2014 LEGENDS of KUNG FU COMPETITIONlegendsofkungfu.com/downloads/Registration Form_2014.pdf · 2014...
Transcript of 2014 LEGENDS of KUNG FU COMPETITIONlegendsofkungfu.com/downloads/Registration Form_2014.pdf · 2014...
2014 LEGENDS of KUNG FU COMPETITION July 18 – 20, 2014
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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)
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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:_______
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