Package Official National 2015 Quebec city · 34th Championship National ISKF Canada, Laval...

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Mai 2015 I I S S K K F F C C A A N N A A D D A A F F é é d d é é r r a a t t i i o o n n I I n n t t e e r r n n a a t t i i o o n n a a l l e e d d e e K K a a r r a a t t é é S S h h o o t t o o k k a a n n d d u u C C a a n n a a d d a a 3 3 3 4 4 4 e e e C C C h h h a a a m m m p p p i i i o o o n n n n n n a a a t t t N N N a a a t t t i i i o o o n n n a a a l l l I I I S S S K K K F F F C C C a a a n n n a a a d d d a a a 1 1 1 5 5 5 t t t h h h t t t o o o 1 1 1 7 7 7 t t t h h h M M M a a a y y y 2 2 2 0 0 0 1 1 1 5 5 5 I I n n f f o o r r m ma a t t i i o o n n Laval University, Québec City Sanctioned by: International Shotokan Karate Federation Shihan Teruyuki Okazaki, Chairman and Chief Instructor Shihan Yutaka Yaguchi, Chairman of Technical Committee ISKF Canada President Larry Loreth, 7 th Dan Chairman David Jones, 7 th Dan Organized by: Denis Houde, Vice-Chairman ISKF Canada, Chief Instructor of Quebec ISKF.

Transcript of Package Official National 2015 Quebec city · 34th Championship National ISKF Canada, Laval...

Page 1: Package Official National 2015 Quebec city · 34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015 Registration Deadline: Friday May 1, 2015

Mai 2015

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IIInnnfffooorrrmmmaaatttiiiooonnn Laval University, Québec City

Sanctioned by: International Shotokan Karate Federation Shihan Teruyuki Okazaki, Chairman and Chief Instructor Shihan Yutaka Yaguchi, Chairman of Technical Committee ISKF Canada President Larry Loreth, 7th Dan Chairman David Jones, 7th Dan Organized by: Denis Houde, Vice-Chairman ISKF Canada, Chief Instructor of Quebec ISKF.

Page 2: Package Official National 2015 Quebec city · 34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015 Registration Deadline: Friday May 1, 2015

34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015

Registration Deadline: Friday May 1, 2015

Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0. Email / [email protected] / www.quebeciskf.com

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Contents

Schedule of Events and Fees ............................................................. Erreur ! Signet non défini.

Tournament Events .............................................................................. Erreur ! Signet non défini.

Transportation ...................................................................................... Erreur ! Signet non défini.

Hotel ..................................................................................................... Erreur ! Signet non défini.

Réunion du Comité National .............................................................. Erreur ! Signet non défini.

Dan examination ................................................................................. Erreur ! Signet non défini.

Clinics ................................................................................................... Erreur ! Signet non défini.

34th National Championship ISKF Canada – Saturday May 16th .... Erreur ! Signet non défini.

34th National Championship ISKF Canada – Sunday May 17th ....... Erreur ! Signet non défini.

International Goodwill Tournament…………………………………………………………………….8

Individual Registration Form ............................................................... Erreur ! Signet non défini.

Waiver / Release Agreement for contestants ................................... Erreur ! Signet non défini.

Contestants Medical Questionnaire .................................................. Erreur ! Signet non défini.

Application for Juge’s Examination ................................................... Erreur ! Signet non défini.

ISKF Judges Registration ..................................................................... Erreur ! Signet non défini.

Youth Team Kata Registration ............................................................ Erreur ! Signet non défini.

Female Adult Team Registration……………………………………………………………………...15

Male Adult Team Registration ............................................................ Erreur ! Signet non défini.

Program Advertising Form……………………………………………………………………..............17

Page 3: Package Official National 2015 Quebec city · 34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015 Registration Deadline: Friday May 1, 2015

34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015

Registration Deadline: Friday May 1, 2015

Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0. Email / [email protected] / www.quebeciskf.com

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SCHEDULE OF EVENTS AND FEES

DATE TIME EVENTS FEES PLACE

Friday May15th

10:00-11:30 am

DAN EXAMINATION ISKF Fees

Abraham Martin

1:30-4:30 pm ISKF National Board

Of Director’s Meeting Abraham

Martin

4:00-9:30 pm REGISTRATION Hotel lobby

5:30-6:15 pm SPECIAL OUTSIDE TRAINING

To promote the championship Free

In Front of the hotel

6:30-7:30 pm Judge’s clinic $30 Abraham Martin

7:30-9:30 pm Judge’s examination Written and practical

$80 Du Manège

Saturday May16th

8:00 am Departure by bus to

Laval University Free Hotel lobby

8:45-9:45 am

Training seminar YAGUCHI SHIHAN 9Th Dan Larry Loreth Sensei 7th Dan

Nidan and up

$30 Laval University

8:45-9:45 am

Training seminar HIROYOSHI OKAZAKI Sensei 8th Dan

David Jones Sensei 7th Dan Kyu and Shodan

$30 Laval University

10:00-5:00 pm

34th ISKF National Championship - Youth 9-17 Individual 8kyu to 4kyu - Youth 15-17 brown to black belt

