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JKA/WF AMERICA 2019 CAMP & NATIONAL TOURNAMENT Hosted By: New Mexico Karate Association 1

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JKA/WF AMERICA2019 CAMP &

NATIONAL TOURNAMENT

Hosted By: New Mexico Karate Association

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Table of Contents

General Camp Information ………………………… 3Important Deadlines ……………………………………… 5Schedule of Events……………………….………………. 6Camp Registration Fees …………………………………… 7Registration Forms …………………………………….… 8Participant Waiver/Release Agreement …………………… 9Camp Remittance Checklist ………………………………. 10Dan & Qualification Exam Information ………………….. 11Request form for Dan and Qualification Testing…………… 12Dan Testing Form ………………………………………….… 13Dan Registration Form ………….……………………….. 14Judge Seminar & Clinic Information ……………………. 15Qualification Registration Form …………………………. 16General Information National Tournament……………… 17Adult Division-General Information ………………………. 18Adult Individual Registration Form ……………………….. 21Adult Individual Regional Representative Seeding Form … 22Black Belt Adult Individual Registration Form …………… 23Brown Belt Adult Individual Registration Form ………….. 24Adult Regional Team Registration Form ………………….. 25Senior Division Qualifications and Rules………………….. 26Senior Individual Registration Form ……………………… 27Senior Kata Team Registration Form …………………….. 28Collegiate General Information …………………………… 29Collegiate Contest Rules ………………………………….. 30Collegiate Individual Registration Form …………………. 33Collegiate Team Registration Form ………………………. 34Youth Division General Information …………………….. 35Youth Division Rules ……………………………………… 36Youth Individual Registration Form ………………………. 38Youth Team Registration Form – Kata Only ……………… 39Selection of Judges Form ………………………………….. 40T-Shirt Order Form …….……………………………….…. 41

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JKA/WF America National Camp June 20-23, 2019Hosted by: NMKA (New Mexico Karate Association) Mountain States Region.

Santa Fe, New Mexico

Special Guest Instructor

Master Masaaki Ueki, 9th DanChief Instructor Japan Karate Association HQ in Japan

JKA/WF America Camp Instructors:

Sensei Kenichi Haramoto 7th DanGeorge Washington University

Sensei Yasuaki Nagatomo, 7th DanNew Mexico Karate Association

Sensei Chuck Coburn 7th DanShotokan Karate of Arizona

Assisted By:Sensei Kent Wang 6th Dan

JKA of Chapel HillInstructor Shawn Sample 6th Dan

JKA of PhoenixSensei Neeraj Dhawan 6th Dan

JKA WF Chicago Karate InstituteInstructor Julio Alvarado 5th Dan

JKA/WF Costa RicaSensei Jacqueline Martinez 5th Dan

Arizona JKASensei Rolf Lohr 5th Dan

Arizona JKA

Training Facility: Genoveva Chavez Community Center-GCCC3221 Rodeo Road, Santa Fe, New Mexico 87505

GCCC features numerous amenities for training and relaxation. The facility includes basketball courts, swimming pools, hot tub, sauna, racquetball courts, indoor running track, weight training area, and an ice-skating rink. Camp fees do NOT include use of the facilities. (Locker room facilities are included free of charge) Please check their website for facility fees. www.GCCommunitycenter.com

Preferred Hotel:

Special R ate : To be announced

Hyatt Place Santa Fe (Camp registration/meeting location)4320 Cerrillos Road, Santa Fe, NM 87507(505)-474-7777 www.hyattplace.com

What to Bring: All your JKA/WF paperwork (passport, membership card, proof of ranking and qualifications)At least 2 gis (if possible)Casual clothes-expect temperatures in the 80's by day, and in the 60's by night. Rain is always a possibility.

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Important Notice: All JKA/WF America members who are brown belt or black belt are required to have a valid JKA/WF America passport. This passport lists the individual’s certifications and is accepted as proof of such when their services are required in an official capacity during any JKA/WF event. It must be shown at each JKA/WF event. All other JKA/WF America members are required to have either a passport or a membership card. You will be charged $70.00(US) for a replacement passport or $35.00 for a membership card at camp. To avoid higher fees, please obtain one from your regional office before attending camp or contact the Administrative Office at:505-256-0700 or [email protected].

Other Nearby Hotels: Best Western Inn3650 Cerrillos Road, Santa Fe, NM 87505505-438-3822The Holiday Inn3450 Cerrillos Road, Santa Fe, NM 87505505-473-4646

Transportation: Airport shuttle: www.sandiashuttle.com 888-775-5696Train: www.nmrailrunner.com 1-866-795-RAILSanta Fe Bus Service –http://santafetrails.santafenm.gov or call 1-866-551-7433 Zia Station Zia Road & St. Francis Drive (602 W. Zia Road)Or South Capitol Station 1301 Alta Vista Santa Fe NM

Directions to Hyatt Placefrom Albuquerque International Sunport:

Start out going east on Sunport Blvd toward Yale Merge onto I-25 N/US-85 N toward Santa Fe/I-40Merge onto Cerrillos Rd/NM-14 N via EXIT 278.Hyatt Place Santa Fe, 4320 CERRILLOS RD is on the right

Directions to Training Facility from Albuquerque International Sunport:

from Santa Fe Hyatt Place Santa Fe:

North on I-25 (55.2miles)Exit 278 on Cerrillos Rd Exit (2.9 miles)Turn Right onto Rodeo RD (1.0 miles)Turn Left onto Richards RD (0.6 miles)Follow Richards RD to GCCC

South/Right on NM-14, Cerrillos Rd (0.8 miles)Turn Left on Zafarano Dr. (0.3 miles)Turn Left on Rodeo Rd (0.6 miles)Turn Left on Richards Ave (0.6 miles)Follow Richards Rd to GCCC

Contact Information: If you have any questions or concerns, feel free to contact us by mail, phone or e-mail at:

JKA/WF America6501 Eagle Rock Ave. NEAlbuquerque, NM 87113 USATel: (505) 256-0700 E-mail: [email protected]. Web: www.jkawfamerica.org

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Important DeadlinesJKA/WF America National Camp June 20-23, 2019

Camp Registration: May 20, 2019 Late registrations will be allowed at additional fee per person. Must check in June 20, 2019 9:00AM-12:00 PM

T-Shirt Preorder & Prepay: May 20, 2019 Preorder & prepay to guarantee availability.

Instructor Program and Seminar: May 20, 2019 Late registrations will be allowed at additional fee per person at camp.

Qualification ExamRegistrations:

May 20, 2019 No late registrations will be allowed.

Dan Examination Registrations:

May 20, 2019 No late registrations will be allowed.Must check in June 20, 2019 12:00PM-3:00 PM

Tournament Judge Registration: May 20, 2019 Must check in June 20, 2019 12:00PM-3:00 PMSee Selection of Judges Form (page 37)

Tournament Competitor Registration: May 20, 2019 Late registrations will be allowed at additional fee per person per eventMust check in June 20, 2019 12:00PM-3:00 PM

Camp Check In: Hyatt Place Santa Fe, June 20, 2019 from 9:00AM-12:00PM

Exam & Tournament Check in: Hyatt Place Santa Fe, June 20, 2019 from 12:00PM-3:00PM

Late Check In: June 21, 2019 Hyatt Place Santa Fe, 9:00 AM -11:30 AM

All participants must check in before attending any classes. If you are not able to make the Check In before classes, please contact us and prepay in full prior to attending camp. You will not be allowed to attend classes if payment has not been paid in full.

