Application to Compete in Tournament

Application to Compete in Tournament

Dennis Guila's Hawaiian Kickboxing Presents *An Exciting-Action- Packed Tournament Event!* The Paradise Cup of IKF Point Kickboxing© Featuring American and Int'l Rule Semi - Contact Kickboxing REGISTRATION FORM FOR Saturday, February 24, 2007 Antioch, CA Location: 4389 Hillcrest Ave. Antioch, CA 94531- (925)354-3434 Main - News - Events - Event Sanctioning Rules & Regulations - PKB Circuit
EVENT TIMES & REGISTRATION INFO Registrations starts at 9:00: AM - *PRE REGISTRATION FEE: $25 registration Deadline Is Feb. 10, 2007- Print Form, Complete & MAIL to EVENT PROMOTER: Make Checks Payable to: Guila's Hawn Kickboxing and Send to: P.O. Box 4864 Antioch, CA 94531- Questions Contact: Professor. Dennis Guila @ (925)755-3434 or by email at sifudg@comcast.net () Must be "RECEIVED" by 5:PM Feb. 10th, 2007. EVENT PROMOTER is not responsible for lost or delayed mailings.* LATE REGISTRATION: Reg. Fees received after Feb. 10, 2007 will have a $10 late fee attached. Complete & Bring to registration form to event. Registration Forms will be available at the door. (Cash only at the door) PLEASE PRINT NEATLY - Registration Forms "Without Fees" will be Disposed of. There are NO Registration Fee REFUNDS for this event. Discounts: Groups of (7) or more from the Same school will receive a discount. Contact Mr. Guila for more information Spectator Fee is $7 For Additional information Contact IKF Rep. Mr. Johnny Davis- johnnyd@akpromotions.org or by calling (916)205-4762 or 435-5004- For Rules and More go to: www.AKPromotions.org/PointKBJoin.htm Another Way to Win! Team Competition ! Win Trophies and Cash! (must be another team in your division to have event) (3) members per team* All Team Members must sign up together * There will be Juniors, Women and Adult Men Teams * (all members of the team must be at the same level- Junior, Women or Man) All members must sign Consent Forms * All Members will receive an award * Majority of team wins…WINS! Each match is 1-2 minute rounds. If a draw…team chooses a member to compete in 1-2 minute round Tie Breaker or 2 –1 minute rounds by each member! Awards - Winning Team receives $75 CASH! Plus a trophy for each member! Cash Awards- Team decides on division of funds.* * All Team members must be same rule style.*Team Registration Fee $ 25 each member ( ) Mini Junior Team #MJT1 – Boys and Girls – Ages 5-7 - ( ) Junior Team Level #JTL2 – Boys and Girls – Ages 8-11 ( ) Junior Team Level #JTL3 – Boys and Girls – Ages 12- 14 - ( ) Junior Team Level #JTL4 -Boy and Girls Ages 15-17 ( ) Women Team #WT5 – Open Weights - ( ) Men Teams#MT6 – Open Weights Print Names of Team Members Signatures of Competitors 1. _________________________ _________________________ 2. _________________________ _________________________ 3. _________________________ _________________________ CONSENT AND RELEASE I, the competitor named here, by submitting this application understand that I am consenting to release Guila’s Hawaiian Kaju-Kickboxing Inc, Johnny Davis ie. (AK) Promotions, The International Kickboxing Federation (IKF), and, or any of its owners or members and all other persons associated with this event in any capacity from any liability arising out of injuries, etc., that I may incur as a result of my attendance and , or participation at this event. Furthermore, I hereby waive any compensation whatsoever for the use of pictures, movies, media coverage, etc., utilized by those associated with this event for profit or promotional needs, at any time. I clearly understand that the fighting aspects of this competition involves bodily contact. I have read, understand and agree to abide by the rules governing this event and assume all responsibility and any associated liability for infringement of such rules. Additionally, I am fully aware of my medical condition and hereby certify that I am mentally and physically fit to compete in this Point Kickboxing tournament and that I have had training in the style of Kickboxing (Boxing and Kicking). I also understand that a valid birth certificate / ID should be presented upon request in order to compete in this tournament. I further agree that the registration fee is not refundable unless the event is cancelled. PLEASE PRINT CLEARLY FIGHTERS Name:_______________________________________ HOMETOWN: ________________________ Current Age: ____ & Birthday (month, day & year): ___/___/___ - Height in Feet & Inches:____'____" Mailing Address: ____________________________________________________________ City: ____________________________ State: _______________ Zip: ________________ Fighters School: ___________________________________ Coach/Trainers Name: ____________________________ School/Trainers Phone Number: (_____)______-____________ e-mail: _______________@_____________ School Mailing Address: __________________________________________ City: ____________________________ State: _______________ Zip: ________________ Applicant/Releasor: Signature: _________________________________________ Print Name: __________________________ Parent or Gaurdian to sign if under 18: Signature: _________________________________________ Print Name: __________________________ Special Note: New Skill Level Changes SKILL LEVELS: BEGINNERS: Less than 2 years of Experience or UNDER Brown/Red Belt. INTERMEDIATE: At least 2 years but no more than 4 years of Martial Arts experience ( A new division may be added if needed the day of event. Please note on your registration form if in Intermediate Division) ADVANCED: More than 4 years experience or rank of Brown/Red Belt & Above. Ages 17 years old & Below (age and size will determine division) EQUIPMENT: All Divisions must wear Headgear, Shin and Foot Pads that cover the toes and heels, Mouthpiece, Groin protection and 12 oz. Boxing Gloves. For other RULES, CLICK HERE. GLOVES: All ADULTS will wear 16 Ounce Gloves. All JUNIORS will wear 12 Ounce Gloves. NO KNEES, NO ELBOWS in ANY Division. ATTIRE: (PK) American Kickboxing Rules: Long Pants Mandatory (above waist kicks only) shin and foot pads that cover the toes. Participants must have proper dress required for each division. ATTIRE: (PIR) Point International Rules: Shorts Mandatory (leg kicks allowed) Divisions combined if less than four participants or no one for your division. PLEASE "X" THE DIVISION YOU WISH TO FIGHT IN 2 Divisions OK only if fight times do not conflict. Promoter retains the right to determine eligibility to compete in multiple divisions to assure the safety of participants. PK= Point American Kickboxing** Rules (Above The Waist Rules) PIR= Point International Rules (Leg Kicks) ADULT MEN Lightweight: 149.9 lbs. and below. Middleweight: 150-175 lbs. Heavyweight: 175.1 lbs. and above.
