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www.iskf.

ph/shotocup

INTERNATIONAL SHOTOKAN KARATE FEDERATION


PHILIPPINES
WATERFRONT HOTEL AND CASINO
CEBU CITY, PHILIPPINES
NOVEMBER 8-11, 2012

Contents
Contents........................................................................................................................................................ 1
General Information ..................................................................................................................................... 3
About Cebu City ............................................................................................................................................ 4
History................................................................................................................................................... 4
Climate .................................................................................................................................................. 5
Tourism ................................................................................................................................................. 5
Time Line/ Deadlines .................................................................................................................................... 6
Competitors Checklist .................................................................................................................................. 8
Schedule of Events........................................................................................................................................ 9
Schedule of Eliminations.........................................................................................................................11
November 10, 2012 ................................................................................................................................11
Junior Division Kata.............................................................................................................................11
Senior Division Kata ............................................................................................................................11
Adult Division Kata..............................................................................................................................11
Junior Division Kumite ........................................................................................................................12
Senior Division Kumite ........................................................................................................................12
Adult Division Kumite..........................................................................................................................12
Fees and Admission Prices..........................................................................................................................13
Waiver/Release Agreement for Contestants/Participants .........................................................................14
Representative, Managers and Coaches Registration Form.......................................................................15
Information for Judges................................................................................................................................16
Application for Judges Exam ...................................................................................................................16
Judges Requirements.............................................................................................................................16
Judges Exam Form .....................................................................................................................................17
Selection of Judges Form ........................................................................................................................18
Clinic Registration Form..............................................................................................................................19
Junior division Kata Registration Form ....................................................................................................20
Junior division Team Kata Registration Form ..........................................................................................21
Junior division Kumite Registration Form ................................................................................................22
12nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Junior division Team Kumite Registration Form ......................................................................................23


Adult division Kata Registration Form .....................................................................................................24
Adult division Team Kata Registration Form............................................................................................25
Adult division Kumite Registration Form .................................................................................................26
Adult division Team Kumite Registration Form .......................................................................................27
Senior division Kata Registration From ....................................................................................................28
Senior division Team Kata Registration Form ..........................................................................................29
Senior division Kumite Registration Form................................................................................................30
Senior division Team Kumite Registration Form......................................................................................32
Banquet Registration Form.........................................................................................................................33
T-Shirt Order Form......................................................................................................................................34
Dan Examination.........................................................................................................................................36
Request for Dan Registration......................................................................................................................39
Advertising Page Charges............................................................................................................................40

22nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

General Information
2nd ISKF World Shoto Cup Karate Championships
Cebu City, Philippines
November 8-11, 2012
Tournament Hotel:

Waterfront Cebu City Hotel and Casino


Salinas Drive, Lahug, Cebu City
6000 Philippines

Tournament Venue:

Waterfront Cebu City Hotel and Casino


Salinas Drive, Lahug, Cebu City
6000 Philippines
OPTIONS

Hotel Rate:

Standard Room (Single occupancy)

$142.00 per person/per night

Superior Room (Single occupancy)

$146.00 per person/per night

Deluxe Room ( Single occupancy)

$151.00 per person/per night

Standard Room(Double occupancy)

$97.00 per person/per night

Superior Room (Double occupancy)

$101.00 per person/per night

Deluxe Room (Double occupancy)

$106.00 per person/per night

Inclusive of round trip airport-hotel transfer, buffet breakfast, lunch,


dinner, and banquet dinner.

Hotel Reservation:

Email Andrew Teh at cebucom@iskf.ph for hotel bookings.

Parking:

Free parking available at the Waterfront Cebu City Hotel and Casino

Airport:

Mactan Cebu International Airport,


Lapu-Lapu City, Cebu
Philippines

32nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Send all paperworks to:

cebucom@iskf.ph

About Cebu City

The City of Cebu (Cebuano: DakbayansaSugbo) is the capital city of Cebu and is the "second city" in
the Philippines, the second most significant metropolitan center in the Philippines and known as the
oldest settlement established by the Spaniards in the country.
The city is located on the eastern shore of Cebu and was the first Spanish settlement in the Philippines.
Cebu is the Philippines' main domestic shipping port and is home to about 80% of the country's domestic
shipping companies. Cebu also holds the second largest international flights in the Philippines and is a
significant center of commerce, trade and industry in the Visayas and Mindanao regions. According to
the 2009 LGPMS census, the city has a population of about 822,628 people.
Cebu City is the center of a metropolitan area called Metro Cebu, which includes the cities
of Mandaue, Lapu-Lapu and Talisay. Metro Cebu has a total population of about 2 million people.
The Mactan-Cebu International Airport, located in Lapu-Lapu City is only a twenty-minute drive away from
Cebu City. To the northeast of the city are Mandaue City and the town of Consolacion, to the west
are Toledo City, the towns of Balamban and Asturias, to the south are Talisay City and the town
1
of Minglanilla. Across Mactan Strait to the east is Mactan Island where Lapu-Lapu City is located.

