2014 LEGENDS of KUNG FU COMPETITIONlegendsofkungfu.com/downloads/Registration Form_2014.pdf · 2014...

2
2014 LEGENDS of KUNG FU COMPETITION July 18 20, 2014 Page 1 of 2 Hilton DFW Lakes Executive Conference Center – 1800 Texas 26, Grapevine, TX 76051 Registration Form Please Print! **Deadline postmarked by July 7 (late fee: $20)** Personal Information NAME: SCHOOL: ADDRESS: ADDRESS: City State Zip Code City State Zip Code PHONE: ( ) - FAX: ( ) - SIFU / MASTER: AGE: GENDER: EXPERIENCE: yrs. mo. PHONE: ( ) - FAX: ( ) - EMAIL: EMAIL: Divisions (*please mark one!*) Levels (*please mark one!*) KIDS ages 8 & under (boys & girls together) JUNIORS ages 9 to 12 (boys & girls together) TEENS ages 13 to 16 (boys & girls together) ADULT MEN ADULT WOMEN EXECUTIVE MEN ages 36+ EXECUTIVE WOMEN ages 36+ SR. TAIJI EXECUTIVE ages 60+ (no levels; men & women together) The Legends reserves the right to combine divisions that do not meet a minimum of 6 participants for each event in all levels. YOUTH (kids & juniors) TEENS & ADULTS LESS THAN 2 YEARS BEGINNER less than 2 yrs. 2 YEARS OR MORE INTERMEDIATE 2 to 4 yrs. ADVANCED more than 4 yrs. External Events Internal Events TRADITIONAL KUNGFU MODERN WUSHU WING CHUN NORTHERN CHANGQUAN WING CHUN FORM SOUTHERN LONG NANQUAN WING CHUN WEAPON SOUTHERN SHORT STRAIGHTSWORD SABRE SABRE OPEN EVENTS STRAIGHTSWORD STAFF FORM STAFF SPEAR WEAPON SPEAR OTHER FORM 2-3 MAN SET NORTHERN PRAYING MANTIS OTHER WEAPON CHOY LAY FUT OTHER FORM OTHER WEAPON CHEN TAIJI XING YI QUAN YANG TAIJI BA GUA ZHANG WU (HAO) TAIJI TAIJI STRAIGHTSWORD WU TAIJI TAIJI SABRE SUN TAIJI 42 STEP TAIJI SWORD 24 STEP TAIJI OTHER INTERNAL FORM 42 STEP TAIJI OTHER INTERNAL WEAPON LIU HE BA FA Musical Group Events Exhibition Events 1 person registers 4-6 people, 1.5 to 5 min time range. (Exhibition events are scored but NOT ranked) EXTERNAL FORM # PPL: GROUP NAME: EXTERNAL FORM STYLE: EXTERNAL WEAPON # PPL: GROUP NAME: EXTERNAL WEAPON STYLE: INTERNAL FORM # PPL: GROUP NAME: INTERNAL FORM STYLE: INTERNAL WEAPON # PPL: GROUP NAME: INTERNAL WEAPON STYLE: Reaction Skills Events (Refer to competition rules) **Please be sure mark your gender in SECTION 1& level in SECTION 3!** POINT SPARRING (17 & Under) RESTRICTED-STEP PUSH HANDS CONTINUOUS SPARRING (Adult) MOVING PUSH HANDS TRUE-TO-FORM SPARRING CHI SAU AGE: 7 & UNDER 15-17 8-11 ADULT WEIGHT: lbs 12-14 Chin Woo Compulsory Events (No levels; men & women together) GONG LI QUAN (Strength Boxing) QUN YANG GUN (Sheep Flocking Pole) JIE QUAN (Connecting Fist) WU HU QIANG (5 Tiger Spear) BA GUA DAO (Bagua Sabre) 1 2 3 4 5 6 7 8

Transcript of 2014 LEGENDS of KUNG FU COMPETITIONlegendsofkungfu.com/downloads/Registration Form_2014.pdf · 2014...

