3rd Annual Inland Empire Karate Tournament” Registration Form Name: _______________________________________________________________________ Address: _____________________________________________________________________ City: ________________________________ State: __________ Zip: ____________________ Phone: ______________________________ Email: __________________________________ DOB: _______________________________ School: _______________________________________________________________________ Instructor: _____________________________________________________________________ City: _________________________________State: ___________Zip: ____________________ Kata: K1: K2: K3: K4: K5: 7 and under 8 to 11 12 to 15 16 and older 40 + Ranking: ________________ ________________ ________________ ________________ ________________ Weapons Kata: W1: 7 and under W2: 8 to 11 W3: 12 to 15 W4: 16 and older W5: 40 + w______________ w______________ w______________ w______________ w______________ Admission Kata Weapons Kata Sparring Additional Event(s) $3.00 $________ $________ $________ $________ Total Fees: $________ First Event All Events Pre-Registration $40.00 $50.00 $30.00 Make checks out to: Steven De Gon Send pre-registration to: 507 E 12th Ave Post Falls, Idaho 83854 Telephone: 208-262-8150 Experience: (Please mark your years of experience within your rank or in the arts) Sparring: S1: S2: S3: S4: S5: S6: S7: S8: 7 and under 8 to 11 12 to 15 16 and older Women 35-44 Senior Women 45+ Men 35-44 Senior Men 45+ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ 1 year over 1 year under 1 year over 1 year under 1 year over 1 year under 1 year over 1 year under 1 year over 1 year under 1 year over 1 year under 1 year over 1 year under 1 year over 1 year under Demo Teams: ________________________________________________________ _____ (Name of school and number of team members) Signature of participant: ____________________________________________________________________________________________ (If you are not 18 years or older you must have a legal guardian sign for you, no exceptions) Tournament Arbitrators: Steven DeGon Joe Sullivan Waiver form I the undersigned have read and understand and do hereby voluntarily submit my application for attendance and participation in the 3rd annual Octoberfist Karate Tournament on August 8, 2015 and do hereby assume all risks and full responsibility of any and all damages, injuries, death or losses of movement that I may sustain or incur, if any, while attending or participating. These damages and injuries and/or death could include, but are not limited to, permanent disability and death, other lesser physical injuries or impairments, psychological impairments, and social or economic losses, directly or indirectly related to the foregoing. I hereby waive all claims against and agree not to sue the tournament holders, judges, staff, instructors, volunteers, promoters, competitors, spectators or the facilities (Sports hub center) which it is being held or the owners, officers, management and staff. I fully understand that if any medical treatment is given to me, such treatment will be of a first aid type only and I fully waive all claims for injuries or damages which result from such treatment whether given to me with or without my express consent. I consent to any pictures furnished by me or any pictures taken of me in connection with the tournament being used for publicity, promotion, recording, internet or television showing, and I waive any claims for damages or compensation in regard thereto. Concussion Information: Concussion, a type of traumatic brain injury, is caused by a bump, blow, or jolt to the head. Concussions can also occur from a blow to the body that causes the head and brain to move quickly back and forth—causing the brain to bounce around or twist within the skull. Signs and symptoms of concussion generally show up soon after the injury. But the full effect of the injury may not be noticeable at first. For example, in the first few minutes the athlete might be slightly confused or appear a little bit dazed, but an hour later he or she can’t recall coming to the practice or game. Any athlete suspected of suffering a concussion should be removed from competition and should not return unless evaluated by a licensed health care provider and has received written clearance from that provider to return to compete. You should repeatedly check for signs of concussion and also tell parents what to watch out for at home. Any worsening of concussion signs or symptoms indicates a medical emergency. Appears dazed or stunned Is confused about assignment or position Forgets an instruction Is unsure of game, score, or opponent Moves clumsily Answers questions slowly Loses consciousness (even briefly) Shows mood, behavior, or personality changes Can’t recall events prior to hit or fall Can’t recall events after hit or fall Headache or “pressure” in head Nausea or vomiting Balance problems or dizziness Double or blurry vision Sensitivity to light Sensitivity to noise Feeling sluggish, hazy, foggy, or groggy Concentration or memory problems Confusion just “not feeling right” or “feeling down” If under 21, this release and Consent must be signed by Parent or Guardian. _______________________________________________ Signature of Contestant ____________________________________________ Printed Name of Contestant Date _______________________________________________ Signature of Parent or Guardian ____________________________________________ Printed Name of Parent or Guardian Date Rules and Guidelines These are general guidelines for the tournament. Some rules may change depending on the circumstances, but any changes will be made aware at the time of the tournament. Empty hand Kata/Forms It is the responsibility of the competitor to make sure there is enough space for their kata/form. If more space is required, all