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ScheduleJKA/WF America National Camp June 20-23, 2019

DAY CLASS Class Time Location

Thu 6/20/2019Camp Check-In

Tournament & Exam Check-In

9:00am - 12:00pm

12:00pm – 3:00pmHyatt Place Hotel

Thu 6/20/2019 Regional Representative Meeting ¹ 11:00am - 2:00pm GCCC

Thu 6/20/2019 Camp Training Session 1 &2 5:00pm - 7:00pm GCCC

Fri 6/21/2019 Instructor Program and Seminar ² 8:30am - 11:30am GCCC

Fri 6/21/2019 Late Camp & Tournament Check-in & Registration

9:00am - 11:30am GCCC

Fri 6/21/2019 Camp Training Session 3 & 4 1:00pm - 3:00pm GCCC

Fri 6/21/2019 Camp Picture Taking & Break 3:00pm – 4:00pm GCCC

Fri 6/21/2019 Camp Training Session 5 & 6 4:00pm - 6:00pm GCCC

Fri 6/21/2019 Regional Representative Dinner ¹ 7:30pm – 9:00pm TBA

Sat 6/22/2019 Camp Training Session 7 & 8 8:00am - 10:00am GCCC

Sat 6/22/2019 Qualification Written Exam 11:00am -12:00pm GCCC

Sat 6/22/2019 Dan & Qualifications Practical Testing 12:30pm - 2:00pm GCCC

Sat 6/22/2019 Judge Meeting & Tournament 3:00pm - 6:00pm GCCC

Sat 6/22/2019 Camp Reception Party ³ 7:00pm - 9:00pm TBA

Sun 6/23/2019 Camp Training Session 9 &10 9:00am - 11:00am GCCC

1 Meeting is for Regional Reps or their proxy only every region must send one person from their region to attend. Please RSVP by May 20, 2019 2 Mandatory for members holding any qualifications and highly recommended for any adult black belt member interested in obtaining any qualification in the future. (Page 15)

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³ Please sign up for Camp Reception Party during check-in on June 20th, 2019

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Camp Registration Information and FeesJKA/WF America National Camp June 20-23, 2019

To register for camp and avoid late fees please mail the following before May 20, 2019

JKA/WF America National Camp 2019 Registration/ T-shirt Order Form Page (page 8) Participant's Medical Questionnaire & Waiver page (page 9) JKA/WF America National Camp 2019 - Remittance Checklist (page 11) Send in Full payment. (JKA/WF America National camp T-shirt is included)

orSend in a $50.00 deposit (nonrefundable) (with the remaining balance due in full at camp registration on June 20th.) (if you will be arriving to camp late and will miss the registration on June 20th Please pay the remain balance to camp staff before joining camp.) Any participant that pays a $50 deposit will be able to order their T-shirt for $15, (due with deposit.)If registration is received after May 20, 2019 an additional $20.00 late fee per person will be added to the prices listed below. All fees are priced in US currency.

Camp Tuition:Tuition for JKA/WF America member is $250 per participantFamily Rate:2nd Family member $230 3rd Family member $2104th Family member $150

Tuition for JKA/WF member is $260 per participantFamily Rate:2nd Family member $2403rd Family member $2204th Family member $160

Tuition for Non JKA/WF member is $280 per participantFamily Rate:2nd Family member $2603rd Family member $2404th Family member $180

Camp Cancellations:If you cancel before May 20, 2019, a refund of your payment less a $25.00(US) handling fee will be reimbursed to you after May 30, 2019. If you had paid a $50 deposit it will not be refunded.You will not be allowed to attend classes until payment is made in full.

Camp Discounts:If you are a registered Dojo and bring 10 members, one participant tuition fee is waived; 15 members, 2 participant tuition fees will be waived; for 20 members, 3 participant fees will be waived. Enrolment must be coordinated by each Dojo to receive the registration fee waiver discount. With out doing so you will not receive discount. You must participate in all camp activities to have tuition waved. Tournament Judges, who have not received other camp discounts: D Judge (-$10) C (-$15), B (-$25), and A-($35)

Remit Camp Registration fees in the form of a certified check, money order, or bank draft in U.S. Dollars and Payable To: NMKA NO PERSONAL CHECKS FROM OUTSIDE THE U.S. You may pay your Region and they will send a Regional check on your behalf. We will be accepting credit cards at Check In only. An $8 credit card transaction fee will apply to every $0.01-$200 amount.

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JKA/WF America National Camp 2019 Registration Form :

Name ________________________________________ Age _______DOB ________ Sex______ Rank ______

Address _______________________________________ City_______________ State _________ Zip ______

Region ____________________________________________________ Country _______________________

Dojo ____________________________________ Tel _________________ Email _______________________

Are you JKA/WF America member? Yes / NoAre you a JKA/WF member? Yes / No Are you a registered JKA/WF Instructor or Instructor Trainee? Yes / No Instructor Qualification Rank ________ Do you have valid JKA Passport or Membership card? Yes / No

If No, you will be charged the non-member fees. JKA/WF America Members, to avoid higher fees, please obtain one from your regional office before attending camp or contact the Administrative Office at: 505-256-0700 or [email protected] JKA/WF America Brown and Black Belt members, present a valid JKA/WF passport at check-in.All other JKA/WF America members, present a valid membership card at check-in.

(Dojos are responsible for youth Children must be accompanied by an adult or guardian at all times.)

JKA/WF America National Camp 2019 T-shirt Order Form : The Pre-order and Prepay Deadline is May 20, 2019

Attendees who prepay IN FULL, before May 20, 2019, will receive a free T-shirt .If you pre-register with a 50 deposit, you will be able to order a T-shirt for $15 (due at time of deposit). You may order additional T-shirts for $20 before May 20, 2019.Please indicate size and submit payment to guarantee your T-shirt.

Orders will NOT be taken after May 20, 2019. Non-pre-ordered T-shirts will be $25 at camp but availability is not guaranteed.

T-shirt sizes: Youth S, M, L Adult S, M, L, XL and XXL(+$2)

Dojo name: ______________________________________________ Country __________________________

Name_____________________ Size __ Qty __ Amount Enclosed $_____ ($0, $15, or $20)

Name_____________________ Size __ Qty __ Amount Enclosed $_____

Name_____________________ Size __ Qty __ Amount Enclosed $_____

Camp and T-shirt Fees:

Camp Deposit/Tuition $_______T-shirt (total amount) $_______Tournament Judge Discount: D Rank (-$10), C-Rank (-$15), B Rank (-$25,) A Rank (-$35) page 37

Total $_______Remit Camp Registration fees in the form of a certified check, money order, or bank draft in U.S. Dollars and Payable To: NMKA

NO PERSONAL CHECKS FROM OUTSIDE THE U.S.You may pay your Region and they will send a Regional check on your behalf. We will be accepting credit cards at Event Check In only. An $8 credit card transaction fee will apply to every $0.01-$200 amount.

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JKA/WF America Participant's Medical Questionnaire & Waiver Form : To be completed by all adults and guardians of minors attending JKA/WF America Camp or Tournament 2019

Name ________________________________ Date of Birth ________ Sex ______ Rank ______________

Address __________________________________________ City ___________ State _____ Zip ______

Region _______________________________ Country ________________ Dojo _____________________

Do any of the following apply to you? Please check either yes or no for each one. If you answer yes to any, please explain:

Yes

No

□ □ History of Heart Murmur Explanation:□ □ History of Hypertension Explanation:□ □ History of Kidney Disease Explanation:□ □ History of Seizures Explanation:□ □ History of Eye Injury Explanation:□ □ Infection in the last 6 months Explanation:□ □ Bone Fracture in the past 6 months Explanation:□ □ Other medical conditions affecting

physical activity Explanation:□ □ Currently taking any medication Specify:□ □ Any Known Medical Allergies Specify:

_________________________________________________________ ________________________

Signature of Participant (Parent or Guardian if under 18 years of age) Date

Waiver/Release Agreement: PLEASE INITIAL AND SIGN WHERE INDICATEDJapan Karate Association/World Federation America National Camp 2019, I understand that there are risks and dangers inherent in martial arts training and in participating in and/or receiving instruction at the EVENT. I understand and agree that by signing this Waiver/Release, I am assuming full responsibility for any and all risk of personal injury or death or for property damage suffered by me while participating in and/or receiving instruction at the EVENT. I expressly acknowledge that my participation in the EVENT may subject me to personal injury or bodily harm and I assume any and all risks of that participation. I also understand that in order to be allowed to participate in and/or receive instruction at the EVENT, I must give up my rights to hold Japan Karate Association World Federation America and its affiliates, and all other clubs, schools, instructors, members, judges, officials, representatives and all other participants (collectively the "Releases") liable for any injury or damage which I may suffer while participating in and/or receiving instruction at the EVENT. _____InitialI also understand and agree that by signing the Waiver/Release, I acknowledge that I am solely responsible for having or obtaining all insurance coverage which may be necessary or desirable in connection with my participation in and/or receipt of instruction at the EVENT and for any travel to and from the EVENT and in all lodging or any other activities which may be related directly, indirectly or incidentally to the foregoing. ____Initial. I further understand and agree that any fees or costs required for necessary or requested medical attention shall be my sole responsibility and that I shall not seek indemnification or contribution from any Release in connection therewith. I also understand that the Releases shall not be responsible for any incidental, consequential or exemplary damages of any kind even if they are notified of the possibility of such in advance. I also understand and agree that any damage to any lodging sites or the tournament site that I cause is my full responsibility. In no case are said damages the responsibility of any of the Releases. I further understand and agree that as consideration for my participation in the EVENT, Japan Karate Association World Federation America and or its designees shall have the right to use my name, image or likeness in the promotion of the EVENT or in any publication relating to the EVENT (or similar Events) and in any broadcast or rebroadcast transmission of the EVENT without any additional consideration to me for the use of my said name, image or likeness. ____InitialI understand and agree that this Waiver/Release will have the effect of releasing, discharging, waiving and forever relinquishing any and all actions or causes of action that I may have or have had, whether past, present or future, whether known or unknown, and whether anticipated or unanticipated by me, arising out of my participation in and/or receipt of instruction at the EVENT. ____InitialKnowing this, and in consideration of being permitted to participate in and/or receive instruction at the EVENT, I hereby release and agree to indemnify and hold harmless the above-named Releases individually and their entities, and their officers, agents, principals, partners, shareholders, directors and employees from any and all liability or costs, including attorney fees, associated with or arising from my participation in and/or receipt of instruction at the EVENT. I further understand and agree that this Waiver/Release will be binding on me, my spouse, my heirs, my personal representative, my assigns, my children and any guardian ad litem for said children. ____InitialI understand that if I am signing this Waiver/Release on behalf of my minor child, that 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. ____InitialI acknowledge that I have read this Waiver/Release Agreement and that I understand the words and language in it. ____Initial

