2016 WA Karate League Senshinkan Open

Sunday 13 March 2016

Mater Dei College Bernie Boss Hall 107 Treetop Ave, Edgewater
Commencing at 9.00am Closing Date Friday 4th March 2016
First name:
Sex:
Age:
(on 16.09.16) D.O.B:
Suburb:
Postcode:

Surname:
Phone No.:
Address:
Email:
Weight:____(kg) Grade:
Instructor:
Club:
ALL COMPETITORS WILL RECEIVE A PARTICIPATION CERTIFICATE

PLEASE HIGHLIGHT EACH AND EVERY CATEGORY TO BE ENTERED

GIRLS OPEN KUMITE

BOYS OPEN KUMITE

Girls 9 Yrs
Girls 10/11 Yrs
Girls 12/13 Yrs
Girls 14/15 Yrs
Girls 16/17 Yrs

Boys 9 Yrs
Boys 10/11 Yrs
Boys 12/13 Yrs
Boys 14/15 Yrs
Boys 16/17 Yrs

GIRLS OPEN KATA

Girls 9 Yrs
Girls 10/11 Yrs
Girls 12/13 Yrs
Girls 14/15 Yrs
Girls 16/17 Yrs

BOYS OPEN KATA

Boys 9 Yrs
Boys 10/11 Yrs
Boys 12/13 Yrs
Boys 14/15 Yrs
Boys 16/17 Yrs

WOMENS OPEN CATEGORIES

Womens Open Kumite 18 Yrs & Above
Womens Open Kata 16 Yrs & Above
Womens Under 55kg Kumite 18 Yrs & Above
Womens Over 55kg Kumite 18 Yrs & Above
Womens Veterans Kumite 35 Yrs & Above
Womens Veterans Kata 35 Yrs & Above
MENS OPEN CATEGORIES
Mens Open Kumite 18 Yrs & Above
Mens Open Kata 16 Yrs & Above
Mens Under 70kg Kumite 18 Yrs & Above
Mens Over 70kg Kumite 18 Yrs & Above
Mens Veterans Kumite 35 Yrs & Above
Mens Veterans Kata 35 Yrs & Above
NOVICE BOYS KUMITE
th
th
Novice Boys 9 Yrs 10 5 Kyu
th
st
Novice Boys 9 Yrs 4 1 Kyu
th
th
Novice Boys 10/11 Yrs 10 5 Kyu
th
st
Novice Boys 10/11 Yrs 4 1 Kyu
th
th
Novice Boys 12/13 Yrs 10 5 Kyu
th
st
Novice Boys 12/13 Yrs 4 1 Kyu
Novice Boys 14/15 Yrs All Grades
Novice Boys 16/17 Yrs All Grades

8YRS & UNDER CATEGORIES

NOVICE GIRLS KUMITE
th
th
Boys Kata
Novice Girls 9 Yrs 10 5 Kyu
th
st
Girls Kata
Novice Girls 9 Yrs 4 1 Kyu
th
th
Boys Kumite
Novice Girls 10/11 Yrs 10 5 Kyu
th
st
Girls Kumite
Novice Girls 10/11 Yrs 4 1 Kyu
th
th
GIRLS/ BOYS INDIVIDUAL NOVICE KATA
Novice Girls 12/13 Yrs 10 5 Kyu
th
st
Under
15 Yrs & Under
Novice Girls 12/13 Yrs 4 1 Kyu
th
th
Novice Girls 14/15 Yrs All Grades
Novice 9 Yrs 10 5 Kyu
Girl [ ] Boy [ ]
th
st
Novice Girls 16/17 Yrs All Grades
Novice 9 Yrs 4 1 Kyu
Girl [ ] Boy [ ]
th
th
Novice 10/11 Yrs 10 5 Kyu Girl [ ] Boy [ ]
th
st
Novice 10/11 Yrs 4 1 Kyu Girl [ ] Boy [ ]
th
th
SENIOR WOMENS NOVICE
Novice 12/13 Yrs 10 5 Kyu Girl [ ] Boy [ ]
th
st
Novice 12/13 Yrs 4 1 Kyu Girl [ ] Boy [ ] Novice Womens Kata 16 Yrs & Above
th
th
Novice Womens Kumite Under 55kg
Novice 14/15 Yrs 10 5 Kyu Girl [ ] Boy [ ] aAAAAAbove
th
st
Novice Womens Kumite Over 55kg
Novice 14/15 Yrs 4 1 Kyu Girl [ ] Boy [ ]
TEAM KATA 11 Yrs & Under
TEAM KATA 15 Yrs & Under
1.
1.
1.
2.
2.
2.
3.
3.
3.

SENIOR MALE NOVICE

Novice Mens Kata 16 Yrs & Above
Novice Mens Kumite Under 70kg 18 Yrs
Novice Mens Kumite Over 70kg 18 Yrs
SENIOR TEAM KATA

Entry Fee:

Open Categories Individual fee $70.00 first event and $20.00 for additional events
Novice Categories Individual fee $40.00 first event and $20.00 for additional events
Team Categories $40.00
Spectators FREE
NOMINATION AS A VOLUNTEER: Table Official Marshall Set up Pack up Name:
COMPULSORY SAFETY EQUIPMENT (KUMITE):
1. Groin Guards (Males) and Mouthguards.
2. WKF/AKF approved Red or Blue Gloves and WKF/AKF approved Red or Blue Shin/Instep Protectors.
3. WKF/AKF approved Chest Protectors (Females 14 Years & Above).
4. AKF approved Head Guard/AKF Helmet or WKF Face Mask (9 13 Years).
5. Body Protectors. Provided by Event Organisers.

