):
Rank
Registration
Date of Exam
Chief Instructor/Examiner's name
Sho
Ni
San
Yon
Go
Roku
If you are a JKA/WF America member and want to take the Dan test you must have a current JKA/WF AMERICA passport. You will
be charged $70.00 (US) for a replacement passport.
I PROMISE THAT THE ABOVE INFORMATION IS COMPLETE AND ACCURATE AND I WILL CONTINUE TO UPHOLD THE
STANDARDS AND HONOR OF JKA AND JKA/WF AMERICA.
Date_________________
Signature
Please do not email forms.
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REQUEST FOR DAN REGISTRATION
JKA/WF America
For the purposes of clarity all information must be typewritten. Handwritten forms may be returned.
The name must be in 24 characters including any spaces.
Whatever you write will be register as your name.
Please do not email forms.
Name _____________________________________________________
Address ____________________________________________________
photo
____________________________________________________
Telephone (_____) _____________________
Email ___________________________
Registering for _________ Dan
Date of Examination ________________
Examiner ________________________
Instructor ________________________
**Instructor’s Signature _____________________________________________________**
Club Name ______________________________________ Country ____________ Region _________________
PERSONAL INFORMATION
Date of Birth ____/____/_____ Sex M ____ F____ Height _____ft-_____in-_____cm Weight ___________ lbs/kg
Occupation ________________________________________________________________________________
Last School or College _____________________________ Degree ____________________________________
KARATE HISTORY
When did you begin karate practice? Year _____________ Month _______________
Previous Dan Registrations:
Date of Exam
Reg. No.
Sho (1) Dan
___________
________________
Ni (2) Dan
___________
________________
San (3) Dan
___________
________________
Yon (4) Dan
___________
________________
Date of Exam
Reg. No.
Report
Go (5) Dan
___________
_______________
y/n
Roku (6) Dan
___________
_______________
I REQUEST THAT MY RANK BE LISTED IN THE REGISTER OF THE JAPAN KARATE ASSOCIATION/WORLD FEDERATION.
I PROMISE TO UPHOLD THE STANDARDS AND HONOR OF JKA/WF.
Student’s Signature ______________________________________________________________________
FOR EXAMINER’S USE ONLY
Rank Awarded __________ Examiner’s Signature ________________________________________________
Promotion by: (circle one)
Remarks:
EXAMINATION
RECOMMENDATION
HONORARY
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REQUEST FOR QUALIFICATION REGISTRATION
JKA/WF America
For the purposes of clarity all information must be typewritten. Handwritten forms may be returned.
**A separate form must be filled out for each Qualification**
The name must be in 24 characters including any spaces.
Whatever you write will be register as your name.
Please do not email forms.
Name _____________________________________________________
Address ____________________________________________________
photo
____________________________________________________
Telephone (_____) _____________________
Registering for (circle one)
Judge
(D C B)
Examiner ________________________
Email ___________________________
Instructor
(D C B)
Examiner
(D C B)
Date of Examination ________________
Instructor ________________________
**Instructor’s Signature _____________________________________________________**
Club Name ______________________________________ Country ____________ Region _________________
PERSONAL INFORMATION
Date of Birth ____/____/_____ Age____ Sex M ____ F____ Height _____ft-_____in-_____cm Weight __________ lbs/kg
Occupation ________________________________________________________________________________
Last School or College _____________________________ Degree ____________________________________
KARATE HISTORY
When did you begin karate practice? Year _____________ Month _______________
Previous Qualifications:
Judge Qualifications
Date of Exam Registration Number
D ___/___/___ _________________
C ___/___/___ _________________
B ___/___/___ _________________
Instructor Qualifications
Date of Exam Registration Number
D ___/___/___ _______________
C ___/___/___ _______________
B ___/___/___ _______________
Examiner Qualifications
Date of Exam Registration Number
D ___/___/___ ________________
C ___/___/___ ________________
B ___/___/___ ________________
I REQUEST THAT MY RANK BE LISTED IN THE REGISTER OF THE JAPAN KARATE ASSOCIATION/WORLD FEDERATION. I PROMISE TO UPHOLD THE STANDARDS AND HONOR OF THE JKA/WF.
Student’s Signature ______________________________________________________________________
FOR EXAMINER’S USE ONLY
Rank Awarded _________________________ Examiner’s Signature____________________________________________
Promotion by: (circle one)
Remarks:
EXAMINATION
RECOMMENDATION
HONORARY
13
14
JKA/WF America National Camp 2015
Remittance Checklist
Please return this checklist with your registration. Make copies of all paperwork for yourself. Please do not email forms.
Name:_________________________ Region:_________________
Camp Participants
Registration form
________*
Waiver signed
________*
T-shirt ordered
________ (optional)
Payment included
________*
Amount enclosed US$_______
JKA/WF membership card or passport
yes__/no___ (DO NOT MAIL) Check Payable to: NMKA
(Do NOT mail in card/passport, required to show at camp registration)
If you do not have a card or passport, please obtain one from your region before camp or pay the non-member fee.