- Adult 8kyu to 1stkyu Championship - Adult Dojo brown/black belt - Senior Kata & Kumite Championship

$45/Pers. $60/Team

Laval University

Sunday May17th

8:30-12:00 am

34th ISKF National Championship - Adult Kata Elimination - Adult Kumite Elimination - Provincial Team Kumite Elimination

$45/Pers. $60/Team

Laval University

1:00 pm

OFFICIAL OPENING CEREMONY Adult Kata Finals Adult Team Kata Finals Adult Kumite Finals Team Kumite Finals International Goodwill Tournament

CANADA / USA / MEXICO

$45/Pers. $125/Team

Laval University

6:30 pm ISKF GENERAL ANNUAL MEETING

6:30 - Reception 7h00 – Banquet / Party

$60 Ballroom

Des Plaines

Regular fees are non-refundable. Late fees apply to all registration forms and fees received after the deadline.

Page 4: Package Official National 2015 Quebec city · 34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015 Registration Deadline: Friday May 1, 2015

34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015

Registration Deadline: Friday May 1, 2015

Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0. Email / [email protected] / www.quebeciskf.com

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TOURNAMENT EVENTS

Categories Gender Age Kata Kumite Team

Kata

Team

Kumite

Youth 8 Kyu to 4 Kyu

Girls Boys

9-11 Mixed

Mixed

One group

None

12-14 Mixed None

15-17 None

9-11

Mixed

Mixed None None

Youth Brown & Black

Belt

Girls Boys

12-14 Mixed None

15-17 None

Adult 8Kyu & 7Kyu

Female Male 18 + None

Adult 6Kyu to 4Kyu

Female Male 18 + None

Adult Brown Belt

Female Male 18 + None None

Adult Dojo Brown & Black

Belt

Female Male 18 + None None Mixed

Separate di-visions Male & Female

Adult Black Belt

Female Male

18-44 Provincial Provincial

Senior Black Belt

Female Male

45 + 45-55 None None

International

Goodwill CANADA/USA/

MEXICO

Female Male

None None National

Team

National Team

Page 5: Package Official National 2015 Quebec city · 34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015 Registration Deadline: Friday May 1, 2015

34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015

Registration Deadline: Friday May 1, 2015

Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0. Email / [email protected] / www.quebeciskf.com

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TRANSPORTS Taxi transportation from the airport to the hotel Château Laurier cost approximately $ 40. Limousine cost $ 65 for four (4) people. All major car rental companies have a desk at the airport. Avis 418-872-2861, Hertz 418-871-1571, Enterprise 418-861-8820 National/Alamo 418-877-9822.

HÔTEL CHÂTEAU LAURIER 1-800-463-4453.

Booking code: National Karate Championship #14053.

Château Laurier is the official hotel of the 34th National ISKF Canadian Champion-ship. The hotel is located at 1220 Place Georges-V, Québec. Laval University is host-ing the training sessions and the championship. Bus transportation will be organized to/from the hotel and the university on Saturday and Sunday, May 16 and 17. Bus transportation will be available in the morning and at end of day. Events will take place at the PEPS (Pavillon d'éducation physique), which is located at 2300 rue de la Terrasse, Laval University.

Rooms available Rates

Standard room $139 + Tx / 1 to 4 people

Contemporary room $169 + Tx / 1 to 4 people

Check-in time is 4:00 pm and check-out time is noon.

The hotel will set aside rooms for the event until April 14, 2015. For booking:

• call the hotel at 1-800-463-4453. • Email: réservation@vieuxquébec.com • Please mention the promo code of the National Karate Championship #14053. • Credit card required.

Page 6: Package Official National 2015 Quebec city · 34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015 Registration Deadline: Friday May 1, 2015

34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015

Registration Deadline: Friday May 1, 2015

Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0. Email / [email protected] / www.quebeciskf.com

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DETAILED SCHEDULE

National committee meeting Abraham Martin Room, from 1:30 p.m. to 4:30 p.m.

