You are on page 1of 4

Wune Tang Academy 3rd Open Championships 2012

TOURNAMENT DATE: SATURDAY 29TH SEPTEMBER 2012 TIME: DOORS OPEN AT 8.30AM COMPETITION COMMENCES AT 9.00AM VENUE: CONNEXION LEISURE CLUB, LEAMINGTON ROAD, RYTON-ONDUNSMORE, CV8 3FL AMPLE FREE PARKING ON SITE www.sportsconnexion.com SNACK BAR AND CANTEEN FACILITIES WILL BE AVAILABLE FOR YOU TO PURCHASE HOT & COLD SNACKS AND BEVERAGES

ENTRY PACK AND GUIDELINES


Please read this section before completing the entry form. Complete in full the official entry form and return it with the proper fee to your Instructor. Please PRINT all the information accurately. Rank MUST be included as different styles wear different belts! Any application which is not completely filled in will be unprocessed and may result in the applicant not being able to compete. Instructors/applicants please send your batched entries with payment to: Master C Woon Wune Tang Academy 67 Faraday Road Rugby Warwickshire CV22 5ND All cheques must be made payable to Wune Tang Academy Ltd. Please do not send cash in the post. All payments made are non refundable unless we cancel the tournament.

Contact Master C Woon on 07733008207 if you have any queries or email info@wunetangacademy.com SPECTATOR FEES AND PROGRAMMES PAYABLE ON THE DOOR ON THE DAY ONLY ADULTS: 2.50 CHILDREN: FREE

OPEN TO ALL STYLES AND ASSOCIATIONS

PROGRAMMES 1.00
PLEASE HAVE ALL APPLICATIONS IN BY THE 8th SEPTEMBER 2012 AFTER WHICH ALL LATE APPLICATIONS WILL INCUR A 10 ADMINISTRATION FEE. TO AVOID DISAPPOINTMENT AND TO HELP US ORGANIZE THE EVENT SUCCESSFULLY PLEASE SEND YOUR APPLICATION BEFORE THE DEADLINE DATE.

Wune Tang Academy Open Championships 2012 Connexion Leisure Club, Leamington Road, Ryton-onDunsmore, CV8 3FL Saturday 29th September from 9.00am
Hosted by Master Zak Woon
INDIVIDUAL COMPETITION REGISTRATION AND RELEASE FORM Please fill out the application form completely & return it by 8th September 2012! Early registration and thoroughly completed applications will help achieve our goal of ensuring safe, enjoyable & on time competitive experience for all participants & their families & friends. If you have ANY questions, please ask your instructor for help and please, PRINT legibly! Last Name .................................. First Name .....Gender................. Age ............... D.O.B. .............. Weight .............. Height.Rank ............................. (at the time of competition) (at the time of competition) Address ............................... ................................... Name of Martial Arts School........................Instructor.................................... .... Phone ............................. E-mail address .. .................. I will be competing in: (Please indicate your requirements) Please note all forms must be traditional in nature with NO gymnastic skills, we have a separate creative section. Traditional Hyungs (Forms) 12.50_____) Jang Bong Hyungs(Long Bo Staff Weaponry Forms) 12.50_____) Open Weaponry (any other weapons than Bo Staff) 12.50_____) Free-Fighting (Sparring) 12.50_____) Grappling Section 12.50_____) **Special discount price of 30.00 for three categories, 35.00 for four categories and 40 for five categories if paid before deadline. I enclose payment for . Cheques or money orders made out to WUNE TANG ACADEMY Amateur Athletic Release of Liability:

In consideration of being allowed to participate in any way in the Wune Tang Academy Championships, the undersigned, the
parent or guardian of a minor child participant: 1. Agrees to inspect, prior to participation, the facilities and equipment to be used, and if the participant believes anything is unsafe, he or she should immediately withdraw from competition and refuse to participate. 2. Acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent injury and death, and severe social and economical losses which might result not only from their actions, inaction or negligence, but the action, inaction or negligence of others, the rules of play or the condition of the premises, or any equipment used. Further that there may be other risks not known to us or not reasonably foreseeable at this time. 3. Assume all the foregoing risk, and accept personal responsibility for the dangers following such injury, permanent disability, or death. 4. Released, waive, discharge, and convenant not to sue Wune Tang Academy, its affiliated clubs, the venue any and all sponsors, officials, promoters, instructors, or other participants, all of which are hereinafter referred to as releases, from any and all liability to each of the undersigned, his or her heirs and next of kin for any and all claims, demands, losses, damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releases or otherwise. 5. I understand that any medical treatment given to me is of a First Aid type only and I give my consent thereto.

WE HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY: .... Date & Signature of Participant, or Guardian if under 18 years old

Wune Tang Academy Open Championships 2012 Connexion Leisure Club, Leamington Road, Ryton-onDunsmore, CV8 3FL Saturday 29th September from 9.00am
Hosted by

Master Zak Woon

TEAM AND CREATIVE COMPETITION REGISTRATION FORM CREATIVE SECTION APPLICATION: 10 PER ENTRY Wune Tang Academy will provide the music system but you MUST supply your own disk clearly labelled and ready to play. Creative section can be individual, due, trio or teams. You may incorporate gymnastics, acrobatics, dance and athletic disciplines. However at least half the form must originate from Martial Arts techniques. It must be choreographed in a general sense to the beats and rhythm of music chosen. Creative music forms may be open handed or include weaponry. Your form must NOT exceed two minutes including any introductions. Competitors Name if Solo: .................................. Team Name: ........................................................................... Instructors Name and Club Name: . Team Members: Name . Grade .. Age . Name . Grade .. Age . Name . Grade .. Age .

Name . Grade .. Age . Name . Grade .. Age . TEAM FORMS: 10 PER ENTRY Minimum 3 members per team (you can have larger teams). Optional to do an open hand form or a weaponry form (both will compete together). You can only compete in one team. No gymnastics in the team section (that is for creative section only) Team Name: ........................................................................... Instructors Name and Club Name: . Team Members: Name . . Name . . Name . . Name . . Name . . Grade .. Age Grade .. Age Grade .. Age Grade .. Age Grade .. Age

You might also like