*Mandatory items
Dan Examinees
All camp requirements (see above)
________*
Dan testing form—typed
________*
Dan Registration form- typed (2 copies)
________*
Two passport photos
________*
Copy of previous rank certificate
________*
Dan Registration fee payment (separate check)
________*
Dan Examination fee payment
________*
Report (Godan Testing only)
________*
JKA/WF America Passport
________* (DO NOT MAIL)
(Do not mail in passport. You will be required to show passport at exam)
Amount enclosed US$_______
Amount enclosed US$_______
All exam checks payable
to: JKA/WF America
* Mandatory items must be submitted by May 1, 2015 or you will not be allowed to test at the June Camp.
Qualification Examinees
All Camp requirements
_________*
Copies of previous qualifications
_________*
Copy of Latest Dan certificate
_________*
Qualification testing form—typed
_________*
Qualification Registration form typed (2 copies)
_________*
Qualification Exam Fee payment
_________*
Amount enclosed US$_______
Qualification Registration fee payment (separate check) _________*
Amount enclosed US$_______
2 Copies Trainee Report (D Instructor examinees only) _________*
All exam checks payable
2 Copies Completed Instructor Trainee technical subject sheet
to: JKA/WF America
(D Instructor examinees only)
_________*
2 Copies of CPR certification
_________*
(D Instructor examinees only)
*Mandatory items must be submitted by May 1, 2015 or you will not be allowed to test at the June Camp.
Even if items have already been submitted, they must be submitted again with Camp Registration packet.
Mail to:
JKA/WF America Administrative Office
Eagle Rock Ave. NE A-1
Albuquerque, NM 87113
Total Remittance US$________
Please make all Camp checks payable to: NMKA (New Mexico Karate Association)
Please make all exam and rank registration checks payable to: JKA/WF America
14
15
Selection of Judges Form
Judges must meet the requirements as established by the JKA/WF America. JKA/WF America Technical Committee shall designate the Chief Judge and Arbitrator. A minimum of three (3) judges is requested from each region.
This is to confirm that the following persons will serve as Judges at the 2015 JKA/WF America National Karate
Tournament and National Collegiate Tournament. A minimum of two (2) judges, Rank C or above, is required from
each region.
Each participating judge must present his or her current JKA/WF issued License Qualification card.
Region: ___________________________________________________________________________
Name
Dan Rank
Judge’s Rank
(A, B, C, D)
Certificate #
______________________
_________
__________
______ _________________
______________________
_________
__________
______ _________________
______________________
_________
__________
______ _________________
______________________
_________
__________
______ _________________
______________________
_________
__________
______ _________________
______________________
_________
__________
______ _________________
Signature of Regional Director:____________________________________________
This information must be postmarked no later than May 1, 2015
ALL JUDGES MUST SHOW VALID JKA QUALIFICATION CARD
Please send to:
JKA/WF America
Eagle Rock Ave. NE A-1
Albuquerque, NM 87113
15
16
National Karate Championship
ADULT DIVISION – GENERAL INFORMATION
The National Karate Championship is open to JKA/WF members only. Competitors must be at least 18 years old
and 3rd kyu and over to compete in the adult division. Competitors must present a current JKA/WF passport or
buy one at the tournament for $70.
Please Note
In kumite matches, mouthpiece and JKA/WF America approved kumite gloves are required for all contestants,
regardless of rank. No contestant will be permitted to compete without both. Only safety glasses will be permitted to be worn during kumite events. Absolutely no jewelry of any type will be permitted to be worn by competitors or officials (male or female).
Nationals Adult Individual Events
Brown and Black belt individuals will compete in separate events.
Regional Eliminations: Each region of the JKA/WF, may seed the top 4 competitors from its region in the following events: Women’s Kata, Men’s Kata, Women’s Kumite and Men’s Kumite.
Two finalists from the individual kumite event and three finalist from the individual kata event will compete in
the finals.
Any US member of the JKA/WF who wishes to compete, and is 3rd kyu or higher, may do so simply by filling out
the appropriate forms and meeting the deadlines for registration.
There are no limits to the number of contestants from one region.
Nationals Adult and Senior Team Events
Team Kata: Each JKA/WF region may send one men’s team and one women’s team, and one mixed senior team
chosen in competition at the regional eliminations.
Kata teams will compete in the preliminaries on Sunday, June 14, 2015. The top three men’s teams, top three
women’s teams and top three senior teams will advance to the finals Sunday afternoon.
Team Kumite: Each men’s team will consist of three members and one alternate. Each women’s team will consist of three members and one alternate. Each JKA/WF region may send one men’s and one women’s kumite
team, chosen in competition at the regional competitions.
The top two kumite teams will advance to the finals.
16
Adult Individual Black Belt Regional Representative Seeding Form
17
Each region may send the top competitors from that region’s elimination tournament as “previously qualified contestants” for the National Tournament. The number of competitors in each event is as follows:
Women’s Kata (4)
Women’s Kumite (4)
Men’s Kata (4) Men’s Kumite (4)
All contestants must pre-register, and all registrations must be postmarked by May 1, 2015.
