2016 JKA Canada Nationals MAY 28, 2016 Wetaskiwin AB

Dear Karate-ka: JKA CANADA invites you to our 2016 JKA Canada National hosted by Peace Hills Karate Club Alberta. A lot of hard work has gone into to making this event a memorable experience for everyone involved. The tournament will be held May 28, 2016 in Wetaskiwin AB at the Queen Elizabeth Junior High School located at 4720-51 St Wetaskiwin AB. Follow the link in the email. Please take some time to review the attached information. Participant Medical Release Form Each participant, official and volunteer must complete and sign this form. Participant Application Form Have the person responsible for the teams to enter the necessary information for your athletes. The information on this form will be transferred to the draw sheets for each event. Any errors (age, rank, even, etc.) on this form are the responsibility of the person filling out the form. Officiating Clinic Application Form For those attending the Officiating Clinic, please fill out this form. Officials MUST attend. Hotel Information Please note that we have booked rooms at: Best Western Wayside Inn 1-800-218-9312 Banquet/Reception (with Silent Auction): May 28th 7:00 – 900 pm; Contact directly for banquet details (tickets, etc) [email protected]; (780) 352.0948

*PLEASE REVIEW THE COMPETITION CATEGORIES on Page 3 If you have any questions at all, please contact any one of the following: Tournament Director: Assistant Co-Director: Tournament Coordinator:

Jerry G Marr Dale Carlson Colette Marr

(204) 795-6571 [email protected] (780) 352.0948 [email protected] (204) 755.2926 [email protected]

Looking forward to a great tournament and to seeing you there.

Jerry G. Marr, JKA Canada Tournament Director

2016 JKA National Karate Championship

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2016 JKA Canada Nationals May 28, 2016 Wetaskiwin AB EVENT SCHEDULE

FRIDAY MAY 27, 2016 12:30 p.m. – 5:00 p.m.

Officiating/Referee Clinic Moose Lodge Hall 4915-49 St *Annual General Meeting (Spatinow Room) Small Meet & Greet after the clinic Open to all Athletes, Officials, Coaches and Volunteers

7:30 p.m. 7:00 p.m. – 9:00 p.m.

SATURDAY MAY 28, 2016 Tournament Venue Queen Elizabeth Junior High School 4720-51 St Wetaskiwin AB 9:30 a.m. – Noon

Kyu Eliminations and Finals

1:00 p.m. – 6:00 p.m.

Black Belt Eliminations and Finals

Banquet/Reception – Moose Lodge Hall - SE corner of 50th Ave & 50th St. intersection. {Shuttle Service will be provided} Cost includes a midnight lunch. 7:00 p.m. – Midnight *There will be a ‘silent auction’ with good prices* PLEASE NOTE, TIMES ARE SUBJECT TO CHANGE

FEES ACTIVITY

COST

Tournament Entry Fee

$40.00 per person, one or all events *INCLUDES LUNCH*

Officiating Clinic

$30.00 per person (New JKA Rule book available for $35.00)

BANQUET –

$30.00 (includes midnight lunch) [email protected] (780) 352.0948

Please submit registration with payment by Monday, May 23, 2016 Forms and cheques can be made payable and mailed to: *NEW: JKA Canada c/o Box 17 Grp 140 RR1 Beausejour R0E 0C0 HOTEL INFORMATION – Room Rate Plus Taxes - $116.99 per room (double size)

Best Western Wayside Inn – Wetaskiwin AB 1-800-218-9312 You must confirm your room with a credit card prior to May 20, 2016.

2016 JKA National Karate Championship

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2016 JKA CANADA NATIONALS MAY 28, 2016

Competition Categories and Events 

Black Belt and Kyu Competition for Male and Female:



Kyu Divisions: 8th-7th kyu (yellow-orange); 6th–4th kyu (green-purple); 3rd-1st kyu (brown).



Age Divisions: Junior Division is 9-10 years and 11-13 years; Youth Division is 14-17 years; and Adult Division is 18 years and older. If a competitor qualifies in the junior categories but becomes 18 years of age 60 days prior to this event, that competitor may still compete as a youth.



NOTE: Participants in the Age Divisions for the 9-10 yrs and 11-13 yrs are requested to provide height information on the registration form.



NOTE; This category added to Junior Event – Junior Division 9-10 years (yellow-orange belt)



Black Belt Divisions – Junior/Youth and Adult (Ages as described above)



Individual Kata - Black Belt and Kyu levels: Adult /Youth/Junior – may be free choice (Tokui Kata) but different Kata required for the second and/or final round. Judging will be the Traditional Scoring system.



Individual Kumite - Black Belt and Kyu levels; Adult/Youth/Junior - will be Jiyu Kumite. Judging will be Traditional rules (Modified). Modifications will be explained at Official’s seminar. Elimination after 2 nd fight, or possibly after two losses depending on time factor.



Kyu Team Kata: 2 teams per category per province. Teams may be male, female, or combined, but must be within reasonable age and category (Adult /Youth/Junior) events.



Black Belt Team Kata: 2 teams per category per province. Kata performance to be followed by Bun-Kai. Teams may be male, female or combined.



Black Belt Team Kumite: Three person teams (same sex), one team per province; Male and Female, Adult and Junior. (If time permits)



Enbu – Black Belt and Youth (14 to 17 years): 2 teams per province, but may be Brown/Black; or Brown/Brown, Black/Black Belt (male/male; male/female).