History
On April 7, 1521, Portuguese explorer Ferdinand Magellan landed in Cebu and was killed in the Battle of
Mactan led by Lapu-lapu. Several conquistadors later visited the land and started a Spanish settlement.
The signing of the Treaty of Paris at the end of the Spanish-American War provided for the cession of
2
Cebu along with the rest of the Philippine islands to the United States of America on December 10, 1898.
The city, along with the rest of the country came under Japanese occupation during WWII and was
liberated in March 1945.
1

http://en.wikipedia.org/wiki/Cebu_City
http://en.wikipedia.org/wiki/Treaty_of_Paris_(1898)

42nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Climate
Climate Data for Cebu City on November3
Average High C (F)
31.2 (88.2)
Daily Mean C (F)
27.9 (81.1)
Average Low C (F)
24.7 (75.6)
Rainfall mm (inches)
131.4 (5.173)

Tourism
The city derives significant income from tourism. It hosted the 1998 ASEAN Tourism Forum. The city also
hosted the East Asian Tourism Forum on August 2002, in which the province of Cebu is a member and
signatory.
There are a number of significant Spanish colonial buildings in Cebu City, including the Basilica Minore
del Santo Nino, Fort San Pedro, Casa Gorordo Museum and Magellan's Cross.
The Cebu Reggae Festival is a popular Filipino Reggae and Roots music
festival; it now has become one of the Philippines' largest annual Reggae
Festivals, in Cebu City. On Cebuano musical heritage, the Jose R. Gullas
Halad Museum in V. Gullas St. (former Manalili) corner D. Jakosalem St. in
Cebu City, holds musical memorabilia of Cebuano composers in the early
20th century, the likes of Ben Zubiri (composer of MatudNila), IntingRubi
(KasadyaNingTaknaa) and Minggoy Lopez (Rosas Pandan). The city also has
a sport institution, the Cebu City Sports Complex which exhibits sporting
and festival events.
Away from the city is the Cebu Taoist Temple, a Taoist temple in Beverly
Hills. The Taoist Temple gives a commanding view of Cebu City and the
nearby cities of Mandaue and Lapu-Lapu. Views of Cebu City can also be
seen from villages and gated communities located on the mountains.

Monument of Lapu-lapu.

The beauty of Cebu City Philippines Temple of The Church of Jesus Christ of
Latter-day Saints in Lahug marks the second of its kind in the Philippines
after Manila Philippines Temple. Cebu City Philippines Temple serves Latter
Day Saints from the island of Masbate, whole Visayas and Mindanao.1

Cebu as an island is already accessible to beaches. However, you can opt to visit the famous white beach
island Boracay. Boracay is only a plane and boat ride away from Cebu City. There are daily flights from
Cebu City to Caticlan. From Caticlannumerous ferry boats to BoracayIsland are available.

Climatological Normals of Cebu Hongkong Observatory. Retrieved 10 Oct 2011

52nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Time Line/ Deadlines


Sunday, September 30, 2012
All paperwork and fees due

Cut-off date for accepting hotel reservations


Clinic Registration Form with registration fees
Selection of Judges Form
Dan Examination Form with fees
Judge's Examination Form with fees
Competitors Registration Form with registration fees
Competitors Waiver/Release Agreement
Banquet Reservation Form with banquet fees
T-shirt Order Form withT-shirt fees