Print Name Date ___________________________________________ ________________________________

Sign Name Witness ________________________________________ ________________________________

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JKA/WF America National Camp 2019 - Remittance ChecklistPlease return this checklist with your registration forms and fees. Submit all items in same envelope per camper. Research reports should be mailed along with registration forms & an extra copy should be brought to camp with you. Do not mail original membership cards/passports. Make copies for yourself and your regional office for your

record.Mail to: 6501 Eagle Rock Ave. NE A-1 Albuquerque, NM 87113

Name: __________________________ Region: ____________ Date you have mailed this form ____/_____/_____

Camp Participants Checklist (To avoid late fees, please mail registration before May 20, 2019)□ JKA/WF America National Camp 2019 Registration/ T-shirt Order Form (page 7)□ JKA/WF America Participant's Medical Questionnaire & Waiver Form (page 9)□ Camp Deposit/Tuition fee Payable to: NMKA Amount enclosed US$_______ □ JKA/WF membership card or passport (DO NOT MAIL Original )

Dan Examinees Checklist (Must be submitted by May 20, 2019 or you will not be allowed to test) (Ask reginal director if you are qualified to test.)□ All camp requirements (see above) □ Two passport photos (with name on back of photo)□ Copy of previous Dan rank certificates (for Sho Dan test: 1st Kyu certificate)□ Technical Research Report 5 page minimum (Go Dan and Roku Dan Testing only), 2 copies (do not email) □ JKA Passport (first page, seminar/tournament page, and membership renewal page) (2 copies)□ Mouth guard and JKA approved sparring gloves (required for tournament sparring)□ JKA/WF America Request form for Dan and Qualification Testing, 2 copies (must be typed) (page 12)□ JKA/WF America Dan Testing Form, 2 copies (Page 13)□ JKA/WF America Request For Dan Registration Form, 2 copies (must be typed) (page 14)□ JKA/WF America Instructor Program and Seminar Registration Form ( see Page 15)□ Instructor Program & Seminar fee Payable to: NMKA No credit card Amount enclosed US$_______□ Dan Registration fee Payable to: JKA/WF America No credit card Amount enclosed US$_______□ Dan Examination fee Payable to: NMKA No credit card Amount enclosed US$_______

Qualification Examinees Checklist (Must be submitted by May 20 , 2019 or you will not be allowed to test) (please ask reginal director if you are qualified to test.)□ All camp requirements (see above) □ Copy of current qualifications card (if you have one (if it is expired you will not be able to test)□ Copy of latest Dan certificate□ Instructor trainee Report ( required for C Instructor examinees only) please contact JKA/WF America HQ for 3 subjects & one technical report ( qualification report cannot be the same as Dan testing report), 2 copies□ Completed Instructor Trainee technical subject sheet (page 10 of your Instructor trainee guidebook) (C Instructor examinees only), 2 copies□ Valid CPR Certification, 2 copies□ JKA/WF America Request form for Dan and Qualification Testing, 2 copies (must be typed) (Page 12)□ JKA/WF America Request For Qualification Registration Form, 2 copies (must be typed) (page 16)□ JKA/WF America Instructor Program and Seminar Registration form (page 15)□ Instructor Program & Seminar fee Payable to: NMKA No credit card Amount enclosed US$_______□ Qualification Registration fee Payable to: JKA/WFAmerica No credit card Amount enclosed US$_______□ Qualification Exam fee Payable to: NMKA No credit card Amount enclosed US$_______

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Dan and/or Qualification ExaminationsJKA/WF America National Camp June 20-23, 2019

These fees are for this camp only and in US currency.

Dan & Qualification Exams Requirements: Examinees must be JKA/WF America members. All Dan & Qualification examinees must attend the entire National Camp & tournament (all 10

training sessions including seminars) to be permitted to take these exams. All examinees must have a valid JKA/WF America membership passport. All examinees must have their test registration reviewed by their country or reginal Chief

instructor to ensure accuracy of the information in addition to written permissions. C instructor examinees must have completed all instructor Trainee guidebook topics. All forms must be typed. If the information does not meet JAK/WF America requirements, your forms may not be

accepted, and you will not be able to take the exam.Dan Examination Fees Payable to: NMKA Dan Registration Fees Payable to: JKA/WF America

Sho Dan $100.00 (US) Ni Dan $120.00 San Dan $140.00 Yon Dan $190.00 Go Dan $240.00 Roku Dan $300.00

Sho Dan $150.00 (US) Ni Dan $200.00 San Dan $240.00 Yon Dan $340.00 Go Dan $630.00 Roku Dan $750.00

Qualification Examination Fees Payable to: NMKA Qualification Registration Fees Payable to: JKA/WF America

Instructor C $100.00 (US)Instructor D $90.00Examiner C $100.00Examiner D $90.00Judge C $100.00Judge D $90.00

Instructor C $120.00 (US)Instructor D $100.00Examiner C $300.00Examiner D $180.00Judge C $120.00Judge D $100.00

Those who wish to take any of these exams must pre-register and pay fees (can be full payment or $50 deposit) for Camp and Exams by May 20, 2019.

Forms and payments must be submitted in a single packet/envelope per examinee by May 20, 2019. No applications or fees will be accepted at the National Camp.

If you wish to take any B qualifications, please contact JKA/WF America HQ. All qualification examinations are open to those registered JKA/WF America Instructor Trainees who have registered or completed all other requirements as stated in the JKA/WF America Instructor Trainee Manual.

If you are registering to take the ‘C’ level Instructors exam, you must submit Two copies of the Monthly technical subjects (page 10 of your Instructor Trainee guidebook) along with 2 copies of your 3 subjects & one technical report (qualification report cannot be the same as Dan testing report), and your valid CPR certification. Please also remember to bring the original copies with you to camp.

Please adhere to instructor trainee manual regarding format of submitted report.

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JKA/WF America Request form for Dan and Qualification Testing

Testing for: _____Dan Rank Qualification Rank Judge Instructor Examiner(D C B) (D C B) (D C B)

Please type or print clearly. Unclear spelling will delay your registration process or be sent back to retype.

Name ____________________________Date of Birth _____/_____/_____ Age ____ Gender M F Address __________________________ City _________ State ____ Zip ______ Country _______Telephone ( ) _______________ Email___________________Dojo Region ______________ Present Rank (Dan) ________

I plan to take the following examination (s):

Record of existing qualifications: JUDGE/INSTRUCTOR/EXAMINER/

Judge Qualifications Instructor Qualifications Examiner QualificationsDate of Exam Registration Number Date of Exam Registration Number Date of Exam Registration NumberD ___/___/___ ________________ D ___/___/___ _______________ D ___/___/___ ________________C ___/___/___ ________________ C ___/___/___ _______________ C ___/___/___ ________________B ___/___/___ ________________ B ___/___/___ _______________ B ___/___/___ ________________

If you are planning to take the next level exam and already have qualification in any of these areas, you must provide proof of your current qualification card. If you do not have a qualification passport, you must obtain one from your region before testing.

If you are taking the Dan examination, please list previous Dan registration numbers (if applicable):

If you are a JKA/WF America member and want to take the Dan test you must have a current JKA/WF AMERICA passport. You will be charged $70.00 (US) for a replacement passport.

I PROMISE THAT THE ABOVE INFORMATION IS COMPLETE AND ACCURATE AND I WILL CONTINUE TO UPHOLD THE STANDARDS AND HONOR OF JKA AND JKA/WF AMERICA.

Signature __________________________________ Date_________________

Examination

Current Rank (if any)

Date of Last Exam

If you have previously tested for this next rank, please list dates of each previous exam. If this is your first time testing for this rank, please list “first time”.