Page 1: 2014 LEGENDS of KUNG FU COMPETITIONlegendsofkungfu.com/downloads/Registration Form_2014.pdf · 2014 legends of kung fu competition ... sun taiji 42 step taiji sword 24 step taiji

2014 LEGENDS of KUNG FU COMPETITION July 18 – 20, 2014

Page 1 of 2

Hilton DFW Lakes Executive Conference Center – 1800 Texas 26, Grapevine, TX 76051

Registration Form Please Print! **Deadline postmarked by July 7 (late fee: $20)**

Personal Information

NAME: SCHOOL:

ADDRESS: ADDRESS:

City State Zip Code City State Zip Code

PHONE: ( ) - FAX: ( ) - SIFU / MASTER:

AGE: GENDER: EXPERIENCE: yrs. mo. PHONE: ( ) - FAX: ( ) -

EMAIL: EMAIL:

Divisions (*please mark one!*) Levels (*please mark one!*)

KIDS ages 8 & under

(boys & girls together) JUNIORS ages 9 to 12

(boys & girls together) TEENS ages 13 to 16

(boys & girls together)

ADULT MEN ADULT WOMEN EXECUTIVE MEN ages 36+ EXECUTIVE WOMEN ages 36+ SR. TAIJI EXECUTIVE ages 60+

(no levels; men & women together)

The Legends reserves the right to combine divisions that do not meet a

minimum of 6 participants for each event in all levels. YOUTH (kids & juniors) TEENS & ADULTS LESS THAN 2 YEARS BEGINNER less than 2 yrs. 2 YEARS OR MORE INTERMEDIATE 2 to 4 yrs. ADVANCED more than 4 yrs.

External Events Internal Events

TRADITIONAL KUNGFU MODERN WUSHU WING CHUN NORTHERN CHANGQUAN WING CHUN FORM SOUTHERN LONG NANQUAN WING CHUN WEAPON SOUTHERN SHORT STRAIGHTSWORD SABRE SABRE OPEN EVENTS STRAIGHTSWORD STAFF FORM STAFF SPEAR WEAPON SPEAR OTHER FORM 2-3 MAN SET NORTHERN PRAYING MANTIS OTHER WEAPON CHOY LAY FUT OTHER FORM OTHER WEAPON

CHEN TAIJI XING YI QUAN YANG TAIJI BA GUA ZHANG WU (HAO) TAIJI TAIJI STRAIGHTSWORD WU TAIJI TAIJI SABRE SUN TAIJI 42 STEP TAIJI SWORD 24 STEP TAIJI OTHER INTERNAL FORM 42 STEP TAIJI OTHER INTERNAL WEAPON LIU HE BA FA

Musical Group Events Exhibition Events

1 person registers 4-6 people, 1.5 to 5 min time range. (Exhibition events are scored but NOT ranked)

EXTERNAL FORM # PPL: GROUP NAME: EXTERNAL FORM STYLE:

EXTERNAL WEAPON # PPL: GROUP NAME: EXTERNAL WEAPON STYLE:

INTERNAL FORM # PPL: GROUP NAME: INTERNAL FORM STYLE:

INTERNAL WEAPON # PPL: GROUP NAME: INTERNAL WEAPON STYLE:

Reaction Skills Events (Refer to competition rules) **Please be sure mark your gender in SECTION 1& level in SECTION 3!**

POINT SPARRING (17 & Under) RESTRICTED-STEP PUSH HANDS CONTINUOUS SPARRING (Adult) MOVING PUSH HANDS TRUE-TO-FORM SPARRING CHI SAU

AGE: 7 & UNDER 15-17 8-11 ADULT WEIGHT: lbs

12-14

Chin Woo Compulsory Events (No levels; men & women together)

GONG LI QUAN (Strength Boxing) QUN YANG GUN (Sheep Flocking Pole) JIE QUAN (Connecting Fist) WU HU QIANG (5 Tiger Spear) BA GUA DAO (Bagua Sabre)

1

2 3

4

5 6

7

8

Page 2: 2014 LEGENDS of KUNG FU COMPETITIONlegendsofkungfu.com/downloads/Registration Form_2014.pdf · 2014 legends of kung fu competition ... sun taiji 42 step taiji sword 24 step taiji