Wednesday-Friday
November 7-9, 2012
8am 9pm

Competitor/Examinee/Judges check-in table open at Waterfront Cebu


Hotel and Casino

Thursday, November 8, 2012


5:00pm - 6:30pm

Seminar by Master Yutaka YAGUCHI, Location to be announced

Friday, November 9, 2012


10:00am-12:00nm

Dan Examination, Location to be announced

Friday, November 9, 2012


1:30pm-3:30pm

Judges Meeting and Judges Examination, Location to be announced

Friday, November 9, 2012


5:00pm -6:30pm

Seminar by Master Teruyuki OKAZAKI, Location to be announced

Saturday, November 10, 2012 Eliminations, Pacific Ballroom


8:00am-6:00pm
Sunday, November 11, 2012
8:00am-9:30am

Opening Ceremonies, Pacific Ballroom

Sunday, November 11, 2012


12:00nn-5:00pm

Finals, Pacific Ballroom

62nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Sunday, November 11, 2012


7:00pm

Banquet, Pacific Ballroom

72nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Competitors Checklist
Mouthpiece

Approved by the ISKF Technical Committee

ISKF Fist Protectors

Approved by the ISKF Technical Committee

Current 2012 ISKF Membership Card (If no current ISKF card, you will be charged $45 at check-in)
Standard White Karate gi

82nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Schedule of Events
All events will take place at the Waterfront Cebu Hotel and Casino
Wednesday - Friday, November 7-9, 2012
8:00am-9:00pm

Check-in for all competitors, examinees, judges at check-in table at


Waterfront Cebu Hotel and Casino

Thursday, November 8, 2012


5:00pm-6:30pm

Seminar by Master Yutaka YAGUCHI at Pacific Grand Ballroom

Friday, November 9,2012


10:00am-12:00nn

Dan Examination, Location to be announced

Noon-1:00pm

Directors and Governors Luncheon, Location to be announced

1:30pm-3:30pm

Judges Meeting and Judges Exam, Location to be announced

5:00pm-6:30 pm

Seminar by Master Teruyuki OKAZAKI, Location to be announced

Saturday, November 10, 2012


8:00 am

Doors Open, Pacific Grand Ballroom

9:00am-8:00pm

Eliminations (see page 9)


Sunday, November 11, 2012

12:00nn

Doors Open

1:00pm

Opening Ceremony
Introduction of Honored Guests and Officials
Contestants Oath
Finals:
Junior Individual Kata: 3 finalists
Senior Individual Kata: 3 finalists

92nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

7:00pm

Adult Individual Kata: 3 finalists


Junior Team Kata: 3 finalists
Senior Team Kata: 3 finalists
Adult Team Kata: 3 finalists
Junior Individual Kumite: 4 finalists
Senior Individual Kumite: 4 finalists
Adult Individual Kumite: 4 finalists
Junior Team Kumite: 2 finalists
Senior Team Kumite: 4 finalists
Adult Team Kumite: 4 finalists

Banquet

102nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Schedule of Eliminations
November 10, 2012
Junior Division Kata

9:00 am 12:00 nn

8 9 years old Boys Individual Kata


8 9 years old Girls Individual Kata
10 11 years old Boys Individual Kata
10 11 years old Girls Individual Kata
12 13 years old Boys Individual Kata
12 13 years old Girls Individual Kata
14 15 years old Boys Individual Kata
14 15 years old Girls Individual Kata
16 17 years old Boys Individual Kata
16 17 years old Girls Individual Kata
8 17 years old Junior Team Kata (boys and girls can be combined)

Countries may field unlimited number of entries in Individual events.


Only one Junior Kata Team per country.
Participants must be Brown and Black Belts at their respective age groups on
November 10 & 11, 2012.

Senior Division Kata


Senior Mens Individual Kata
Senior Womens Individual Kata
Senior Mens Team Kata
Senior Womens Team Kata
11:00 am 12:30 pm

Countries may field unlimited number of entries.


Participants must be Brown and Black Belts at least 45 years old and older on
orbefore November 11, 2012.

Adult Division Kata


Mens Individual Kata
Womens Individual Kata
Mens Team Kata
Womens Team Kata
11:00 am 12:30 pm

Countries may only field 4 entries in each Individual events and one entry for
each team events.
Participants must be Brown and Black Belts from 18 to 44 years old on or
before November 11, 2012.

112nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Junior Division Kumite

1:30pm 4:30pm

8 9 years old Boys Individual Kumite


8 9 years old Girls Individual Kumite
10 11 years old Boys Individual Kumite
10 11 years old Girls Individual Kumite
12 13 years old Boys Individual Kumite
12 13 years old Girls Individual Kumite
14 15 years old Boys Individual Kumite
14 15 years old Girls Individual Kumite
16 17 years old Boys Individual Kumite
16 17 years old Girls Individual Kumite
14 15 years old Boys Team Kumite (3 players)
14 15 years old Girls Team Kumite (3 players)
16 17 years old Boys Team Kumite (3 players)
16 17 years old Girls Team Kumite (3 players)

Countries may field unlimited number of entries for both Individual and Team
Kumite events.
Team Kumite must only have three players in both Boys and Girls Team.
Participants must be Brown and Black Belts at their respective age groups
onNovember 10 & 11, 2012.
ShobuIpponKumite only from eliminations to finals.

Senior Division Kumite


Senior Mens Individual Kumite
Senior Womens Individual Kumite
Senior Mens Team Kumite (5 players plus 1 reserve)
Senior Womens Team Kumite (3 players plus 1 reserve)
4:00 pm 6:00 pm

Countries may field unlimited number of entries in each individual event and
one entry for each team events.
Participants must be Brown and Black Belts at least 45 years old and older on
orbefore November 11, 2012.
ShobuIpponKumite from eliminations to finals only.

Adult Division Kumite


Mens Individual Kumite
Womens Individual Kumite
Mens Team Kumite (5 players plus 1 reserve)
Womens Team Kumite (3 players plus 1 reserve)
5:30 pm 8:00pm

Countries may only field 4 entries in each Individual events and one entry for
eachteam events.
Participants must be Brown and Black Belts from 18 to 44 years old on or
beforeNovember 11, 2012.
ShobuIpponKumite only from eliminations to finals.

122nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Fees and Admission Prices


2nd ISKF World Shoto Cup Karate Championships Registration Fees
YOUTH DIVISION

$30 Individual, single event


$40 Individual, both events
$60 Team Kata
$60 Team Kumite

ADULT DIVISION

$35 Individual, single event


$45 Individual, both events
$60 Team Kata
$60 Team Kumite

SENIOR DIVISION

$35 Individual, single event


$45 Individual, both events
$60 Team Kata
$60 Team Kumite

Late Registration:

$10 PER COMPETITOR POSTMARKED AFTER September 30, 2012.


Late registrants will not be guaranteed a place in the tournament
brackets.

Send all paperwork to:

cebucom@iskf.ph

132nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Waiver/Release Agreement for Contestants/Participants


All participants must complete.
nd
"Event" means the 2 ISKF World Shoto Cup Karate Championships
The undersigned is aware that there are risks and dangers inherent in participating and receiving instruction at the
Event. In consideration of being permitted to participate in the Event to be held at Waterfront Cebu City Hotel and Casino,
Cebu City, Philippines, on November 8-11, 2012, I hereby release and waive any claims against ISKF: ISKF Philippines, the
International Shotokan Karate Federation, Waterfront Cebu City Hotel and Casino and any and all clubs, schools, instructors,
members, judges, officials, officers, directors and representatives relating thereto (collectively the "Releases") for any injury or
damage which I may suffer while participating and/or receiving instruction at the Event including travel to and from the Event. I
understand and agree that this Release will have the effect of releasing, discharging, waiving and forever relinquishing any and
all actions, those causes of action that I may have or have had, whether past, present or future, whether now known or
unknown and whether anticipated or unanticipated by me, arising out of my participation at the Event. This Release shall be
binding upon me, my heirs, successors, administrators, assigns and legal representatives. I assume full responsibility for any and
all risk of death or personal injury or property damage, which I may suffer while participating in the Event. I expressly
acknowledge and assume any and all risk that my participation in the Event may subject me to personal injury to bodily harm.
I confirm that I have no past or present medical condition, injury or other physical or mental restriction which may
cause or contribute to personal injury or property damage while participating in the Event and if in case I have such a condition,
I agree to forthwith nullify the Releases, as the case may be, and withdraw from the Event.
I further agree by signing this Release, I shall indemnify and hold any of the Releases harmless from any and all liability or costs,
including legal fees, associated with or arising from my participation at the Event.
I understand that if I am signing this Release on behalf of a minor child, 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.
I acknowledge that I have read this Release and that I understand the words and language in it. I sign this Release
freely and voluntarily.