Dan *Judge *Instructor *Examiner

Rank Registration Date of Exam Chief Instructor/Examiner's name

ShoNiSanYonGoRoku

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JKA/WF America Dan Testing Form JKA/WF America For Dan Registration Form

For the purposes of clarity all information must be typewritten. Handwritten forms may be returned. The name must be no more than 24 characters including any spaces.Whatever you write will be registered as your name. Please do not email forms.

Name _____________________________________________________

Address ____________________________________________________ photo

____________________________________________________

Telephone (_____) _____________________ Email ___________________________

Registering for _________ Dan Date of Examination ________________

Examiner ________________________ Instructor ________________________

**Instructor’s Signature _____________________________________________________**

Club Name ______________________________________ Country ____________ Region _________________

PERSONAL INFORMATION

Date of Birth ____/____/_____ Sex M ____ F____ Height _____ft-_____in-_____cm- Weight ___________ lbs/kg

Occupation ________________________________________________________________________________

Last School or College _____________________________ Degree ____________________________________

KARATE HISTORY

When did you begin karate practice? Year _____________ Month _______________

Previous Dan Registrations:Report Date of Exam Reg. No.Sho (1) Dan Ni (2) DanSan (3) DanYon (4) DanGo (5) Dan Yes □ No □Roku (6) Dan Yes □ No □

I REQUEST THAT MY RANK BE LISTED IN THE REGISTER OF THE JAPAN KARATE ASSOCIATION/WORLD FEDERATION. I PROMISE TO UPHOLD THE STANDARDS AND HONOR OF JKA/WF.

Student’s Signature ______________________________________________________________________

FOR EXAMINER’S USE ONLY

Rank Awarded __________ Examiner’s Signature ________________________________________________

Promotion by: (circle one) EXAMINATION RECOMMENDATION HONORARYRemarks:

15

S C O R I N G

Chief Examiner Signature

B

A

ResultsTotal Marks

Application of

Techniques

Research

Kumite

KataBasic

PASS

FAIL

RE-EXAM

PENDING

Examination Fee

Remark

Tel.

Relationship

Address

NameReference

Last Academic School Attended

Tel.

P r e s e n t A d d r e s s Nationality

Date of BirthYear MonthDay

Age

Date of ExaminationYear Month Day

Male FemaleSexN a m e

Date Year Month Day

kgWeightcmHeightMembership Number

Karate Organization

Judge

Examiner

Instructor

Present Qualifications

YearsMonthsNumber of Months

and Years in Karate Training

Dan KyuRegistration No.

Year MonthDayDate of

Conferral

Kyu Dan

Present Rank

Rank Being Tested for

R A N K I N G I N F O R M A T I O N

Year Month DayDate of

Examination

No. Karate Organization

Name

Registration FeeExamination FeeStamp

AUTHORIZATION TO TAKE EXAMINATION

Dan

Rank Being Tested for

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JKA/WF America Instructor Program and Seminar Registration Form Friday June 21, 2019

Seminar 8:30am — 10:00amPractical Clinic—10:00am—11:30am

Pre-register by May 20, 2019 Cost: $30

(For both Seminar & Practical Clinic)

$40 Pay at doorOpen to Camp Participants Only

This Class is mandatory for all JKA W/F America members currently holding Instructor, Judge and Examiner qualifications (for renewal purposes) and highly recommended for any black belt member interested in obtaining qualifications in the future. You must be a JKA/WF America Dan rank member and a registered camp participant to attend this event.

Instructor Seminar & Practical Clinic Registration

Name _________________________ Age _______ DOB ________ Sex Rank ______

Address _________________________City_______________ State _________ Zip ______

Region ________________________________________ Country _______________________

Dojo ______________ Tel ( )______________ Email _________@___________________

Are you JKA/WF America member? Yes / NoAre you a registered JKA/WF Instructor or Instructor Trainee? Yes / NoQualifications Rank Instructor ____, Judge ____, Examiner ____. Please attach your Qualification Card copy.

Payment Form: amount enclosed $___________Payable to: NMKAMail payment before May 20th to: 6501 Eagle Rock Ave. NE A-1Albuquerque, NM 87113

Remit Instructor Program and Seminar fee in the form of a certified check, money order, or bank draft in U.S. Dollars NO PERSONAL CHECKS FROM OUTSIDE THE U.S.

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JKA/WF America Qualification Registration Form

For the purposes of clarity all information must be typewritten. Handwritten forms may be returned. **A separate form must be filled out for each Qualification**The name must be in 24 characters including any spaces.Whatever you write will be registered as your name. Please do not email forms.

Name _____________________________________________________

Address ____________________________________________________ photo

____________________________________________________

Telephone (_____) _____________________ Email ___________________________

Registering for (circle one) Judge InstructorExaminerDate of Examination ________________(D C B) (D C B) (D C B)

Examiner ________________________ Instructor ________________________

**Instructor’s Signature _____________________________________________________**

Club Name ______________________________________ Country ____________ Region _________________

PERSONAL INFORMATION

Date of Birth ____/____/_____ Age ____ Sex M ____ F____ Height _____ft-_____in-_____cm Weight __________ lbs,/kg

Occupation ________________________________________________________________________________

Last School or College _____________________________ Degree ____________________________________

KARATE HISTORY

When did you begin karate practice? Year _____________ Month _______________

Previous Qualifications:

Judge Qualifications Instructor Qualifications Examiner QualificationsDate of Exam Registration Number Date of Exam Registration Number Date of Exam Registration NumberD ___/___/___ _________________ D ___/___/___ _______________ D ___/___/___ ________________C ___/___/___ _________________ C ___/___/___ _______________ C ___/___/___ ________________B ___/___/___ _________________ B ___/___/___ _______________ B ___/___/___ ________________

I REQUEST THAT MY RANK BE LISTED IN THE REGISTER OF THE JAPAN KARATE ASSOCIATION/WORLD FEDERATION. I PROMISE TO UPHOLD THE STANDARDS AND HONOR OF THE JKA/WF.

Student’s Signature ______________________________________________________________________

FOR EXAMINER’S USE ONLY

Rank Awarded _________________________ Examiner’s Signature____________________________________________

Promotion by: (circle one) EXAMINATION RECOMMENDATION HONORARYRemarks:

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JKA/WF America National TournamentPlease Note: Only JKA/WF members may participate in National Tournament

JKA/WF America National Tournament Fees:

Non-participant Fee Fee W/paid Camp tuition Fee w/late tuition Adult Division:Individual, Single Event $65 $35 $45Individual, Both Events $85 $45 $55Team $120 $50 $60

Senior Division:Individual, Single Event $65 $35 $45Individual, Both Events $85 $45 $55

Youth Division:Individual, Single Event $65 $35 $45Individual, Both Events $85 $45 $55Team Kata $120 $50 $60

National/Collegiate Tournament Fees:Individual, Single Event $55 $35 $45Individual, Both Events $65 $45 $55Team $100 $50 $60

Registration fees should be remitted in the form of a certified check, money order, or bank draft in U.S. Dollars and made payable to: NMKA

Competitor Checklist:_____ Mouthpiece (approved by the JKA/WF of America)

_____ Gloves (approved by the JKA/WF of America)

_____ Chest protector (Children under 18 and Females only) (approved by the JKA/WF of America)

_____ Current (2019) JKA/WF membership card or passport (if 3rd kyu or higher rank)

_____ Current (2019) student ID card for Collegiate Events

_____ Standard White Gi

_____ Completed & Signed Medical Questionnaire & Waiver (Form on page 9)

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ADULT DIVISION – GENERAL INFORMATION

The National Tournament is open to JKA/WF members only. Competitors must be at least 18 years old and 3rd kyu and over to compete in the adult division. Competitors must present a current JKA/WF passport or buy one at the tournament for $70.

Kata:A. Contestants may not perform kata in competition higher than that required for their next promotion examination. The table below indicates the appropriate kata for each rank.

B. In the case of team kata, the kata performed must be in accordance with the status of the lowest ranking member of the team.Rank Permitted KataUngraded Heian 18 kyu Heian 1-27 kyu Heian 1-2-36 kyu Heian 1-2-3-45 kyu Heian 1-2-3-4-54 kyu Heian 1-2-3-4-5, Tekki 13 kyu-1 kyu Heian 1-2-3-4-5, Tekki 1,

Bassai-Dai, Kanku-Dai, Empi, Jion

Shodan & above Any kata may be performedKumite:In matches in which the rank of either contestant is beginner to 4th kyu, either team or individual, the method of the contest is ippon kumite (one step sparring). The technique and target will be announced before each attack. At the start of each match aka (red side) will initiate the attack.