Contact No:

CONDITIONS
1.
In these conditions: the Organiser shall mean and include Senshinkan Karate Aust, Australian Karate Federation (WA) Inc., officers, servants or agents.
Opponents shall mean any person competing against the competitor.
In consideration of the Organiser accepting my application to enter and compete in the tournament an in further consideration of my opponent competing
2.
against me, I hereby agree to abide by the conditions of entry, the rules, by-laws and regulations of the Organiser.
3.
The Organiser enters into this contract as the Organiser and as agent for the competitors opponent.
4.
I acknowledge that my participation in the tournament carries with it a real risk of personal injury.
I acknowledge and agree that the Organiser shall not be liable whether in tort or contract or otherwise for any loss or damage or injury whatsoever to my person
5.
or property whilst participating in or otherwise attending at the tournament, howsoever caused or occurring including without limiting the foregoing, the
negligence, breach of contract, wilful act or default of the Organiser and whether or not such loss or damage or injury to me occurs within or adjacent to any
property occupied by the Organiser.
I acknowledge and agree that my opponent shall not be liable whether in tort or contract or otherwise for any loss or damage or injury whatsoever to my person
6.
or property whilst participating in or otherwise attending at the tournament, howsoever caused by or occurring including without limiting the foregoing, the
negligence, breach of contract, wilful act or default of my opponent and whether or not such loss or damage or injury to me occurs within or adjacent to my
property occupied by the Organiser.
I authorise the Organiser to contract on my behalf to exclude my liability as an opponent whether such arises in tort or contract or otherwise for any loss or
7.
damage or injury to another competitor however caused or occurring including but without limiting the foregoing, the negligence, breach of contract, wilful act
or default of myself.
8.
I expressly agree to and do hereby waive any rights that I may have which are in any way inconsistent with the foregoing.
9.
Age is determined by the age of the competitor on 16.09.16.
10.
If under 18 years of age entry forms must be signed by a parent/guardian.
11.
All competitors must have current insurance.
DISCLAIMER
1.
I acknowledge that I have read the definitions set out below.
2.
I hereby acknowledge that my entry and/or participation in the Tournament carries with it significant risk of personal injury.
3.
Therefore, I for myself and the Releasors hereby relinquish, release and/or waive any action against the Releasees for any personal injury by me arising out of
and/or in the course of the Tournament whether as a result of any disregard and/or technical breach of any Rules of the Tournament or otherwise.
In addition, in the event of any action being commenced, I for myself and the Releasors hereby indemnify the Releasees against any cost and damages arising
4.
from or connected therewith.
DEFINITIONS
Personal Injury
The Releasors
The Releasees

Any Action
The Rules

has its ordinary English meaning and includes any injury for which a person might be awarded under General Damages and/or Special Damages at
Common Law.
means the family, dependents, heirs, executors and/or assigns and any person or persons claiming through them.
means any corporation, Organiser or other body and/or any person(s) jointly and/or severally and whether servants or agents of any of the
aforementioned or otherwise where any such corporation, other body or individual is associated with the promotion or conduct of the
Tournament and includes competitor(s), referee(s) and observers or any members of the audience.
means any claim, right and/or course of action for damages at Common Law or pursuant to any statute.
Means the rules for the time being of the Australian Karate Federation incorporated.

DECLARATION
TO BE COMPLETED BY PARENT/GUARDIAN (if under 18 years of age)
I

being the parent/guardian of

confirm that my child is a minor. In
consideration (Print Parent/Guardian Name)
(Print Competitors Name)
of the Organiser accepting my childs application to enter and compete in the tournament I severally agree to indemnify the Organiser against my claims, suits or
demands of any nature whatsoever whether in tort or contract or otherwise for any loss or damage or injury whatsoever to my child however caused or occurring
including without limiting the foregoing, the negligence, breach of contract, wilful act or default of the Organiser or my childs opponent, arising out of or in in the
course of my childs entry into or participation in this competition.
Competitors
Signature:

Date:

Parent/Guardian Signature:

Date:

In the event that any provision or part of a provision of these conditions is held or found to be void, invalid or otherwise unenforceable it shall be deemed to be
severed from the conditions to the extent of such invalidity or unenforceability but the remainder of the conditions shall remain in full force and effect.
Instructor Validation
I can validate that the competitor whose name appears on this form has current insurance.
Head of Style Name: ________________
:

Head of Style Signature:

Date:

____
PAYMENT: Must be made with the completed entry form. All monies must be made payable to Senshinkan Karate Aust and posted to 5 Stirling
Waters Ave, Stirling WA 6021 or alternatively deposit funds electronically BSB: 306 114 ACC: 0290640
RETURN DATE: All entry forms must be returned by Friday 4th March 2016. Late penalty fee of $20.00 will apply for entry forms received after the due date.
NOVICE DIVISIONS: Past & Present State team members cannot enter Novice Divisions.
COMBINED DIVISIONS: The organisers reserve the right to combine or cancel divisions with insufficient entries. Novice Kata divisions having less than 6 competitors in the
division will be combined to form a Mixed Novice Kata division.
KATA RULES: Kata will be judged by the flag system. Children Kata divisions (two competitors at a time, excluding semi-final and final).
Open Kata - Childrens Divisions, first and second round Heian/Pinan, Gekisai and Saifa. Third round onwards free Kata. Can repeat a Kata but not consecutively.
Cadet, Junior, Under 21 and Seniors Kata - Free Kata. Cannot repeat a Kata. Senior Kata is 16 years and above.
Novices - Can perform any kata and repeat in consecutive rounds.
TEAM EVENTS: Teams can be competitors from the different organisations.
CONTACT INFORMATION: Phone: (08) 9446 4230/0408 446 575 or senshinkankarate@gmail.com