Dan examination Abraham Martin Room from 10:00 am to 11:30 am under the supervision of Yaguchi Shihan, 9th Dan. Please send your Dan Examination Registration by mail at:

QUÉBEC ISKF, 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G3A 3Z0

• 1 Dan registration form • 2 passport-sized photos • Examination cost (see iskf.com) payable in USD issued to: QUEBEC ISKF • ISKF certificate registration payable in USD issued to: QUEBEC ISKF

Judges Clinic The clinic will be held Friday May 15 from 6:30 p.m. to 7:30 p.m. at Abraham Martin Room. Clinic cost $30 and is for black belts only. ISKF Judge Examination is in two parts and cost $80.

1. Written examination in French or English 2. Practical exam

Both written and practical exams will be Friday May 15 at Du Manège Room from 7:30 p.m. to 9:30 p.m. Only participants who are at least Nidan and 22 years old will be admitted to the ISKF judge examination and act as such. Registration forms must be received no lat-er than May 1, 2015. Please bring your whistle and wear your gi. If participant passes the exam, provincial manager must send payment to cover fees at the ISKF office in the following month.

Page 7: Package Official National 2015 Quebec city · 34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015 Registration Deadline: Friday May 1, 2015

34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015

Registration Deadline: Friday May 1, 2015

Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0. Email / [email protected] / www.quebeciskf.com

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Training Clinics A training session is planned Friday from 5:30 pm to 6:15 pm in front of the hotel to promote the championship to reporters. Free for all rank.

Hiroyoshi Okazaki Sensei 8th Dan will be in charge of this training session. A general training session for all level is planned Saturday morning at Laval University from 8:45 a.m. to 9:45 a.m. with Yaguchi Shihan and Hiriyoshi Okazaki Sensei. Clinic cost $30. Clinic open to all level, from white belt to black belt.

34th National ISKF Canadian Championship

Saturday May 16 Four rings will be set up for the event. Schedule: Youth Eliminations and Finals, Adults 8 to 1 kyu Eliminations and Finals. Dojo Championship – Senior (45 +) brown and black belt, kata and kumite, at Laval University from 10:00 a.m. to 5:00 p.m. Registra-tion cost for Youth and Adult is $45 per contestant. Team registration cost $60 per team.

Championship – Mid-level Belts

Youth and Adult

We are proud to include yellow to blue belts in this coming Canadian Champion-ship. We invite all yellow, orange, green and blue belts (8 to 4 kyu) members of ISKF to participate in this prestigious competition. Categories will include: Kata / Kumite and Team Kata for Youth and Adult. 8 and 7 kyu will compete together and same goes for 6 to 4 kyu.

• Kata: Eliminations by flag and

in finals Heian katas 1 to 5 plus Tekki Shodan ou Bassai Dai. • Kumite: 8 and 7 kyu Ippon kumite / Jodan-Shudan, both sides

6 to 4 kyu Ippon kumite / Jodan-Shudan-Mae geri, both sides

Page 8: Package Official National 2015 Quebec city · 34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015 Registration Deadline: Friday May 1, 2015

34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015

Registration Deadline: Friday May 1, 2015

Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0. Email / [email protected] / www.quebeciskf.com

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Dojo Championship

We continue this year the Dojo Championship. This competition is always well ap-preciated by contestants who compete in a team. Each dojo is allowed to register two teams of three contestants each. Brown and/or black belt contestants age 18 to 45. Black belts who compete in this category cannot be part of the team that represent their province.

1. Team Kata Mixed 2. Team Kumite male/female

34th National ISKF Canadian Championship

Sunday, May 17 Male/Female Adult black belt eliminations will take place in the morning starting at 8:30 as well as eliminations for Provincial Team Kumite. The opening ceremony will begin at 1:00 p.m. with national anthems of Canada and Japan, followed by demonstrations. Then we will proceed, in order: kata finals, team kata finals, kumite finals and provincial team kumite finals.

International Goodwill Tournament CANADA – USA - MEXICO

For the first time in Canada as part of the ISKF Canadian Championships, we are please to welcome teams from USA and Mexico for the International Goodwill

Tournament. Male and female teams from three different countries will compete, including the Canadian team, which will be selected during individual finals. Don't miss...

ISKF Canada Banquet – Sunday May 17 The Great 34th ISKF Canada Banquet Event will take place at the Les Plaines Ballroom. All members and their family and friends are wel-come to join us. Banquet cost $60 per person. Limited number of seats. Book early! At 9:30 p.m., a cash bar will be available and the excellent band GILL & GANG will be performing during the evening.