Ranks of beginner to 7th kyu will attack four times; using lunge punches to the face and mid-section with both right and left hands but initiating the attack with the right side. Ranks of 6th kyu to 4th kyu will attack three times, using lunge punches to the face and mid-section and front snap kick (mae geri) initiating the attack with the right side.

The defending side demonstrates one different countering techniques among his/her four defenses.

In the case of a draw during an ippon kumite match between contestants in which the kyu ranks are beginner to 7th kyu the referee shall instruct the contestants to repeat ippon kumite as above, but red side (aka) attacks with the left side first. In the case of a draw during an ippon kumite match between contestants in which ranks of 6th kyu to 4th kyu are involved, the referee shall instruct the contestants to repeat ippon kumite as above, but the attacking/offensive side must initiate the attack with the left side.

Warnings, Fouls and Disqualifications

During ippon kumite matches, a contestant who utters verbal noises engages in feints, false starts, and/or other attempts to distract the opponent shall be given a warning. Upon a second instance the contestant shall be disqualified.

During an ippon kumite match if the offensive/attacking contestant announces one target area and delivers a technique to a different area than that which was announced, that contestant shall be given a warning. A second violation shall lead to disqualification.

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Prohibited Techniques when counter-attacking: The defensive contestant is not permitted to employ: sweeping techniques; any technique below the waist; nukite to the face or neck; wristlocks, joint manipulation or any technique aimed at a joint; grabbing; other techniques deemed dangerous by the judges. Use of any of these techniques will result in disqualification.

When counter-attacking for an individual offensive technique, the defensive/counter-attacking contestant shall not employ multiple counter-attacks as counter measure for a single offensive attack.

When announcing the target area during an ippon kumite match the following shall apply:1. The announcement of the target area must be of significant volume to be heard by all of the judges

for the match.

2. The announcement of the target area must be made after the offensive/attacking contestant has assumed a stationary, forward stance position.

CONTACT IS NOT PERMITTED UNDER ANY CIRCUMSTANCEThe essence of jiyu ippon kumite, offensively, is to make one strong attack in order to catch your opponent

defenseless. Defensively, one needs to make a strong counterattacking measure by itself coupled with a block. The defending side must demonstrate two different countering techniques.

At the start of each match, aka (red side) will initiate the attack. Each attack must be clearly and loudly announced in the order of jodan oizuki, chudan oizuki, chudan mae geri, and chudan yokogeri kekomi. The offensive side may use their favorite side to attack.

1. In case of a draw, the offensive side must use the opposite side to attack.

2. The defensive side is allowed one counterattack technique aimed at the appropriate target.

Prohibited Techniques:

The offensive side may not use feints or noises to distract their opponent.The offensive must make their attack once they are within correct distance. Once the correct distance has been

established, they cannot hesitate, stalk, or pursue their opponent without an offensive technique or the referee will issue a warning.

The offensive side, upon completion of an attack, must maintain their kamae (attack posture) and not immediately draw back the attack technique or step back out of counterattacking distance.

The offensive side cannot block counterattacking techniques or avoid them by body shifting (must maintain attack posture).

The offensive side cannot jump or slide with the lunge attacks.No grabbing or holding will be permitted by the offensive or defensive side.

Escaping out of bounds by the defensive side will result in the following: A. 1st time – jogai kekoku: out of boundsB. 2nd time- jogai chui: warningC. 3rd time – jogai hansoku disqualification, loss of match

In final matches in which the rank of either Contestant is 3rd kyu or above, the method of the contest will be jiyu kumite (free sparring) according to JKA rules.

Please NoteIn kumite matches, mouthpiece and JKA/WF America approved fist grads and chest protector (Children under 18 and Females only) are required for all contestants, regardless of rank. No contestant will be permitted to compete without mouthpiece and fist grads (for children and women Chest protector.) Only safety glasses will be permitted to be worn during kumite events. Absolutely no jewelry of any type will be permitted to be worn by competitors or officials (male or female).

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Nationals Adult Individual Events

Brown and Black belt individuals will compete in separate events.

Regional Eliminations: Each region of the JKA/WF America, may seed the top 4 competitors from its region in the following events: Women’s Kata, Men’s Kata, Women’s Kumite and Men’s Kumite.

If there are more than 20 competitors, two finalists from the individual kumite event and three finalists from the individual kata event will compete in the finals.

Any US member of the JKA/WF who wishes to compete, and is 3rd kyu or higher, may do so simply by filling out the appropriate forms and meeting the deadlines for registration.

There are no limits to the number of contestants from one region.

Nationals Adult and Senior Team Events

Team Kata: Each JKA/WF America region may send one men’s team and one women’s team, and one mixed senior team chosen in competition at the regional eliminations.

Kata teams will compete in the preliminaries on Saturday, June 22, 2019. If there are more than 10 teams, the top three men’s teams, top three women’s teams and top three senior teams will advance to the finals Saturday late afternoon.

Team Kumite: Each man’s team will consist of three members and one alternate. Each woman’s team will consist of three members and one alternate. Each JKA/WF America region may send one men’s and one women’s kumite team, chosen in competition at the regional competitions.

The top two kumite teams will advance to the finals Saturday late afternoon.

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Adult Individual Division Tournament Registration Form

All contestants must pre-register, and all registrations must be postmarked by May 20, 2019. Contestants must be at least 18 years of age and must present a current JKA/WF membership passport at check-in. Please submit a signed Medical Questionnaire & Waiver (page 9) for each individual.

Registration fees are non-refundable. A single event is $55 ($35 with paid camp fee) or both events are $65 ($45 with paid camp fee) per contestant. There are no limits to the number of contestants from one region.

AmountName Rank Sex Age Kata Kumite Enclosed

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

Total amount enclosed: $_______________

Region: ______________________________________________________________________

Please make checks or money orders payable to: NMKA

Please send to: JKA/WF America6501 Eagle Rock Ave. NE A-1Albuquerque, NM 87113

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Adult Individual Black Belt Regional Representative Seeding Form

Each region may send the top competitors from that region’s elimination tournament as “previously qualified contestants” for the National Tournament. The number of competitors in each event is as follows:

Women’s Kata (4) Women’s Kumite (4) Men’s Kata (4) Men’s Kumite (4)

All contestants must pre-register, and all registrations must be postmarked by May 20, 2019.Contestants must be at least 18 years of age, 3rd kyu and over, and must present a current JKA/WF Passport at check-in.

Registration fees are non-refundable. A single event is $55 ($35 with paid camp fee) or both events are $65 ($45 with paid camp fee) per contestant.

Region: ________________________________________________________________________

Regional Director’s Signature: ______________________________________________________

Men’s Kumite:____________________________________________________________________________________________________________________________________________________________________________________________________________

Women’s Kumite:____________________________________________________________________________________________________________________________________________________________________________________________________________

Men’s Kata:________________________________________________________________________________________________________________________________________________________________________________________________________

Women’s Kata:________________________________________________________________________________________________________________________________________________________________________________________________________

Please make checks or money orders payable to: NMKA

JKA/WF America6501 Eagle Rock Ave. NE A-1Albuquerque, NM 87113

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Black Belt Adult Individual Division Tournament Registration Form

All contestants must pre-register, and all registrations must be postmarked by May 20, 2019. Contestants must be at least 18 years of age and must present a current JKA/WF membership passport at check-in. Please submit a signed Medical Questionnaire & Waiver (page 9) for each individual.

Registration fees are non-refundable. A single event is $55 ($35 with paid camp fee) or both events are $65 ($45 with paid camp fee) per contestant. There are no limits to the number of contestants from one region.

AmountName Rank Sex Age Kata Kumite Enclosed

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

Total amount enclosed: $_______________

Region: ______________________________________________________________________

Please make checks or money orders payable to: NMKA

Please send to: JKA/WF America6501 Eagle Rock Ave. NE A-1Albuquerque, NM 87113

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Brown Belt Adult Individual Division Tournament Registration Form

All contestants must pre-register, and all registrations must be postmarked by May 20, 2019. Contestants must be at least 18 years of age and must present a current JKA/WF Passport at check-in. Please submit a signed Medical Questionnaire & Waiver (Page 9) for each individual.

Registration fees are non-refundable. A single event is $55 ($35 with paid camp fee) or both events are $65 ($45 with paid camp fee) per contestant. There are no limits to the number of contestants from one region.