Contestants must be at least 18 years of age, 3rd kyu and over, and must present a current JKA/WF Passport at check-in.
Registration fees are non-refundable. A single event is $45 ($35 with paid camp fee) or both events are $55 ($45 with paid
camp fee) per contestant.
Region:________________________________________________________________________
Regional Director’s Signature:______________________________________________________
Men’s Kumite:
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Women’s Kumite:
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Men’s Kata:
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
Women’s Kata:
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
JKA/WF America
Eagle Rock Ave. NE A-1
Albuquerque, NM 87113
17
18
Black Belt Adult Individual Division Tournament Registration Form
All contestants must pre-register, and all registrations must be postmarked by May 1, 2015. Contestants must be at
least 18 years of age and must present a current JKA/WF membership passport at check-in. Please submit a signed
Medical Questionnaire & Waiver (page10) for each individual.
Registration fees are non-refundable. A single event is $45 ($35 with paid camp fee) or both events are $55 ($45
with paid camp fee) per contestant. There are no limits to the number of contestants from one region.
Region:______________________________________________________________________
Name
Rank Sex
Age
Kata Kumite
Amount
Enclosed
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
Total amount enclosed:
$_______________
Please make checks or money orders payable to:
NMKA
Please send to:
JKA/WF America
Eagle Rock Ave. NE A-1
Albuquerque, NM 87113
18
Brown Belt Adult Individual Division Tournament Registration Form
19
All contestants must pre-register, and all registrations must be postmarked by May 1, 2015. Contestants must be at
least 18 years of age and must present a current JKA/WF Passport at check-in. Please submit a signed Medical Questionnaire & Waiver (pg 10) for each individual.
Registration fees are non-refundable. A single event is $45 ($35 with paid camp fee) or both events are $55 ($45 with
paid camp fee) per contestant. There are no limits to the number of contestants from one region.
Region:______________________________________________________________________
Name
Rank Sex
Age
Kata Kumite
Amount
Enclosed
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
Total amount enclosed:
$_______________
Please make checks or money orders payable to:
NMKA
Please send to:
JKA/WF America
Eagle Rock Ave. NE A-1
Albuquerque, NM 87113
19
20
Adult Regional Team Registration Form
Each region may send one team for each of the following team events.
Men’s Team Kumite, Women’s Team Kumite, Men’s Team Kata, Women’s Team Kata
All teams must pre-register, and all registrations must be postmarked by May 1, 2015.
Contestants must be at least 18 years of age, 3rd kyu and over, and must present a current JKA/WF Passport at check-in. Team registration $100 per
team. Please submit a signed Medical Questionnaire & Waiver (pg 10) for each individual. Registration fees are non-refundable.
Region:________________________________________________________________________
Regional Director’s Signature:______________________________________________________
Three Men’s Team Kumite:
Name
Rank
(Captain)____________________________________________
_________
___________________________________________________
_________
___________________________________________________
_________
(Alternate)__________________________________________
_________
Three Women’s Kumite:
(Captain)____________________________________________
_________
___________________________________________________
_________
___________________________________________________
_________
(Alternate)__________________________________________
_________
Men’s Kata:
(Captain)___________________________________________
_________
__________________________________________________
_________
__________________________________________________
_________
(Alternate)_________________________________________
_________
Women’s Kata:
(Captain)___________________________________________
_________
__________________________________________________
_________
__________________________________________________
_________
(Alternate)_________________________________________
_________
Total amount enclosed: $____________________
Please make checks or money orders payable to:
87113
NMKA
mail to:
Eagle Rock Ave. NE A-1 Albuquerque, NM
20
21
Senior Individual Division Tournament Registration Form
All contestants must pre-register, and all registrations must be postmarked by May 1, 2015. Contestants must be at
least 45 years of age, 3rd kyu or higher rank, and must present a current JKA/WF Passport at check-in. Please submit
a signed Medical Questionnaire & Waiver (pg 10) for each individual.
Registration fees are non-refundable. A single event is $45 ($35 with paid camp fee) or both events are $55 ($45 with
paid camp fee) per contestant. There are no limits to the number of contestants from one region.
Region:______________________________________________________________________
Name
Rank Sex
Age
Kata Kumite
Amount
Enclosed
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
Total amount enclosed:
$_______________
Please make checks or money orders payable to:
NMKA
Please send to:
JKA/WF America
Eagle Rock Ave. NE A-1
Albuquerque, NM 87113
21
22
Senior Division Qualifications and Rules
All eligible Senior Competitors must be a member in good standing with the JKA/WF. Contestants must be at least
45 years of age and 3rd kyu or higher rank.