Page 9: Package Official National 2015 Quebec city · 34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015 Registration Deadline: Friday May 1, 2015

34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015

Registration Deadline: Friday May 1, 2015

Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0. Email / [email protected] / www.quebeciskf.com

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Individual Registration

Name

Dojo Province

Tel. Email

Date of Birth (D/M/Y) Age on May 16, 2015

Sex (M/F): Grade

Cost for individual events – $45 per person. Please select events.

Category 8-7 Kyu 6-4 Kyu Brn-Blk Kata Kumite

9-11

12-14

15-17

Adult 18 to 44

Senior (45 +)

Cost of Clinics

Judges clinic………………………......................$30

Judges clinic and examination………….........$80

Training clinic………………………………………$30

Banquet

____meal x $60 per person

Date: Total amount: $

KYU DAN

$

$

$

Page 10: Package Official National 2015 Quebec city · 34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015 Registration Deadline: Friday May 1, 2015

34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015

Registration Deadline: Friday May 1, 2015

Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0. Email / [email protected] / www.quebeciskf.com

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Waiver/Release Agreement for Contestants/Participants All participants must complete.

"Event" means the May 15-17 2015, 34rd ISKF Canada Championship The undersigned is aware that there are risks and dangers inherent in participating and receiving instruction at the Event. In consideration of being permitted to participate in the Event, I hereby release and waive any claims against International Shotokan Karate Federation of Alberta, International Shotokan Karate Federation of Canada, Halifax International Shotokan Karate Federation and International Shotokan Karate Federation and any and all clubs, schools, instructors, members, judges, officials, officers, directors and representatives relating thereto (collectively the "Releases") for any injury or damage which I may suffer as a result of participating and/or receiving instruction at the Event including travel to and from the Event. I understand and agree that this Release will have the effect of releasing, discharging, waiving and forever relinquish-ing any and all actions, those causes of action that I may have or have had, whether past, present or future, whether now known or unknown and whether anticipated or unanticipated by me, arising out of my participation at the Event. This Release shall be binding upon me, my heirs, successors, administrators, assigns and legal representatives. I assume full responsibility for any and all risk of death or personal injury or property damage, which I may suffer while participating in the Event. I expressly acknowledge and assume any and all risk that my participation in the Event may subject me to personal injury and bodily harm. I confirm that I have no past or present medical condition, injury or other physical or mental restriction which may cause or contribute to personal injury or property damage while participating in the Event and if in case I have such a condition, I agree to forthwith notify the Releases, as the case may be, and withdraw from the Event. I further agree by signing this Release, I shall indemnify and hold any of the Releases harmless from any and all liabil-ity or costs, including legal fees, associated with or arising from my participation at the Event. I understand that if I am signing this Release on behalf of a minor child, I will be giving up the same rights for said minor as I would be giving up if I signed this document on my own behalf. I acknowledge that I have read this Release and that I understand the words and language in it. I sign this Release freely and voluntarily.

Parent/Guardian Release: I am the parent or legal guardian of the minor____________________________ and I am signing this waiver/release on behalf of the said minor.

NAME (PRINT) DATE

SIGNATURE WITNESS

NAME OF PARENT OR GUARDIAN (PRINT)

SIGNATURE

DATE

Page 11: Package Official National 2015 Quebec city · 34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015 Registration Deadline: Friday May 1, 2015

34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015

Registration Deadline: Friday May 1, 2015

Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0. Email / [email protected] / www.quebeciskf.com

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Contestant’s / Participant’s Medical Questionnaire

Every contestant must complete and return a medical questionnaire and Waiver & Release Agreement

Name: _______________ Âge _______Gender ______ Rank_______KYU_________DAN Address: Dojo: _____ Province

Do you have a history of any of the following conditions? Please check all that apply to you. If you answer yes to any, please explain.

YES NO

_____ _____ Heart murmur

_____ _____ Hypertension

_____ _____ Recent infection

_____ _____ Bone fracture in the past six months

_____ _____ Concussion or severe head injury in the past six monyhs

_____ _____ Seizures

_____ _____ Eye injury

_____ _____ Severe bone bruises requiring padding

_____ _____ Kidney injury

_____ _____ Allergy to medication (list all)

_____ _____ Other

________________________________________________________ Date _______________________ Signature of contestant (Parent or Guardian if under 18 years of age)

Bring your provincial medical number or card with you to the tournament

Page 12: Package Official National 2015 Quebec city · 34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015 Registration Deadline: Friday May 1, 2015

34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015

Registration Deadline: Friday May 1, 2015

Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0. Email / [email protected] / www.quebeciskf.com

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Registration to Judges Examination

• Mandatory registration no later than May 1, 2015 • Minimum Requirements: Nidan and 22 y.o. • Mandatory whistle and gi for practical exam on Friday, May 15.