_______________________________
Name (Print)

________________________________
Country

_______________________________
Date of Birth (MM/DD/YY)

_________________________________
Signature

_______________________________
Date

_________________________________
Witness

Parent/Guardian Release:
I am the parent or legal guardian of the minor______________________________________ and I am signing this
waiver/release on behalf of the said minor.
_______________________________
Name of Parent or Guardian (Print)

________________________________
Signature

______________________________
Date
Each contestant must obtain their own health insurance prior to travel and are responsible for their own hospital and
healthcare while attending the Event. Only first aid will be administered at the Event.
*** Attach a photocopy of valid ISKF card***

142nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Representative, Managers and Coaches Registration Form


To be completed by country representative
Country: ______________________________

Name

Position

Official Representative

Manager

Coach

Coach

Coach

Coach

Coach

152nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Information for Judges


Application for Judges Exam
All examinees must be checked-in by 9pm on Thursday, November 8, 2012.
Judges exam fee is $40 per person.
All examinees with previous judge ranking must present an ISKF Qualification Card at check-in or will be
charged $40 per qualification.

Judges Requirements
For Judges Level

Rank must be at least

Nidan

Sandan

Yondan

Shichidan

162nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Judges Exam Form


For purposes of clarity all information must be typewritten. Handwritten forms will be returned.

Examination Date ________

Place ______________________________

Name _______________________________________________________
Address______________________________________________________
______________________________________________________
Telephone ______________

Email ______________________________________________________

Current Judges Rank _____

Date of Examination

Current Dan Rank ________

Club Name__________________________________________________

Country _______________

Region _____________

___________ Location ____________________

*All registrants form must be signed by the Chief Instructor of the examinees club to be accepted.

PERSONAL INFORMATION
Date of Birth ________________| Sex

MF|Height __ft __ in / __ cm | Weight ___ lbs/ __ kgs

Occupation __________________________________________________________________________
Last School or College _______________________________________ Degree ____________________
Applicants Signature __________________________________________________________________

172nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Selection of Judges Form


We are expecting a large number of competitors for this event. In order for it to run smoothly
and timely we will need as many ISKF Qualified Judges as possible. Please encourage the judges in your
country to come to this ISKF World Shoto Cup and participate as judges and officials. All judges must
wear gray pants, white long-sleeved shirt, maroon tie and navy blazer, Saturday and Sunday.

To be completed by country representative


Country: ______________________________
Name

Dan Rank

Judges Rank
(A, B, C, D)

ISKF
Certification Number

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

182nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Clinic Registration Form


To be completed by country representative
Country: ______________________________
Clinic details:
1st Clinic
2nd Clinic

November 8, 2012
November 9, 2012

Clinic fees:
One clinic only:
Two clinics:

Ex.

5:00pm-6:30pm
5:00pm-6:30pm

Master Yutaka YAGUCHI


Master Teruyuki OKAZAKI

US$40
US$60

Name

Birth Date
Month/DD/YYYY

Instructor/
Trainee

1st Clinic

2nd Clinic

John DOE

Jan. 1, 1975

Instructor

1
2
3
4
5
6
7
8
9
10
Amount Enclosed:

US$:

192nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Junior division Kata Registration Form


To be completed by country representative
Country: ______________________________

Ex.

Name

Gender

Kata Age
Category

Birth Date
Month/DD/YYYY

John DOE

16-17

Jan. 1, 1995

1
2
3
4
5
6
7
8
9

Amount Enclosed:

US$

202nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Junior division Team Kata Registration Form


To be completed by country representative
Country: ______________________________
Name

Gender

Birth Date
Month/DD/YYYY

1
2
1
3
Alternate

212nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Junior division Kumite Registration Form


To be completed by country representative
Country: ______________________________

Ex.

Name

Gender

Kumite Age
Category

Birth Date
Month/DD/YYYY

John DOE

16-17

Jan. 1, 1995

1
2
3
4
5
6
7
8
9

Amount
Enclosed:

US$

222nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Junior division Team Kumite Registration Form


To be completed by country representative
Country: ______________________________
Name

Gender

Birth Date
Month/DD/YYYY

1
2
1
3
Alternate

232nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Adult division Kata Registration Form


To be completed by country representative
Country: ______________________________

Ex.

Name

Gender

Age
(on Nov. 10, 2012)

Birth Date
Month/DD/YYYY

John DOE

27

Jan. 1, 1985

Amount Enclosed:

US$

242nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Adult division Team Kata Registration Form


To be completed by country representative
Country: ______________________________
Name

Gender

Birth Date
Month/DD/YYYY

1
2
1

M
3
Alternate
1
2

F
3
Alternate

Amount Enclosed:

US$:

252nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Adult division Kumite Registration Form


To be completed by country representative
Country: ______________________________

Ex.