accommodations will be made within reason, and should be requested of the leading judge. Kata/forms will be judged on criteria of technique, balance, focus, motions, position, posture and poise. Kata/forms will not be judged on difficulty or correctness of the pattern. When starting your kata/form it will be required to announce the following; A. B. C. Your Name School or style Name of form Kata/forms are designed to show you fighting multiple opponents, so it is important to show of strong technique, snap, targeting, since of eye contact, balance and breathing. Weapons Kata/Forms WKF’s will be judged on the same criteria as open hand kata/forms. In addition, WKF’s will be judged on control of the weapon(s). It will be required to present the weapon to the judges for inspection prior to your kata/forms to the leading judge; this is the safety of others involved. If the weapon being used is considered unsafe by the lead judge, that competitor will be given time to find a replacement weapon. During their kata/form if a competitor drops their weapon they will be allowed to complete the kata/form; however that kata/form will not be scored. Demo teams Demo teams will be judged on team participation. If more space is required, it is up to the team captain to communicate with the lead judge. Once the demo team starts and more room is required the team will be allowed to finish, but a score will not be given. Demo teams will be judged on the following criteria of technique, balance, focus, motions, position, posture and poise. Sparring/Fighting Safety is a priority to the individuals participating. It is up to the instructors and the judges to make sure the equipment meets the safety standard required. Instructors, time keepers, score keepers, trophy runners will be the only ones allowed on the floor. Only one coach will be allow per box, time will be 1 minute or first 3 points and black belts will be 2 minutes or first 5 points. Time is continuous and only the center judge can stop the time if necessary. If there is a tie after time is called the next point win the match. Only authorized persons are allowed on the floor, no spectators, family members (unless participating), friends, etc. this is the safety of the spectators and the participants. Sparring Gear All junior competitors will be required to wear mouth guard, head, feet gear, hand gear and cups (groin protection). Seniors (Black Belt and above are required to wear mouth guard, head, feet gear and head gear is optional. Gear will be the foam dipped or shin/instep foam protection. If a competitor wears eyes glasses we do recommend uses a shield with your head gear. Judging Each sparring section will have a minimum of 3 judges, one center and two corners, black belt will have 4 judges. It will be required to be required of the center judge to inform them to move, back and forth to have a better view; don’t just stand at the corner. Honor merits of the judges, is that if you have a student fighting, we ask you to be bias or remove yourself from that particular fight, this way no one will have the opportunity to declare non-bias against a judge or center referee. Scoring area Head (sides, back, top within reason), face (below the chin is consider the face; upper chest area), ribs, chest, abdomen, kidneys and groin. Techniques All kicks, hand techniques (fist, knife hand, ridge hand, hammer fist, palm, back fist (controlled), sweeps (controlled), spinning or aerial techniques. Throws of any sort, blind or uncontrolled techniques will not be allowed. If an opponent is knocked down either fighter is allowed to score a point. General rules A. B. C. No scoring outside if an opponent is out of bounds. If they come back out of bounds scoring is permissible. Illegal contact/technique, contact to non-scoring areas (knees, ankles, throat, elbows, eyes) hitting after call to stop, excessive contact, out of bounds, avoiding to fight (dropping to the floor, running out of bounds, un-sportsman like conduct are subjected to penalty or disqualification. If injury occurs, it is the center judge or the medical personnel to determine if the competitor may or may not continue. Junior competitors Junior competitors will not be allowed contact; however light contact will not be a disqualification, if it was a clash or accidental. Uncontrolled contact will be at the discretion of the corner and center judges. Facial contact will not be allowed by junior competitors, but contact below the chin will count as a facial strike. See rules above. Black Belt and Brown Belts Brown and black belts are allowed to have light to medium controlled contact. Excessive contact or un-sportsman like conduct will not be allowed. If excessive contact occurs it is the decision of the center judge and the 4 corner judges to come to a unanimous decision of disqualification. If the two parties wish to continue, with the authority of the judges the fight may proceed. It will be the decision of the judges if they feel that control is getting out of hand, they do have the right to end the fight at their discretion. First Warning will be issued, second warning will be loss of point, third warning either point given to other participant or disqualification (majority rules by the judges). Judges please use your discretion in making decisions don’t be afraid to make the call if you don’t feel it isn’t warranted in disqualifying an individual. Have a meeting amongst the judges and really make the best decision for all. Please excuse yourself from judging your own students, unless you feel you can be absolutely bias in your scoring or judging sparring. If you have any questions, comments or concerns before the tournament, please feel free to contact Tangkido Fighting Arts Federation at 208-640-1471, www.tangkido.com or email at tangkido@gmail.com. If participants have any question please give them to your instructor and have them contact us.