Region: ______________________________________________________________________

AmountName Rank Sex Age Kata Kumite Enclosed

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

Total amount enclosed: $_______________

Please make checks or money orders payable to: NMKA

Please send to: JKA/WF AmericaEagle Rock Ave. NE A-1Albuquerque, NM 87113

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Adult Regional Team Registration FormEach region may send one team for each of the following team events.Men’s Team Kumite, Women’s Team Kumite, Men’s Team Kata, Women’s Team Kata

All teams must pre-register, and all registrations must be postmarked by May 20, 2019.Contestants must be at least 18 years of age, 3rd kyu and over, and must present a current JKA/WF Passport at check-in. Team registration $100 per team ($50 with paid camp fee). Please submit a signed Medical Questionnaire & Waiver (Page 9) for each individual. Registration fees are non-refundable.

Region: ________________________________________________________________________

Regional Director’s Signature: ______________________________________________________

Three Men’s Team Kumite: Name Rank

(Captain)____________________________________________ _________

___________________________________________________ _________

___________________________________________________ _________

(Alternate)__________________________________________ _________

Three Women’s Kumite:

(Captain)____________________________________________ _________

___________________________________________________ _________

___________________________________________________ _________

(Alternate)__________________________________________ _________

Men’s Kata:

(Captain)___________________________________________ _________

__________________________________________________ _________

__________________________________________________ _________

(Alternate)_________________________________________ _________

Women’s Kata:

(Captain)___________________________________________ _________

__________________________________________________ _________

__________________________________________________ _________

(Alternate)_________________________________________ _________

Total amount enclosed: $____________________

Please make checks or money orders payable to: NMKA mail to: JKA/WF America 6501 Eagle Rock Ave. NE A-1 Albuquerque, NM 87113

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Senior Division Qualifications and RulesAll eligible Senior Competitors must be a member in good standing with the JKA/WF. Contestants must be at least 50 years of age and 3rd kyu or higher rank.The competition is open to both male and female individual competitors and will include three ages categories as follows:

Age 50-54Brown & Black Belt – Male or FemaleKata: Any kata may be performedKumite: Free sparring (Jiyu Kumite)

Age 55 – 64Brown & Black Belt – Male or FemaleKata: Any kata may be performedKumite: Jiyu Ippon Kumite (Jodan Oizuki, Chudan Oizuki, Maegeri Chudan , Yoko Kekomi)

Age 65 and upBrown & Black Belt – Male or FemaleKata: Any kata may be performedKumite: Juyu Ippon Kumite (Jodan Oizuki, Chudan Oizuki, Maegeri Chudan, Yoko Kekomi)

CONTACT IS NOT PERMITTED UNDER ANY CIRCUMSTANCE

A. The essence of jiyu ippon kumite, offensively, is to make one strong attack in order to catch your opponent defenseless. Defensively, one needs to make a strong counterattacking measure by itself coupled with a block. The defending side must demonstrate one countering technique.

B. At the start of each Juyu Ippon Kumite match, aka (red side) will initiate the attack. Each attack must be clearly and loudly announced in the order of jodan oizuki, chudan oizuki, chudan mae geri, and chudan yokogeri kekomi. The offensive side must use right side to attack first.

In case of a draw, the offensive side must use the left side to attack.The defensive side is allowed one counterattack technique aimed at the appropriate target.

C. Prohibited Techniques:The offensive side may not use feints or noises to distract their opponent.The offensive must make their attack once they are within correct distance. Once the correct distance

has been established, they cannot hesitate, stalk, or pursue their opponent without an offensive technique or the referee will issue a warning.

The offensive side, upon completion of an attack, must maintain their kamae (attack posture) and not immediately draw back the attack technique or step back out of counterattacking distance.

The offensive side cannot block counterattacking techniques or avoid them by body shifting (must maintain attack posture).

The offensive side cannot jump or slide with the lunge attacks.No grabbing or holding will be permitted by the offensive or defensive side.Escaping out of bounds by the defensive side will result in the following:

1st time – jogai kekoku: out of bounds2nd time- jogai chui: warning out of bounds3rd time – jogai hansoku disqualification, loss of match

Please Note In kumite matches, mouthpiece and JKA/WF America approved fist grads and chest protector (Children under 18 and Females only) are required for all contestants, regardless of rank. No contestant will be permitted to compete without mouthpiece and fist grads (for children and women Chest protector.) Only safety glasses will be permitted to be worn during kumite events. Absolutely no jewelry of any type will be permitted to be worn by competitors or officials (male or female).

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Senior Individual Division Tournament Registration Form

All contestants must pre-register, and all registrations must be postmarked by May 20, 2019. Contestants must be at least 45 years of age, 3rd kyu or higher rank, and must present a current JKA/WF Passport at check-in. Please submit a signed Medical Questionnaire & Waiver (Page 9) for each individual.

Registration fees are non-refundable. A single event is $55 ($35 with paid camp fee) or both events are $65 ($45 with paid camp fee) per contestant. There are no limits to the number of contestants from one region.Region: ______________________________________________________________________

AmountName Rank Sex Age Kata Kumite Enclosed

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

Total amount enclosed: $_______________

Please make checks or money orders payable to: NMKA

Please send to: JKA/WF America6501 Eagle Rock Ave. NE A-1

Albuquerque, NM 87113

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Senior Team Kata Registration FormEach region may send one kata team for the Senior Team Kata Event. Teams may be a mix of male and female.

All teams must pre-register, and all registrations must be postmarked by May 20, 2019.Contestants must be at least 50 years of age, 3rd kyu or higher, and must present current JKA/WF Passport at check-in. (must be US member)

Team registration $75 per team ($50 with paid camp fee). Registration fees are non-refundable. Please submit a signed Medical Questionnaire & Waiver (Page 9) for each individual.

Region: ________________________________________________________________________

Regional Director’s Signature: ______________________________________________________

Senior Team Kata: Name Rank

(Captain)____________________________________________ _________

___________________________________________________ _________

___________________________________________________ _________

(Alternate)__________________________________________ _________

Total amount enclosed: $____________________

Please make checks or money orders payable to: NMKA

Please send to: JKA/WF America6501 Eagle Rock Ave. NE A-1Albuquerque, NM 87113

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COLLEGIATE – GENERAL INFORMATIONThe National Collegiate Karate Tournament is open to JKA/WF America members who are full-time undergraduate students in good standing of a United States College, University or Junior College. Competitors must be at least 18 years old. Competitors must present valid proof of full time status and current JKA/WF membership card or passport. In team competition, all members of a team must be students of the same school.

Competition rules for kumite and kata contestants and judges are those established by the JKA/WF America. Please take note of specific contest rules listed below.

Collegiate Individual Events

The following individual events will be included:

White Belts Colored Belts Brown and Black Belts(Unranked to 7th kyu) (6, 5, 4 kyu) (3b kyu and above)Men’s/Women’s kata Men’s/Women’s kata Women’s kataMen’s kumite Men’s kumite Men’s kataWomen’s kumite Women’s kumite Women’s kumite

Men’s kumite

The top two male and two female kata and top two kumite contestants will advance to finals.

There is no limit to the number of contestants from one school.

Collegiate Team Events

All members of a collegiate team must be from the same college/university. Only one team per school in each event is allowed.

Team Kata:

Teams may be composed of any combination of ranks and any combination of men and women.

The top two teams will advance to Saturday late afternoon.

Team Kumite:

Teams may be composed of any combination of ranks for men’s team and for women’s team.

A team is composed of three members and one alternate.

The top two teams will advance to Saturday late afternoon.

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COLLEGIATE CONTEST RULES

JKA/WF America contest rules apply to both individual and team events. Please note the specific items listed.

Kata:A. Contestants may not perform kata in competition higher than that required for their next promotion

examination. The table below indicates the appropriate kata for each rank.B. In the case of team kata, the kata performed must be in accordance with the status of the lowest

ranking member of the team.Rank Permitted Kata

Ungraded Heian 18 kyu Heian 1-27 kyu Heian 1-2-36 kyu Heian 1-2-3-45 kyu Heian 1-2-3-4-54 kyu Heian 1-2-3-4-5, Tekki 13 kyu-1 kyu Heian 1-2-3-4-5, Tekki 1,

Bassai-Dai, Kanku-Dai, Empi, Jion

Shodan & above Any kata may be performedKumite:

In matches in which the rank of either contestant is beginner to 4th kyu, either team or individual, the method of the contest is ippon kumite (one step sparring). The technique and target will be announced before each attack. At the start of each match aka (red side) will initiate the attack.

Ranks of beginner to 7th kyu will attack four times; using lunge punches to the face and mid-section with both right and left hands but initiating the attack with the right side. Ranks of 6th kyu to 4th kyu will attack three times, using lunge punches to the face and mid-section and front snap kick (mae geri) initiating the attack with the right side.

The defending side demonstrates one different countering techniques among his/her four defenses.