The competition is open to both male and female individual competitors and will include three age categories as follows:
Age 45-54
Brown & Black Belt – Male or Female
Kata: Any kata may be performed
Kumite: Free sparring (Jiyu Kumite)
Age 55 – 64
Brown & Black Belt – Male or Female
Kata: Any kata may be performed
Kumite: Jiyu Ippon Kumite (Jodan Oizuki, Chudan Oizuki, Maegeri Chudan , Yoko Kekomi)
Age 65 and up
Brown & Black Belt – Male or Female
Kata: Any kata may be performed
Kumite: Juyu Ippon Kumite (Jodan Oizuki, Chudan Oizuki, Maegeri Chudan, Yoko Kekomi)
CONTACT IS NOT PERMITTED UNDER ANY CIRCUMSTANCE
A. The essence of jiyu ippon kumite, offensively, is to make one strong attack in order to catch your opponent defenseless. Defensively, one needs to make a strong counterattacking measure by itself coupled with a block. The
defending side must demonstrate one countering technique.
B. At the start of each match, aka (red side) will initiate the attack. Each attack must be clearly and loudly announced in the order of jodan oizuki, chudan oizuki, chudan mae geri, and chudan yokogeri kekomi. The offensive side may use their favorite side to attack.
1. In case of a draw, the offensive side must use the opposite side to attack.
2. The defensive side is allowed one counterattack technique aimed at the appropriate target.
C. Prohibited Techniques:
1. The offensive side may not use feints or noises to distract their opponent.
2. The offensive must make their attack once they are within correct distance. Once the correct distance has
been established, they cannot hesitate, stalk, or pursue their opponent without an offensive technique or the
referee will issue a warning.
3. The offensive side, upon completion of an attack, must maintain their kamae (attack posture) and not immediately draw back the attack technique or step back out of counterattacking distance.
4. The offensive side cannot block counterattacking techniques or avoid them by body shifting (must maintain
attack posture).
5. The offensive side cannot jump or slide with the lunge attacks.
6. No grabbing or holding will be permitted by the offensive or defensive side.
7. Escaping out of bounds by the defensive side will result in the following:
a. 1st time – jogai kekoku:
out of bounds
nd
b. 2 time- jogai chui:
warning
rd
c. 3 time – jogai hansoku
disqualification, loss of match
22
23
Senior Team Kata Registration Form
Each region may send one kata team for the Senior Team Kata Event. Teams may be a mix of male and female.
All teams must pre-register, and all registrations must be postmarked by May 1, 2015.
Contestants must be at least 45 years of age, 3rd kyu or higher, and must present current JKA/WF Passport at
check-in. (must be US member)
Team registration $75 per team. Registration fees are non-refundable. Please submit a signed Medical Questionnaire & Waiver (page 10) for each individual.
Region:________________________________________________________________________
Regional Director’s Signature:______________________________________________________
Senior Team Kata:
Name
Rank
(Captain)____________________________________________
_________
___________________________________________________
_________
___________________________________________________
_________
(Alternate)__________________________________________
_________
Total amount enclosed: $____________________
Please make checks or money orders payable to:
NMKA
Please send to:
JKA/WF America
Eagle Rock Ave. NE A-1
Albuquerque, NM 87113
23
24
COLLEGIATE – GENERAL INFORMATION
The National Collegiate Karate Tournament is open to JKA/WF US members who are full-time undergraduate students in good standing of a United States College, University or Junior College. Competitors must be at least 18
years old. Competitors must present valid proof of full time status and current JKA/WF membership card or passport. In team competition, all members of a team must be students of the same school.
Competition rules for kumite and kata contestants and judges are those established by the JKA/WF America.
Please take note of specific contest rules listed below.
Collegiate Individual Events
The following individual events will be included:
White Belts
(unranked to 7th kyu)
Men’s/Women’s kata
Men’s kumite
Women’s kumite
Colored Belts
(6, 5, 4 kyu)
Men’s/Women’s kata
Men’s kumite
Women’s kumite
Brown and Black Belts
(3b kyu and above)
Women’s kata
Men’s kata
Women’s kumite
Men’s kumite
The top two male and two female kata and top two kumite contestants will advance to finals.
There is no limit to the number of contestants from one school.
Collegiate Team Events
All members of a collegiate team must be from the same college/university. Only one team per school in
each event is allowed.
Team Kata:
Teams may be composed of any combination of ranks and any combination of men and women.
The top two teams will advance to Sunday’s finals.
Team Kumite:
Teams may be composed of any combination of ranks for men’s team and for women’s team.
A team is composed of three members and one alternate.
The top two teams will advance to Sunday’s finals.
24
COLLEGIATE CONTEST RULES
25
JKA/WF America contest rules apply to both individual and team events. Please note the specific items listed.
Kata:
A. Contestants may not perform kata in competition higher than that required for their next promotion examination. The table below indicates the appropriate kata for each rank.
B. In the case of team kata, the kata performed must be in accordance with the status of the lowest ranking member of the team.