Name

Gender

Age
(on Nov. 10, 2012)

Birth Date
Month/DD/YYYY

John DOE

27

Jan. 1, 1985

Amount Enclosed:

US$

262nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Adult division Team Kumite Registration Form


To be completed by country representative
Country: ______________________________
Name

Gender

Birth Date
Month/DD/YYYY

1
2
3
1

M
4
5
Alternate
1
2

F
3
Alternate

Amount Enclosed:

USD

272nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Senior division Kata Registration From


To be completed by country representative
Country: ______________________________

Ex.

Name

Gender

Age
(on Nov. 10, 2012)

Birth Date
Month/DD/YYYY

John DOE

47

Jan. 1, 1965

1
2
3
4
5
6
7
8
9

Amount Enclosed:

US$

282nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Senior division Team Kata Registration Form


To be completed by country representative
Country: ______________________________
Name

Gender

Birth Date
Month/DD/YYYY

1
2
1
3
Alternate
1
2
2
3
Alternate
1
2
3
3
Alternate
Amount Enclosed:

US$:

292nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Seniordivision Kumite Registration Form


To be completed by country representative
Country: ______________________________

Ex.

Name

Gender

Age
(on Nov. 10, 2012)

Birth Date
Month/DD/YYYY

John DOE

47

Jan. 1, 1965

Amount Enclosed:

US$

302nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

312nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Senior division Team Kumite Registration Form


To be completed by country representative
Country: ______________________________
Name

Gender

Birth Date
Month/DD/YYYY

1
2
3
1

M
4
5
Alternate
1
2

F
3
Alternate

Amount Enclosed:

USD

322nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Banquet Registration Form


Event Time & Date: 7:00 pm
Sunday, November 12, 2012
Location:

Waterfront Cebu Juan Lahug Hotel and Casino Pacific Ballroom

The banquet is open to all participants, family and friends. Please plan to attend with others from your
country. Banquet fees are non-refundable.
Buffet banquet:

$50 per person. Free for people who are booked at the Waterfront Hotel and
Casino.

Country:______________________________________________________________________________
Name

Amount Enclosed

1.

____________________________________________________________

______________

2.

____________________________________________________________

______________

3.

____________________________________________________________

______________

4.

____________________________________________________________

_______________

5.

____________________________________________________________

_______________

6.

____________________________________________________________

_______________

7.

____________________________________________________________

_______________

8.

____________________________________________________________

_______________

9.

____________________________________________________________

_______________

10.

____________________________________________________________

_______________

11.

____________________________________________________________

_______________

12.

____________________________________________________________

_______________

13.

____________________________________________________________

_______________

14.

____________________________________________________________

_______________

Total amount enclosed:

$_____________

332nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Deadline:

Postmark by September 30, 2012

T-Shirt Order Form


Order your 2012 Shoto Cup World Karate Championships T-shirt now----it will be available for you when
you check-in at the tournament.
Price:

$12

Sizes:

S, M, L, XL, XXL

Country:______________________________________________________________________________

Name

Size

Quantity

AmountEnclosed

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

Total amount enclosed:

$___________________

342nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Deadline:

Postmark by September 30, 2012

352nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Dan Examination
The Dan Registration Request Form must be completed in typewritten form. Please do not
submit handwritten forms, as they will be promptly returned. Please do not omit any requested
information. Your name should be written exactly as you wish it to appear on your certificate. If any
error appears on the final certificate requiring replacement and is deemed to be the fault of the
submitter, a US $50.00 fee will be charged. The exact date of your examination, the name of your
examiner, and the dates and registration numbers for previous dan registrations must be included in
addition to all personal information indicated. Be sure to sign your request form. Also, please be
prompt and arrive at the dan exam location at least 1 hour before exam time to sign an additional
waiver. All minors (ages 7-17) must be accompanied by a parent or guardian to sign the waiver. If this
directive is not complied to, it will prohibit that person from taking the dan exam on that day!

INCOMPLETE, INCORRECT OR HANDWRITTEN REQUEST FORMS WILL BE RETURNED!

The original request form (only 1) must be accompanied by one passport-sized photograph
stapled to each dan registration form along with the appropriate registration fee. These materials
should be during Registration.
Personal checks are not acceptable.Additional $10 is required for the processing fee.