In the case of a draw during an ippon kumite match between contestants in which the kyu ranks are beginner to 7th kyu the referee shall instruct the contestants to repeat ippon kumite as above, but red side (aka) attacks with the left side first. In the case of a draw during an ippon kumite match between contestants in which ranks of 6th kyu to 4th kyu are involved, the referee shall instruct the contestants to repeat ippon kumite as above, but the attacking/offensive side must initiate the attack with the left side.

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Warnings, Fouls and Disqualifications

During ippon kumite matches, a contestant who utters verbal noises engages in feints, false starts, and/or other attempts to distract the opponent shall be given a warning. Upon a second instance the contestant shall be disqualified.

During an ippon kumite match if the offensive/attacking contestant announces one target area and delivers a technique to a different area than that which was announced, that contestant shall be given a warning. A second violation shall lead to disqualification.

Prohibited Techniques when counter-attacking: The defensive contestant is not permitted to employ: sweeping techniques; any technique below the waist; nukite to the face or neck; wristlocks, joint manipulation or any technique aimed at a joint; grabbing; other techniques deemed dangerous by the judges. Use of any of these techniques will result in disqualification.

When counter-attacking for an individual offensive technique, the defensive/counter-attacking contestant shall not employ multiple counter-attacks as counter measure for a single offensive attack.

When announcing the target area during an ippon kumite match the following shall apply:

1. The announcement of the target area must be of significant volume to be heard by all of the judges for the match.

2. The announcement of the target area must be made after the offensive/attacking contestant has assumed a stationary, forward stance position.

CONTACT IS NOT PERMITTED UNDER ANY CIRCUMSTANCEThe essence of jiyu ippon kumite, offensively, is to make one strong attack in order to catch your opponent

defenseless. Defensively, one needs to make a strong counterattacking measure by itself coupled with a block. The defending side must demonstrate two different countering techniques.

At the start of each match, aka (red side) will initiate the attack. Each attack must be clearly and loudly announced in the order of jodan oizuki, chudan oizuki, chudan mae geri, and chudan yokogeri kekomi. The offensive side may use their favorite side to attack.

1. In case of a draw, the offensive side must use the opposite side to attack.

2. The defensive side is allowed one counterattack technique aimed at the appropriate target.

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Prohibited Techniques:

The offensive side may not use feints or noises to distract their opponent.The offensive must make their attack once they are within correct distance. Once the correct distance has been

established, they cannot hesitate, stalk, or pursue their opponent without an offensive technique or the referee will issue a warning.

The offensive side, upon completion of an attack, must maintain their kamae (attack posture) and not immediately draw back the attack technique or step back out of counterattacking distance.

The offensive side cannot block counterattacking techniques or avoid them by body shifting (must maintain attack posture).

The offensive side cannot jump or slide with the lunge attacks.No grabbing or holding will be permitted by the offensive or defensive side.

Escaping out of bounds by the defensive side will result in the following: A. 1st time – jogai kekoku: out of boundsB. 2nd time- jogai chui: warningC. 3rd time – jogai hansoku disqualification, loss of match

In final matches in which the rank of either Contestant is 3rd kyu or above, the method of the contest will be jiyu kumite (free sparring) according to JKA rules.

Please Note

In kumite matches, mouthpiece and JKA/WF America approved fist grads and chest protector (Children under 18 and Females only) are required for all contestants, regardless of rank. No contestant will be permitted to compete without mouthpiece and fist grads (for children and women Chest protector.) Only safety glasses will be permitted to be worn during kumite events. Absolutely no jewelry of any type will be permitted to be worn by competitors or officials (male or female).

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Collegiate Tournament Individual Registration Form

All contestants must pre-register, and all registrations must be postmarked by May 20, 2019. Contestants must be at least 18 years of age, full time undergraduate college students only; no part-time or graduate students will be allowed to compete. Proof of enrollment and current JKA/WF membership must be presented at check-in. Please submit a signed Medical Questionnaire & Waiver (Page 9) for each individual.

Registration fees are non-refundable. A single event is $55 ($35 with paid camp fee) or both events are $65 ($45 with paid camp fee) per contestant. There are no limits to the number of contestants from one region.

School: ______________________________________________________________________

City: ___________________________________ State: _______________________________

Coach: ______________________________________________________________________

Region: ______________________________________________________________________

Ranking categories: White (unranked to 7 kyu); and Colored Belt (6 kyu and 4 kyu); Brown and Black Belt (3 kyu and above).

Name Rank Sex Age Kata Kumite Enclosed Amount

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

Total amount enclosed: $_______________

Please make checks or money orders payable to: NMKA

Please send to: JKA/WF America6501 Eagle Rock Ave. NE A-1

Albuquerque, NM 87113

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Collegiate Team Registration Form

All contestants must pre-register, and all registrations must be postmarked by May 20, 2019. Contestants must be at least 18 years of age, full time undergraduate college students only; no part-time or graduate students will be allowed to compete. Proof of enrollment and current JKA/WF card or passport must be presented at check-in. Only one team per event, per school, and all team members must be from the same school. Teams may be composed of any combination of rank. ALL MEMBERS OF A TEAM MUST BE FROM THE SAME COLLEGE. Please submit a signed Medical Questionnaire & Waiver (Page 9) for each individual.

Registration fees are non-refundable. Team registration, $75 per team. ($50 with paid camp fee)

School: ______________________________________________________________________

City: ___________________________________ State: _______________________________

Coach: ______________________________________________________________________

Region: ______________________________________________________________________

Men’s Team Kumite: Name Rank

(Captain)____________________________________________ _________

___________________________________________________ _________

___________________________________________________ _________

(Alternate)__________________________________________ _________

Women’s Team Kumite:

(Captain)____________________________________________ _________

___________________________________________________ _________

___________________________________________________ _________

(Alternate)__________________________________________ _________

Team Kata: (Kata teams may be any combination of men and women)

(Captain)___________________________________________ _________

__________________________________________________ _________

__________________________________________________ _________

(Alternate)_________________________________________ _________

Total amount enclosed: $_______________

Please make checks or money orders payable to: NMKA

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YOUTH DIVISION – GENERAL INFORMATION

Age Rank Qualifications and Rules:All eligible youth competitors must be a member in good standing with the JKA/WF. They must be between the ages of 5 and 17 years old.

Individual:The competition is open to both male and female competitors and will include five age categories as follows. Except where indicated, the groupings apply to both kata and kumite. (Age categories subject to change)

Ages 5-6Boys and girls will be combined in the following groups:Ungraded to 7th kyu6th kyu to 4th kyu3rd kyu and above

Ages 7-8-9Boys and girls will be combined in the following groups:Ungraded to 7th kyu6th kyu to 4th kyu3rd kyu and above

Ages 10-11Boys and girls will be combined in the following groups:Ungraded to 7th kyu6th kyu to 4th kyu3rd kyu and above

Ages 12-13Boys and girls will be combined in the following groups:Ungraded to 7th kyu6th kyu to 4th kyu3rd kyu and above kataBoys and girls will be separate in the following group:3rd kyu and above kumite

Ages 14-15Boys and girls will be combined in the following groups:Ungraded to 7th kyu6th kyu to 4th kyu3rd kyu and above kataBoys and girls will be separate in the following group:3rd kyu and above kumite

Ages 16-17Boys and girls will be combined in the following groups:Ungraded to 7th kyu6th kyu to 4th kyu3rd kyu and above kataBoys and girls will be separate in the following group:3rd kyu and above kumite

Team:Team kata will be open to all ages, rank and gender and limited to only one team per region. There will be no team kumite for youths. The number of participants in each category will determine adjustments made, if any to their categories.

Finals:All divisions will conclude on Saturday late afternoon, June 22, 2019.

If any division has fewer than 5 competitors, we reserve the right to combine divisions.

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YOUTH DIVISION - RULES

Kata:A. Contestants may not perform kata in competition higher than that required for their next promotion examination.

The table below indicates the appropriate kata for each rank.

B In the case of team kata, the kata performed must be in accordance with the status of the lowest ranking member of the team.

Rank Permitted KataUngraded Taikyoku Sho Dan or Heian 18 kyu Heian 1-27 kyu Heian 1-2-36 kyu Heian 1-2-3-45 kyu Heian 1-2-3-4-54 kyu Heian 1-2-3-4-5, Tekki 13 kyu-1 kyu Heian 1-2-3-4-5, Tekki 1,

Bassai-Dai, Kanku-Dai, Empi, JionShodan & above Any kata may be performed

Kumite:In matches in which the rank of either contestant is beginner to 4th kyu, either team or individual, the method of the contest is ippon kumite (one step sparring). The technique and target will be announced before each attack. At the start of each match aka (red side) will initiate the attack.