Rank
Permitted Kata
Ungraded
8 kyu
7 kyu
6 kyu
5 kyu
4 kyu
3 kyu-1 kyu
Shodan & above
Heian 1
Heian 1-2
Heian 1-2-3
Heian 1-2-3-4
Heian 1-2-3-4-5
Heian 1-2-3-4-5, Tekki 1
Heian 1-2-3-4-5, Tekki 1, Jion
Bassai-Dai, Empi, Kanku-Dai
Any kata may be performed
Kumite:
In matches in which the rank of either contestant is beginner to 4th kyu, either team or individual, the method of the contest is ippon kumite (one step sparring). The technique and target will be announced before each attack. At the start of
each match aka (red side) will initiate the attack.
A. Ranks of beginner to 7th kyu will attack four times, using lunge punches to the face and mid-section with both right and
left hands but initiating the attack with the right side. Ranks of 6th kyu to 4th kyu will attack three times, using lunge
punches to the face and mid-section and front snap kick (mae geri) initiating the attack with the right side.
B. The defending side must demonstrate two different countering techniques among his/her four defenses. Failure to do
so will result in disqualification. Only one counterattack is permitted.
C. In the case of a draw during an ippon kumite match between contestants in which the kyu ranks are beginner to 7th kyu
the referee shall instruct the contestants to repeat ippon kumite as above, but red side (aka) attacks with the left side
first. In the case of a draw during an ippon kumite match between contestants in which ranks of 6th kyu to 4th kyu are
involved, the referee shall instruct the contestants to repeat ippon kumite as above, but the attacking/offensive side
must initiate the attack with the left side.
D. Warnings, Fouls and Disqualifications
1. During an ippon kumite contest in which the defensive/counter-attacking side does not employ at least two
different types of counter-attacks as counter measures to the four offensive attacks, that contestant shall be disqualified.
This disqualification shall be administered at the completion of the individual contest.
A.If during an ippon kumite match the initial defensive/counter-attacking side uses only one type
counter-attack on all four counter-attacks, that side is still required to act as the offensive/attacking
side for that individual match.
25
26
Collegiate Contest Rules - Continued
2.
During ippon kumite matches, a contestant who utters verbal noises, engages in feints, false starts, and/or
other attempts to distract the opponent shall be given a warning. Upon a second instance the contestant
shall be disqualified.
3. During an ippon kumite match if the offensive/attacking contestant announces one target area and delivers a technique to a different area than that which was announced, that contestant shall be given a warning. A second violation shall lead to disqualification.
4. Prohibited Techniques when counter-attacking: The defensive contestant is not permitted to employ:
sweeping techniques; any technique below the waist; nukite to the face or neck; wristlocks, joint manipulation or any technique aimed at a joint; grabbing; other techniques deemed dangerous by the judges. Use
of any of these techniques will result in disqualification.
5. When counter-attacking for an individual offensive technique, the defensive/counter-attacking contestant
shall not employ multiple counter-attacks as counter measure for a single offensive attack.
E. When announcing the target area during an ippon kumite match the following shall apply:
1. The announcement of the target area must be of significant volume to be heard by all of the judges for the
match.
2. The announcement of the target area must be made after the offensive/attacking contestant has assumed a stationary, forward stance position.
F.
When delivering a technique the offensive/attacking contestant may follow in the direction of the defensive/counterattacking contestant if the defensive side moves/shifts on an angle.
CONTACT IS NOT PERMITTED UNDER ANY CIRCUMSTANCE
In matches in which the rank of either contestant is 3 kyu or above, either team or individual, the method of the contest is
jiyu kumite (free sparring) to employ JKA rules.
Please Note
In kumite matches: Mouthpiece and JKA approved kumite gloves are required for all contestants, regardless of rank. No
contestant will be permitted to compete without both. Only safety glasses will be permitted to be worn during kumite
events. Absolutely no jewelry of any type will be permitted to be worn by competitors or officials (male or female).
26
27
Collegiate Tournament Individual Registration Form
All contestants must pre-register, and all registrations must be postmarked by May 1, 2015. Contestants must be at least 18 years of age,
full time undergraduate college students only; no part-time or graduate students will be allowed to compete. Proof of enrollment and current JKA/WF membership must be presented at check-in. Please submit a signed Medical Questionnaire & Waiver (page 10) for each individual.
Registration fees are non-refundable. A single event is $45 ($35 with paid camp fee) or both events are $75 ($45
with paid camp fee) per contestant. There are no limits to the number of contestants from one region.
School:______________________________________________________________________
City:___________________________________ State:_______________________________
Coach:______________________________________________________________________
Region:______________________________________________________________________
Ranking categories:
Name
White (unranked to 7 kyu); and Colored Belt (6 kyu and 4 kyu);
Brown and Black Belt (3 kyu and above).