KICKBOXING RULES ___ PK1: BEG-LT ___ PK2: BEG-MID ___ PK3: BEG-HEAVY ___ PK4: INTER. LT. ___ PK5: INTER. MID. ___ PK6: INTER. HVY. ___ PK7: ADV. LT. ___ PK8: ADV. MID. ___ PK9: ADV. HVY	INTERNATIONAL RULES ___ PIR38: BEG-LT ___ PIR39: BEG-MID. ___ PIR40: BEG-HEAVY ___ PIR41: INTER. LT. ___ PIR 42: INTER. MID. ___ PIR43: INTER. Hvy. ___ PIR 44: ADV.LT. ___ PIR 45: ADV.MID. ___ PIR 46: ADV.HVY.
ADULT WOMEN Lightweight: 121 lbs. and below. Middleweight: 121.1-143 lbs. Heavyweight: 143.1 lbs. - & UP
KICKBOXING RULES __ PK10: BEG-LT ___ PK11: BEG-MID ___ PK12: BEG-HEAVY ___ PK13: INTER. LT. ___ PK14: INTER. HVY. ___ PK15: ADV. LT. ___ PK16: ADV. MID. ___ PK17: ADV. HVY	___ PIR47: BEG-LT ___ PIR48: BEG-MID. ___ PIR49: BEG-HEAVY ___ PIR50: INTER. LT ___ PIR:51: INTER. MID ___ PIR52: INTER. HVY. ___ PIR53: ADV. LT ___ PIR54: ADV. MID. ___ PIR55: ADV. HVY.
JUNIOR BOYS AND GIRLS: Ages 17 years old & Below. Divisions for ages 7 & Below will be: 8-10, 11-12, 13-14, 15-17. Age will be first factor, weight the second factor.
Boys & Girls - ALL LEVELS ___ PK18: 7 and below ___ PK19: 8-10 yrs.	Boys & Girls - ALL LEVELS ___ PIR56: 7 yrs. and below ___ PIR57: 8-10 yrs.
Boys Beginners ___ PK20: 11-12 yrs. ___ PK21: 13-14 yrs ___ PK22: 15-17 yrs. Boy Intermediate ___ PK23: 11-12 yrs. ___ PK24: 13-14 yrs ___ PK25: 15-17 yrs. Boy Advanced ___ PK26: 11-12 yrs. ___ PK27: 13-14 yrs. ___ PK28: 15-17 yrs. Girls Beginners ___ PK29: 11-12 yrs. ___ PK30: 13-14 yrs. ___ PK31: 15-17 yrs Girls Intermediate ___ PK32: 11-12 yrs. ___ PK33: 13-14 yrs ___ PK34: 15-17 yrs. Girls Advanced ___ PK35: 11-12 yrs ___ PK36 : 13-14 yrs. ___ PK37: 15-17 yrs. MAIL TO: EVENT PROMOTER: Guila's Hawn Kickboxing- P. O. Box 4864 Antioch, CA 94531	Boys Beginners ___ PIR58: 11-12 yrs. ___ PIR59: 13-14 yrs. ___ PIR60: 15-17 yrs. Intermediate ___ PIR61: 11-12 yrs. ___ PIR62 : 13-14 yrs. ___ PIR 63 : 15-14 yrs Boy Advanced ___ PIR64 : 11-12 yrs. ___ PIR65 : 13-14 yrs. ___ PIR66: 15-17 yrs. Girls Beginners ___ PIR67: 11-12 yrs. ___ PIR68 : 13-14 yrs. ___ PIR69: 14-17 yrs. Intermediate ___ PIR70: 11-12 yrs. ___ PIR71 : 13-14 yrs. ___ PIR72: 14-17 yrs. Girls Advanced ___ PIR73: 11-12 yrs. ___ PIR74 : 13-14 yrs. ___ PIR75: 14-17 yrs.