Ranks of beginner to 7th kyu will attack four times; using lunge punches to the face and mid-section with both right and left hands but initiating the attack with the right side. Ranks of 6th kyu to 4th kyu will attack three times, using lunge punches to the face and mid-section and front snap kick (mae geri) initiating the attack with the right side.

The defending side must demonstrate two different countering techniques among his/her four defenses.

In the case of a draw during an ippon kumite match between contestants in which the kyu ranks are beginner to 7th kyu the referee shall instruct the contestants to repeat ippon kumite as above, but red side (aka) attacks with the left side first. In the case of a draw during an ippon kumite match between contestants in which ranks of 6th kyu to 4th kyu are involved, the referee shall instruct the contestants to repeat ippon kumite as above, but the attacking/offensive side must initiate the attack with the left side.

Warnings, Fouls and DisqualificationsDuring ippon kumite matches, a contestant who utters verbal noises engages in feints, false starts,

and/or other attempts to distract the opponent shall be given a warning. Upon a second instance the contestant shall be disqualified.

During an ippon kumite match if the offensive/attacking contestant announces one target area and delivers a technique to a different area than that which was announced, that contestant shall be given a warning. A second violation shall lead to disqualification.

Prohibited Techniques when counter-attacking: The defensive contestant is not permitted to employ: sweeping techniques; any technique below the waist; nukite to the face or neck; wristlocks, joint manipulation or any technique aimed at a joint; grabbing; other techniques deemed dangerous by the judges. Use of any of these techniques will result in disqualification.

When counter-attacking for an individual offensive technique, the defensive/counter-attacking contestant shall not employ multiple counter-attacks as counter measure for a single offensive attack.

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When announcing the target area during an ippon kumite match the following shall apply:

1. The announcement of the target area must be of significant volume to be heard by all of the judges for the match.

2. The announcement of the target area must be made after the offensive/attacking contestant has assumed a stationary, forward stance position.

CONTACT IS NOT PERMITTED UNDER ANY CIRCUMSTANCE

The essence of jiyu ippon kumite, offensively, is to make one strong attack in order to catch your opponent defenseless. Defensively, one needs to make a strong counterattacking measure by itself coupled with a block. The defending side must demonstrate two different countering techniques.

At the start of each match, aka (red side) will initiate the attack. Each attack must be clearly and loudly announced in the order of jodan oizuki, chudan oizuki, chudan mae geri, and chudan yokogeri kekomi. The offensive side may use their favorite side to attack.

1. In case of a draw, the offensive side must use the opposite side to attack.

2. The defensive side is allowed one counterattack technique aimed at the appropriate target.

Prohibited Techniques:

The offensive side may not use feints or noises to distract their opponent.The offensive must make their attack once they are within correct distance. Once the correct distance has been

established, they cannot hesitate, stalk, or pursue their opponent without an offensive technique or the referee will issue a warning.

The offensive side, upon completion of an attack, must maintain their kamae (attack posture) and not immediately draw back the attack technique or step back out of counterattacking distance.

The offensive side cannot block counterattacking techniques or avoid them by body shifting (must maintain attack posture).

The offensive side cannot jump or slide with the lunge attacks.No grabbing or holding will be permitted by the offensive or defensive side.

Escaping out of bounds by the defensive side will result in the following: A.1st time – jogai kekoku: out of boundsB. 2nd time- jogai chui: warningC. 3rd time – jogai hansoku disqualification, loss of match

In final matches in which the rank of either Contestant is 3rd kyu or above, the method of the contest will be jiyu kumite (free sparring) according to JKA rules.

Please Note

In kumite matches, mouthpiece and JKA/WF America approved fist grads and chest protector (Children under 18 and Females only) are required for all contestants, regardless of rank. No contestant will be permitted to compete without mouthpiece and fist grads (for children and women Chest protector.) Only safety glasses will be permitted to be worn during kumite events. Absolutely no jewelry of any type will be permitted to be worn by competitors or officials (male or female).

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Youth Individual Division Tournament Registration Form

Each Region may send an unlimited number of competitors in each of the three divisions (Ungraded to 7th kyu, 6th kyu to 4th kyu, 3rd kyu and above) in each of the following age groups:

Kata KumiteAges 5-6 Ages 5-6Ages 7-8-9 Ages 7-8-9Ages 10-11 Ages 10-11Ages 12-13 Ages 12-13 GirlsAges 14-15 Ages 12-13 BoysAges 16-17 Ages 14-15 Girls

Ages 14-15 BoysAges 16-17 GirlsAges 16-17 Boys

All contestants must pre-register, and all registrations must be postmarked by May 20, 2019. Contestants must be 17 years of age or under at the time of the tournament, and must present a current JKA/WF card or passport at check-in. Please submit a signed Medical Questionnaire & Waiver (Page 8) for each individual. Registration fees are non-refundable. A single event is $55 ($35 with paid camp fee) or both events are $65 ($45 with paid camp fee) per contestant.

Region:______________________________________________________________________

AmountName Rank Sex Age Kata Kumite Enclosed

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

____________________________ _____ _____ _____ _____ ______ ____________

Total amount enclosed: $_______________

Please make checks or money orders payable to: NMKAPlease send to: JKA/WF America

6501 Eagle Rock Ave. NE A-1 Albuquerque, NM 87113

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Youth Team Registration Form – Kata Only

All teams must pre-register, and all registrations must be postmarked by May 20, 2019. Contestants must be 17 years of age or younger at the time of the tournament and must present current JKA/WF membership card or Passport at check-in. Teams may be made up of any combination of age (as long as 17 years of age or younger), rank or gender. Please submit a signed Medical Questionnaire & Waiver (Page 9) for each individual.

Registration fees are non-refundable. Team registration, $75 per team ($50 with paid camp fee).

Region: _____________________________________________________________

Name Rank

(Captain)____________________________________________ _________

___________________________________________________ _________

___________________________________________________ _________

(Alternate)__________________________________________ _________

Total amount enclosed: $_______________

Please make checks or money orders payable to: NMKA

Please send to: JKA/WF America6501 Eagle Rock Ave. NE A-1

Albuquerque, NM 87113

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Selection of Judges Form

Judges must meet the requirements as established by the JKA/WF America. JKA/WF America Technical Committee shall designate the Chief Judge and Arbitrator. A minimum of three (3) judges is requested from each region.

This is to confirm that the following persons will serve as Judges at the 2019 JKA/WF America National Karate Tournament and National Collegiate Tournament. A minimum of two (2) judges, Rank C or above is required from each region.Each participating judge must present his or her current JKA/WF issued License Qualification card. You will not get a discount if this is not provided. For participating in the tournament Judges will receive a discount from the camp tuitionD Judge (-$10) discountC Judge (-$15) discountB Judge (-$25) discountA Judge (-$35) discount(This will not apply if you have already received a discount of waved camp fees)

Region: ___________________________________________________________________________

Name Dan Rank Judge’s Rank Certificate #(A, B, C, D)

______________________ _________ __________ ______ _________________

______________________ _________ __________ ______ _________________

______________________ _________ __________ ______ _________________

______________________ _________ __________ ______ _________________

______________________ _________ __________ ______ _________________

______________________ _________ __________ ______ _________________

Signature of Regional Director:____________________________________________

This information must be postmarked no later than May 20, 2019

ALL JUDGES MUST SHOW VALID JKA QUALIFICATION CARD

Please attached copies of qualification cards with this form

Please send to: JKA/WF America6501 Eagle Rock Ave. NE A-1

Albuquerque, NM 87113

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Extra T-Shirt Order Form If you prepay in full by May 20, 2019, your JKA/WF America National Camp T-shirt is free, camp tuition $50 deposit paid by May 20, 2019, $15.00 (US) / At Camp $25.00 (US) (Please use the form from page 9.)

Price per Extra T-Shirt is $20.

Order your 2019 JKA/WF America Camp T-Shirt now and it will be available for you when you check-in for the camp.

Subject to availability T-shirt sizes after May 20, 2019 Youth S, M, L Adult S, M, L, XL and XXL

Region:______________________________________________________________________

Size T-Shirt AmountName Qty. Enclosed

____________________________ __________ __________ __________

____________________________ __________ __________ __________

____________________________ __________ __________ __________

____________________________ __________ __________ __________

____________________________ __________ __________ __________

____________________________ __________ __________ __________

____________________________ __________ __________ __________

Total amount enclosed: $_______________

Please make checks or money orders payable to: NMKA

Please send to: JKA/WF America6501 Eagle Rock Ave. NE A-1

Albuquerque, NM 87113

42