Amount
Rank Sex
Age Kata Kumite
Enclosed
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
Total amount enclosed:
$_______________
Please make checks or money orders payable to:
NMKA
Please send to:
JKA/WF America
Eagle Rock Ave. NE A-1
Albuquerque, NM 87113
27
28
Collegiate Team Registration Form
All contestants must pre-register, and all registrations must be postmarked by May 1, 2015. Contestants must be at least 18 years of age,
full time undergraduate college students only; no part-time or graduate students will be allowed to compete. Proof of enrollment and
current JKA/WF card or passport must be presented at check-in. Only one team per event, per school, and all team members must be
from the same school. Teams may be composed of any combination of rank. ALL MEMBERS OF A TEAM MUST BE FROM THE
SAME COLLEGE. Please submit a signed Medical Questionnaire & Waiver (pg 10) for each individual.
Registration fees are non-refundable. Team registration, $75 per team.
School:______________________________________________________________________
City:___________________________________ State:_______________________________
Coach:______________________________________________________________________
Region:______________________________________________________________________
Men’s Team Kumite:
Name
Rank
(Captain)____________________________________________
_________
___________________________________________________
_________
___________________________________________________
_________
(Alternate)__________________________________________
_________
Women’s Team Kumite:
(Captain)____________________________________________
_________
___________________________________________________
_________
___________________________________________________
_________
(Alternate)__________________________________________
_________
Team Kata: (Kata teams may be any combination of men and women)
(Captain)___________________________________________
_________
__________________________________________________
_________
__________________________________________________
_________
(Alternate)_________________________________________
_________
Total amount enclosed:
$_______________
Please make checks or money orders payable to:
NMKA
Please send to:
JKA/WF America
Eagle Rock Ave. NE A-1
Albuquerque, NM 87113
28
29
YOUTH DIVISION – GENERAL INFORMATION
Age Rank Qualifications and Rules:
All eligible youth competitors must be a member in good standing with the JKA/WF. They must be between the ages of 5 and 17 years
old.
Individual:
The competition is open to both male and female competitors and will include five age categories as follows. Except where indicated, the
groupings apply to both kata and kumite.
Ages 5-6
Boys and girls will be combined in the following groups:
Ungraded to 7th kyu
6th kyu to 4th kyu
3rd kyu and above
Ages 7-8-9
Boys and girls will be combined in the following groups:
Ungraded to 7th kyu
6th kyu to 4th kyu
3rd kyu and above
Ages 10-11
Boys and girls will be combined in the following groups:
Ungraded to 7th kyu
6th kyu to 4th kyu
3rd kyu and above
Ages 12-13
Boys and girls will be combined in the following groups:
Ungraded to 7th kyu
6th kyu to 4th kyu
3rd kyu and above kata
Boys and girls will be separate in the following group:
3rd kyu and above kumite
Ages 14-15
Boys and girls will be combined in the following groups:
Ungraded to 7th kyu
6th kyu to 4th kyu
3rd kyu and above kata
Boys and girls will be separate in the following group:
3rd kyu and above kumite
Ages 16-17
Boys and girls will be combined in the following groups:
Ungraded to 7th kyu
6th kyu to 4th kyu
3rd kyu and above kata
Boys and girls will be separate in the following group:
3rd kyu and above kumite
Team:
Team kata will be open to all ages, rank and gender and limited to only one team per region. There will be no team kumite for
youths. The number of participants in each category will determine adjustments made, if any to their categories.
Finals:
All divisions will conclude on Sunday, June 14, 2015.
If any division has fewer than 5 competitors, we reserve the right to combine divisions.
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YOUTH DIVISION - RULES
Kata:
A. Contestants may not perform kata in competition higher than that required for their next promotion examination. The table below indicates the appropriate kata for each rank.
B In the case of team kata, the kata performed must be in accordance with the status of the lowest ranking member of the team.
Rank
Ungraded
8 kyu
7 kyu
6 kyu
5 kyu
4 kyu
3 kyu-1 kyu
Shodan & above
Permitted Kata
Taikyoku Sho Dan or Heian 1
Heian 1-2
Heian 1-2-3
Heian 1-2-3-4
Heian 1-2-3-4-5
Heian 1-2-3-4-5, Tekki 1
Heian 1-2-3-4-5, Tekki 1, Jion
Bassai-Dai, Empi, Kanku-Dai
Any kata may be performed
Kumite:
In matches in which the rank of either contestant is beginner to 4th kyu, either team or individual, the method of the contest is ippon kumite (one step
sparring). The technique and target will be announced before each attack. At the start of each match aka (red side) will initiate the attack.
A.
Ranks of beginner to 7th kyu will attack four times, using lunge punches to the face and mid-section with both right and left hands but
initiating the attack with the right side. Ranks of 6th kyu to 4th kyu will attack three times, using lunge punches to the face and midsection and front snap kick (mae geri) initiating the attack with the right side.
B.
The defending side must demonstrate two different countering techniques among his/her four defenses. Failure to do so will result in
disqualification. Only one counterattack is permitted.
C.
In the case of a draw during an ippon kumite match between contestants in which the kyu ranks are beginner to 7th kyu the referee shall
instruct the contestants to repeat ippon kumite as above, but red side (aka) attacks with the left side first. In the case of a draw during
an ippon kumite match between contestants in which ranks of 6th kyu to 4th kyu are involved, the referee shall instruct the contestants
to repeat ippon kumite as above, but the attacking/offensive side must initiate the attack with the left side.