 Modified Traditional rules will apply in all events. Modifications will be explained at the Official’s Seminar.  Mouth guards are mandatory for all competitors.  Approved kumite gloves are mandatory for all competitors.  Categories and Age Divisions may be adjusted depending on number of contestants and/or for safety reasons.  THIS YEAR – PARTICIPANTS/TEAMS must be within designated Kyu & Age divisions – no mixing (ie Adults, Youth, Junior) and be pre-registered with entry forms and fees. MEDICAL RELEASES AND APPLICATION FORMS ARE ATTACHED. ALL PEOPLE ATTENDING THE TOURNAMENT MUST COMPLETE THE MEDICAL FORM (OFFICIALS, ATHLETES, VOLUNTEERS) PLEASE FILL OUT ALL REQUIRED INFORMATION COMPLETE WITH SIGNATURES AND ENTRY FEES.

2016 JKA National Karate Championship

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2016 JKA CANADA NATIONALS MAY 28, 2016

Participation and Medical Release Name: ___________________________________ Rank: ________

Gender: _______

Province: ____________________

Age: ____ Member Type: _________________ (Athlete, Official, Volunteer)

Participant Categories (please check the event(s) you will be competing in: Individual Kumite

Team Kumite

Individual Kata

Team Kata

Enbu

Height (if applicable) _____

1. I represent that I am in good health. 2. My medical history is as follows (please check Yes or No for each):

YES NO

YES NO

Heart Murmur

Drug allergies

Hypertension

Bleeding disorder

Recent Infection

Syncope or fainting spells

Bone fracture within the past 6 months

Joint injury

Concussion or head trauma

Spinal injury

Seizures

Neck injury

Eye injury (or loss of vision in one eye)

Facial injury

Nose injury

Ear injury

Bone bruise requiring padding

Hepatitis

Kidney injury

Sexually transmitted diseases Currently taking any medications

It is imperative that this history be complete and accurate. It is essential to list all past and current medical conditions. Failure to do so may put you and other competitors at risk of extreme injury or death. If you circles ‘Yes’ to any of the items above, please describe in detail:

____________________________________________________________________________ ____________________________________________________________________________ 3. I acknowledge that participation in this tournament may put me at risk of potential injury. I assume the risk of any and all such injury. I agree to and hereby release and hold harmless JKA International of Canada (JKA Canada), the tournament organizing committee ( Karate Alberta), its medical personnel, officials, officers, directors, employees and all tournament volunteers, of any and all liability of any kind or nature whatsoever, including but not limited to liability for negligence.

___________________________ Athlete’s Signature

___________________________

______________________

Coach’s Signature

Date

Personal Release Form I hereby give the officially recognized photographer for this event, my unrestricted permission to distribute and sell all still photographs, motions-picture film, video recordings and sound recordings taken of me to help promote karate and related programs. Name: _________________________________ Signature: ___________________________________________ (Parent/guardian signature required if under 18 years of age)

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2016 JKA CANADA NATIONALS MAY 28, 2016 Participant Application Form

The following athletes are our province’s representatives for the 2016 JKA National Championships: Note: If additional space is required, please use an additional form. No.

Name First

Middle

M/F

Age

Rank

Last

Kumite Team

Kata Ind

Team

En-Bu Ind

M-M

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

NOTE: This application must be received by JKA Canada by Monday, May 23, 2016 ______________________________________

_____________________________

Coach’s Signature

Date

2016 JKA National Karate Championship

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M-F

2016 JKA CANADA NATIONALS MAY 28, 2016

Officiating Clinic Application Form

The following officials and athletes are our province’s representatives for the 2016 JKA National Championships: Name No

First

Middle

M/F Last

Age

Rank

JKA Official’s Qualification Kumite (A, B, C)

Kata (A, B, C)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

*New: All officials must complete a medical release form. Thank you. NOTE: This application must be received by JKA Canada by Monday May 23, 2016. Please make all cheques out to: JKA CANADA Forms and cheques can be mailed to:

2016 JKA National Karate Championship

JKA CANADA c/o Box 17 Grp 140 RR1 Beausejour, Manitoba R0E 0C0

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APPLICATION FOR KATA AND KUMITE TEAMS Please ensure rules for teams are followed

✂ TEAM KATA

(1)

TEAM KATA (2)

Name

Age

Rank

Name

Age

Rank

1. _____________________________ ____ _____

1.

______________________ ____ ______

2. _____________________________ ____ _____

2.

______________________ ____ ______

3. _____________________________ ____ _____

3.

______________________ ____ ______

Please mark your dojo name on each team event

Please mark your dojo name on each team event

✂-----------------------------------------------------------------------------------------------------------------------

TEAM KUMITE

(1)

Name

TEAM KUMITE (2) Age

Rank

Name

Age

Rank

1. _____________________________ ____ _____

1.

______________________ ____ ______

2. _____________________________ ____ _____

2.

______________________ ____ ______

3. _____________________________ ____ _____

3.

______________________ ____ ______

4. _____________________________ ____ _____ (Alternate)

4.

______________________ ____ ______ (Alternate)

Please mark your dojo name on each team event

2016 JKA National Karate Championship

Please mark your dojo name on each team event

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