INTERNATIONAL RATE
Examination Fee

Registration Fee

Shodan

$80

$60

Nidan

$100

$70

Sandan

$120

$100

Yondan

$150

$150

Godan

$200

$200

Rokudan

$250

$500

Shichidan

$300

$800

Hachidan

$300

$900

UNITED STATES RATE

362nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Examination Fee

Registration Fee

Shodan

$80

$80

Nidan

$100

$110

Sandan

$120

$155

Yondan

$150

$210

Godan

$200

$260

Rokudan

$250

$550

Shichidan

$300

$850

Hachidan

$300

$950

SOUTH AFRICA RATE


Examination Fee

Registration Fee

Shodan

$60

$30

Nidan

$70

$35

Sandan

$80

$50

Yondan

$100

$75

Godan

$150

$100

Rokudan

$200

$250

Shichidan

$250

$400

Hachidan

$250

$450

372nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

CARIBBEAN RATE
Examination Fee

Registration Fee

Shodan

$60

$60

Nidan

$70

$70

Sandan

$80

$100

Yondan

$100

$150

Godan

$150

$200

Rokudan

$200

$500

Shichidan

$250

$800

Hachidan

$250

$900

All Dan ranking is registered with the International Shotokan Karate Federation. ISKF will
evaluate all registration requests for approval and issuance of registration numbers. Dan certificates will
be printed in Japan and forwarded from ISKF Headquarters to the regional director, who at his direction
delivers them to the student or his instructor.

Send all paperwork to: cebucom@iskf.ph

382nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Request for Dan Registration


For purposes of clarity all information must be typewritten. Handwritten forms will be returned.

Name _______________________________________________________
Address_______________________________________________________

PHOTO

_______________________________________________________

Telephone ______________

Email ______________________________________________________

Registering for ___ Dan

Date of Examination

Examiner _______________

Instructor __________________________________________________

_______________________________________

*Instructors Signature __________________________________________________________________


Club Name ________________________

Country _______________

Region _____________

*All registrants form must be signed by the Chief Instructor of the examinees club to be accepted.

PERSONAL INFORMATION
Date of Birth ________________| Sex MF|Height __ft __ in / __ cm | Weight ___ lbs/ __ kgs
Occupation __________________________________________________________________________
Last School or College _______________________________________ Degree ____________________
KARATE HISTORY
When did you begin karate practice?

Year ______________ Month ____________

Previous Dan Registrations:


Sho (1) Dan
San (3) Dan
Go (5) Dan
Sichi (7) Dan

Date of ExamReg. No. Examiner


__________________ _________
__________________ _________
__________ ________ _________
__________________ _________

Ni (2) Dan
Yon (4) Dan
Roku (6) Dan
Hachi (8) Dan

Date of Exam
___________
___________
___________
___________

Reg. No.
________
________
________
________

Examiner
________
________
________
________

I REQUEST MY RANK TO BE LISTED IN THE REGISTER OF THE ISKF. I PROMISE TO


UPHOLD THE STANDARDS AND HONOR OF THE ISKF.
Students Signature __________________________________________________________________
FOR EXAMINERS USE ONLY
Rank Awarded __________________________
Promotion by (circle one)
EXAMINATION

Examiners Signature __________________________


RECOMMENDATION
HONORARY

392nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Remarks:

Advertising Page Charges


Rates:
Full Page (inside back cover)
Full Page (interior)
Half Page
Quarter Page
Eighth Page

10high x 7-1/2 wide


10high x 7-1/2 wide
5 high x 7-1/2 wide
5 high x 3-3/4 wide
2-1/2 high x3-3/4 wide

BW

Colored

$500
$300
$180
$100
$ 75

$1000
$590
$290
$190
$150

Full page (inside back cover) is first come, first served basis. Artwork should be 300dpi in JPG, PSD, PNG,
or AI formats only. Any copy not already typeset must be typed, not handwritten. Business cards may be
used for art.

Deadline for softcopies and ad space payment: September 30, 2012, no later.
Ad size (Please check one):
__ Inside Cover __Full Page __Half Page __Quarter Page

__Eighth Page

Company Name: _______________________________________________________________________


Company Address: _____________________________________________________________________
Company Representative: __________________________ Phone: _______________________________
Signature: ______________________________________ Date: _________________________________
Total Amount Enclosed: $____________________
Please send advertisements to: cebucom@iskf.ph

402nd ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

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