Requirements Minimum Level Level D Nidan Level C Sandan Level B Godan

Name:

Address:

Tel: Mobile:

Email:

Dojo:

Province:

Date of Birth: Sex M F Rank

Judge qualifications obtained

Date of Examination Registration number

D C B

If you never passed a judge exam, you must start at level D regardless of your level in karate.

Page 13: Package Official National 2015 Quebec city · 34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015 Registration Deadline: Friday May 1, 2015

34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015

Registration Deadline: Friday May 1, 2015

Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0. Email / [email protected] / www.quebeciskf.com

13

ISKF Judge Registration

To be completed by the Provincial Director

Province: ___________________________ Director: ____________________________

Name Dan Grade ISKF Judge

JUDGE SELECTION

• Judges must meet ISKF standards. • ISKF Canada technical manager will select judges for the 4 rings. • A minimum of two Class C Judges or more are required from

each province. • Official judge uniform required for Saturday and Sunday.

Official judge uniform:

� Whistle � Burgundy tie � White long sleeve shirt � Grey trousers � Navy blue vest

Page 14: Package Official National 2015 Quebec city · 34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015 Registration Deadline: Friday May 1, 2015

34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015

Registration Deadline: Friday May 1, 2015

Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0. Email / [email protected] / www.quebeciskf.com

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Youth Team Kata Registration To be completed by the Provincial Director

Province: ___________________________ Dojo: ____Instructor: ________________________________ Each team must be registered. Each province can register an unlimited number of teams. The age of the oldest member of the team determines in which category the team competes. Boy/Girl mixed, age 9-11

Name Grade Age 1. 2. 3.

Girl age 12-14 Name Grade Age

1. 2. 3.

Boy age 12-14 Name Grade Age

1. 2. 3.

Girl age 15-17 Name Grade Age

1. 2. 3.

Boy age 15-17 Name Grade Age

1. 2. 3.

Rate: Teams x $60 each Total: $

Page 15: Package Official National 2015 Quebec city · 34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015 Registration Deadline: Friday May 1, 2015

34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015

Registration Deadline: Friday May 1, 2015

Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0. Email / [email protected] / www.quebeciskf.com

15

Female Adult Team Registration To be completed by the Provincial Director

Province: ____________________________Director: ____________________________ Each team must be registered. You may register several teams. Team kata (adult 18 +) Team KATA/Female - Provincial team

Name Grade 1. 2. 3.

Alternate

Team KATA/Female – Dojo Team or 8 to 1 kyu Name Grade

1. 2. 3.

Alternate Team KUMITE/Female – Provincial Team

Name Grade 1. 2. 3.

Alternate Team KUMITE/Female – Dojo Team

Name Grade 1. 2. 3.

Alternate

Rate: Teams x $60 each Total: $

Page 16: Package Official National 2015 Quebec city · 34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015 Registration Deadline: Friday May 1, 2015

34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015

Registration Deadline: Friday May 1, 2015

Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0. Email / [email protected] / www.quebeciskf.com

16

Adult Male Team Registration To be completed by the Provincial Director

Province: ____________________________Director: ____________________________ Each team must be registered. You may register several teams. Team Kata (adult 18 +) Team KATA/Male - Provincial Team

Name Grade 1. 2. 3.

Alternate Team KATA/Male – Dojo Team or 8 to 1 kyu

Name Grade 1. 2. 3.

Alternate Team KUMITE/Male – Dojo Team

Name Grade 1. 2. 3.

Alternate Team KUMITE/Male – Provincial team

Name Grade 1. 2. 3. 4. 5.

Alternate

Rate: Teams x $60 each Total: $

Page 17: Package Official National 2015 Quebec city · 34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015 Registration Deadline: Friday May 1, 2015

34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015

Registration Deadline: Friday May 1, 2015

Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0. Email / [email protected] / www.quebeciskf.com

17

Program Advertising Form

Advertising Rates: Full page $ 200.00 Half page $ 100.00 Quarter page $ 75.00

Artwork should be camera ready. Photographs must be half toned or be provided on film negative (133-line screen recommended). Any copy not already typeset must be typed, not hand written. Business cards may be used for art.

Advertisement size (Please check one)

_______Full page

_______Half page

_______Quarter page

Notes: ________________________________________________________________________ Company Name: ____________________________________________________________ Company Address:____________________________________________________________ Representative: __________________________________Phone:______________________ Signature: _______________________________________Date:______________________ Total amount enclosed: Deadline for camera-ready art and ad space payment April 10, 2015 For your advertising, we will appreciate to receive a specific cheque about that and the specific documentation. Please make cheque payable to QUEBEC ISKF.

$