Page 2 of 2

WAIVER

I, _______________________________________________, the undersigned, knowingly and without duress, do voluntarily submit my entry to the 2014 LEGENDS of Kung Fu World Martial Arts Championships [hereinafter referred to as “Competition”], organized by Chin Woo Tournament, Inc. [hereinafter referred to as “Chin Woo”]. I hereby assume all risk of physical and mental injuries, disabilities, and losses, which may result from or in connection with my participation in the Competition. Acting for myself, heirs, personal representatives, and assignees, I do hereby release Chin Woo, its officers, agents, representatives, servants, employees, volunteers, and all other related members from all claims, actions, suits, and controversies at law or in equity by reason of any matter, cause, or thing whatsoever that I may sustain as a result of or in connection with my participation in the Competition. I also understand that participation in this Competition, especially but not limited to fighting sparring matches, entails a great risk of injury, and I assume full responsibility for all my actions, intentional or otherwise, during and in connection with my participation in the Competition. I fully understand that any medical attention or treatment afforded to me by Chin Woo, its officers, agents, representatives, servants, employees, volunteers, and all other related members will be of first aid type only, and I hereby release Chin Woo, its officers, agents, representatives, servants, employees, volunteers, and all other related members from any liability for such aid. I agree that my performance, attendance, and participation at the Competition may be filmed or otherwise recorded or telecast live. I consent to the use by Chin Woo of my name, likeness, voice, poses, pictures, and biographical data concerning fully or in parts, in any form or language, with or without other material, throughout the world, without limitation, for television, radio, video, theatrical motion pictures, internet or any other medium by devices now known or hereafter devised, and I do hereby waive any compensation in regard thereof as well as any future rights to the aforementioned.

I have read and fully understand the waiver listed above. I also understand that all fees paid are nonrefundable. Parent or legal guardian signature is required if competitor is under eighteen (18) years of age.

__________________________________________ ____________________________________________ ____________________ COMPETITOR SIGNATURE PARENT OR GUARDIAN (If competitor is under 18 years of age) DATE

Grand Champion Titles (Adults Only except for Junior Forms) Seminar Fees

BEGINNER EXTERNAL BEGINNER INTERNAL INTERMEDIATE EXTERNAL INTERMEDIATE INTERNAL ADV. TRADITIONAL KUNG FU FORMS ADV. TAIJI FORMS ADV. MODERN WUSHU FORMS CHIN WOO FORMS JUNIOR FORMS (Kids, Juniors, Teens)

REGISTRATION FEE: (does NOT include seminar fees) $65

# of seminars ____ X $20: $____

Late Fee ($20 after July 7): $____

CASH ONLY ON JULY 18-20! Total Seminar Fees: $____

Spectator Tickets and Passes Competition Fees

ONE DAY PASS (competition only): $15 X ____: $____ REGISTRATION FEE: (includes 1st INDIVIDUAL event) $65

TWO DAY PASS (competition only): $30 X ____: $____ # of additional events ____ X $20: $____

MASTERS’ DEMO PASS (separate from day passes): $15 X ____: $____ # of Musical Group events ____ X $80: $____

MASTERS’ DEMO VIP PASS (separate from day passes): $25 X ____: $____

ALL ACCESS PASS: (Includes Two Day Pass, Masters’ Demo Pass, & Kung Fu and Taiji Legacy Forums) $65 X ____: $____

VIDEO PASS: (valid for regular competition only; not valid for Masters’ Demo) $40 X ____: $____

Late Fee ($20 after July 7): $____

Total Spectator Fees: $____ CASH ONLY ON JULY 18-20! Total Competition Fees: $____

Total Fees & Payment CASH ONLY ON JULY 18 – 20!

*** All fees paid are non-refundable ***

Free Legends of Kung Fu T-Shirt

if you register by June 23! Enter T-Shirt Size here: ___

Total Seminar Fees (from Section 12): $_____

Total Spectator Fees (from Section 13): $_____

Total Competition Fees (from Section 14): $_____

TOTAL: $_____

PLEASE MAIL FORM WITH CHECK / MONEY ORDER MADE PAYABLE TO:

CHIN WOO TOURNAMENT, INC.

1778 N. PLANO RD. STE #108 RICHARDSON, TX 75081 USA

Payment Method: VISA MasterCard Checks Money Order

Card owner name:

Credit Card #:

Expiration Date: /

Signature:

Phone: (214) 878-4598 Email: [email protected]

FOR OFFICE USE ONLY

DATE POSTMARKED________________ AMOUNT______________ ⃞ CASH CHECK #___________ RECEIVED BY:_______

10

13

15

11 12

14