D.
Warnings, Fouls and Disqualifications
1. During an ippon kumite contest in which the defensive/counter-attacking side does not employ at least two different types of
counter attacks as counter measures to the four offensive attacks, that contestant shall be disqualified. This disqualification
shall be administered at the completion of the individual contest.
a. If during an ippon kumite match the initial defensive/counter-attacking side uses only one type counter-attack on all four
counter-attacks, that side is still required to act as the offensive/attacking side for that individual match.
2. During ippon kumite matches, a contestant who utters verbal noises, engages in feints, false starts, and/or other attempts to
distract the opponent shall be given a warning. Upon a second instance the contestant shall be disqualified.
3. During an ippon kumite match if the offensive/attacking contestant announces one target area and delivers a technique to a
different area than that which was announced, that contestant shall be given a warning. A second violation shall lead to
disqualification.
4 Prohibited Techniques when counter-attacking: The defensive contestant is not permitted to employ: sweeping techniques;
any technique below the waist; nukite to the face or neck; wristlocks, joint manipulation or any technique aimed at a joint;
grabbing; other techniques deemed dangerous by the judges. Use of any of these techniques will result in disqualification.
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Youth Division Rules - Continued
5. When counter-attacking for an individual offensive technique, the defensive/counter-attacking contestant shall not employ
multiple counter-attacks as counter measure for a single offensive attack.
E. When announcing the target area during an ippon kumite match the following shall apply:
1. The announcement of the target area must be of significant volume to be heard by all of the judges for the match.
2. The announcement of the target area must be made after the offensive/attacking contestant has assumed a stationary, forward
stance position.
F. When delivering a technique the offensive/attacking contestant may follows in the direction of the defensive/counter-attacking contestant
if the defensive side moves/shifts on an angle.
CONTACT IS NOT PERMITTED UNDER ANY CIRCUMSTANCE
A.
The essence of jiyu ippon kumite, offensively, is to make one strong attack in order to catch your opponent defenseless. Defensively, one
needs to make a strong counterattacking measure by itself coupled with a block. The defending side must demonstrate two different
countering techniques.
B.
At the start of each match, aka (red side) will initiate the attack. Each attack must be clearly and loudly announced in the order of jodan
oizuki, chudan oizuki, chudan mae geri, and chudan yokogeri kekomi. The offensive side may use their favorite side to attack.
1. In case of a draw, the offensive side must use the opposite side to attack.
2. The defensive side is allowed one counterattack technique aimed at the appropriate target.
A.
Prohibited Techniques:
1.
2.
3.
4.
5.
6.
7.
The offensive side may not use feints or noises to distract their opponent.
The offensive must make their attack once hey are within correct distance. Once the correct distance has been established, they
cannot hesitate, stalk, or pursue their opponent without an offensive technique or the referee will issue a warning.
The offensive side, upon completion of an attack, must maintain their kamae (attack posture) and not immediately draw back the
attack technique or step back out of counterattacking distance.
The offensive side cannot block counterattacking techniques or avoid them by body shifting (must maintain attack posture).
The offensive side cannot jump or slide with the lunge attacks.
No grabbing or holding will be permitted by the offensive or defensive side.
Escaping out of bounds by the defensive side will result in the following:
A. 1st time – jogai kekoku:
out of bounds
B. 2nd time- jogai chui:
warning
C. 3rd time – jogai hansoku
disqualification, loss of match
In final matches in which the rank of either Contestant is 3rd kyu or above, the method of the contest will be jiyu kumite (free sparring) according to JKA
rules.
Please Note
In kumite matches: Mouthpiece and JKA approved kumite gloves are required for all contestants, regardless of rank. No contestant will be permitted to
compete without both. Only safety glasses will be permitted to be worn during kumite events. Absolutely no jewelry of any type will be permitted to be
worn by competitors or officials (male or female).
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32
Youth Individual Division Tournament Registration Form
Each Region may send an unlimited number of competitors in each of the three divisions (Ungraded to 7 th kyu, 6th kyu to 4th kyu, 3rd
kyu and above) in each of he following age groups:
Kata
Ages 5-6
Ages 7-8-9
Ages 10-11
Ages 12-13
Ages 14-15
Ages 16-17
Kumite
Ages 5-6
Ages 7-8-9
Ages 10-11
Ages 12-13 Girls
Ages 12-13 Boys
Ages 14-15 Girls
Ages 14-15 Boys
Ages 16-17 Girls
Ages 16-17 Boys
All contestants must pre-register, and all registrations must be postmarked by May 1, 2015. Contestants must be 17 years of age or
under at the time of the tournament, and must present a current JKA/WF card or passport at check-in. Please submit a signed Medical
Questionnaire & Waiver (page 10) for each individual. Registration fees are non-refundable. A single event is $45 ($35 with paid
camp fee) or both events are $55 ($45 with paid camp fee) per contestant.
Region:______________________________________________________________________
Name
Rank Sex
Age
Kata Kumite
Amount
Enclosed
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
____________________________
_____ _____ _____ _____ ______
____________
Total amount enclosed:
$_______________
Please make checks or money orders payable to:
Please send to:
NMKA
JKA/WF America
Eagle Rock Ave. NE A-1
Albuquerque, NM 87113
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33
Youth Team Registration Form – Kata Only
All teams must pre-register, and all registrations must be postmarked by May 1, 2015. Contestants must be 17 years
of age or younger at the time of the tournament and must present current JKA/WF membership card or Passport at
check-in. Teams may be made up of any combination of age (as long as 17 years of age or younger), rank or gender. Please submit a signed Medical Questionnaire & Waiver (page 10) for each individual.
Registration fees are non-refundable. Team registration, $75 per team.
Region: _____________________________________________________________
Name
Rank
(Captain)____________________________________________
_________
___________________________________________________
_________
___________________________________________________
_________
(Alternate)__________________________________________
_________
Total amount enclosed:
$_______________
Please make checks or money orders payable to:
NMKA
Please send to:
JKA/WF America
Eagle Rock Ave. NE A-1
Albuquerque, NM 87113
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34
T-Shirt Order Form
If you prepay in full by May 1, 2015, you will receive your JKA/WF America National Camp Tshirt FREE! (Please use the form from page 9.)
Order your 2015 JKA/WF America Tournament T-Shirt now and it will be available for you when you check-in
for the tournament.
Price per shirt: Pre-ordered $20.00 (US) / At Camp $25.00 (US) - subject to availability T-shirt sizes: Youth S, M,
L Adult S, M, L, XL and XXL
Region:______________________________________________________________________
Size
T-Shirt
Qty.
Amount
Enclosed
____________________________
__________
__________
__________
____________________________
__________
__________
__________
____________________________
__________
__________
__________
____________________________
__________
__________
__________
____________________________
__________
__________
__________
____________________________
__________
__________
__________
____________________________
__________
__________
__________
____________________________
__________
__________
__________
Name
Total amount enclosed:
$_______________
Please make checks or money orders payable to:
NMKA
Please send to:
JKA/WF America
Eagle Rock Ave. NE A-1
Albuquerque, NM 87113
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35
Program Advertising Form
Advertising Rates:
Back Cover (exterior or interior)
Full Page (interior)
Half Page
Quarter Page
Eighth Page
*Individual Sponsor Listing
10” high x 7-1/2” wide
10” high x 7-1/2” wide
5” high x 7-1/2” wide
5” high x 3-3/4” wide
2-1/2” high x 3-3/4” wide
$2,000
$ 500
$ 300
$ 200
$ 150
$ 10
Artwork/Advertisement should be submitted via email or on disc. Please contact JKA/WF America if you have questions on
acceptable formats for the ads Phone 505-256-0700 or email [email protected]
Deadline for artwork and ad space payment: April 1, 2015.
*Individual Roll Call List : An individual member may be listed in the Individual Roll Call Listing for $10. This listing is for
individual members only.
Advertising Space Reservation Form – 2015 JKA/WF America Championships
(Please check one):
________ Back Cover (exterior or interior) - $2,000 *Call for availability 505-256-0700
_______ Full Page (interior)
________ Half Page
________Quarter Page
________Eighth Page
Company Name:__________________________________________________________
Mailing Address:__________________________________________________________
City, State, Zip:___________________________________________________________
Representative:___________________________________________________________
Signature:________________________________________________________________
Phone:___________________ E-Mail Address:_____________________________________
Additional Comments: _____________________________________________________
Amount Enclosed:
$_________________
Individual Roll Call Listing
Name:____________________________
Rank_____________________ Year began Karate________
Region______________________________
Total # years in Karate___________
Amount Enclosed:
$__________________
Please make checks or money orders payable to:
NMKA
Please send to:
JKA/WF America
Eagle Rock Ave. NE A-1
Albuquerque, NM 87113
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36
Best Western
Courtyard By Marriott
Holiday Inn
If traveling by train,
please note:
Zia Train Station is
scheduled to open in
2015. If it is not open
by June 2015, use
South Capitol Station
Genoveva Chavez Community Center
A=
Genoveva Chavez Community Center
3221 Rodeo Road
Santa Fe, New Mexico 87505
www.GCCommunitycenter.com
B=
Courtyard by Marriott Santa Fe
3347 Cerrillos Road, Santa Fe, NM 87505
1-800-777-3347 or 505-424-2424
www.santafecourtyard.com
C=
New Mexico Rail Runner (train)
Zia Station Zia Road & St. Francis Drive (602 W. Zia Road)
Or South Capitol Station 1301 Alta Vista Santa Fe NM
www.nmrailrunner.com
Other Travel Information
Santa Fe Bus Service –http://santafetrails.santafenm.gov or call 1-866-551-7433
Albuquerque International Airport -www.cabq.gov/airport/
or call (505) 244-7700
36