2017 iskf nationals registration...14 training seminar registration 15 medical questionnaire 16...

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2017 ISKFNATIONALS

11–12 November 2017 Hilton Los Angeles AirportHosted by ISKF Southwest RegionLOS ANGELES

Master Nakayama 33rd Memorial Service

ISKF US National Karate Championships 11–12 Nov 2017 Los Angeles

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Table of Contents3 General Information4 Timeline & Deadlines5 Competitor’s Checklist5 Dan & Judge Examinee’s Checklist5 iskf Passport Policy6 Schedule of Events8 Fees and Admission Prices9 Dan Examination Registration Information

10 Sample of Request for Dan Registration Form11 Application for Judge’s Exam12 Meritorious Service Award Form13 Selection of Judges Form14 Training Seminar Registration15 Medical Questionnaire16 Waiver/Release Agreement

Adult Competition 17 Adult Competition—General Information18 Black Belt Adult Individual Regional Representative Seeding Form19 Black Belt Young Adult & Adult Individual Registration Form20 Brown Belt Adult Individual Registration Form21 Colored Belt (6, 5, 4 kyu) Adult Individual Registration22 Adult Regional Team Registration Form23 Black & Brown Belt Senior Individual Registration Form24 Senior Team Kata Registration Form

Collegiate Competition 25 Collegiate Competition—General Information26 Collegiate Individual Registration Form27 Collegiate Team Registration Form

Youth Competition 28 Youth Competition—General Information29 Youth Individual Registration Form30 Youth Team Kata Registration Form31 Tournament Program Book Advertising Space Reservation Form 32 Banquet Reservation Form33 T-Shirt Order Form34 Memorial Service Transportation Reservation Form


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General InformationWhat 2017 iskf/Us National Karate Tournament

National Collegiate Tournament National Youth Tournament National Senior Tournament

When November 11–12, 2017Tournament Venue/Hotel Hilton Los Angeles Airport

5711 West Century Boulevard • Los Angeles, California 90045 ISKF Group Rate $155/night, single/double occupancy.

ROOMs ARE LiMiTED, sO PLEAsE CALL EARLY. November 1, 2017 is the cut-off date for accepting hotel reservations into the iskf group guest room block. We hope that all our participants and their families will support the tournament/hosting region by staying at this hotel.

ISKF Group Code iskfOnline Reservations https://aws.passkey.com/e/49197902Phone Reservations 1-800-445-8667 (1-800-hiLTOns)

Parking Available at the Hilton Los Angeles Airport Special rates for tournament guests: self, $24; valet, $30

Car Rental Major rental agencies are located at Los Angeles International AirportHilton lax Shuttle Service Complimentary shuttle runs every 20–30 min. Please allow extra

30 min. of travel time due to lax construction. Hilton LAx shuttle is light blue and will pick-up/drop-off guests on lower level only.

Tournament Website iskfsm.comTournament Registration Regional Directors must submit all paperwork—all competitors &

examinees will register and pay fees to their Sensei or region.Each region will submit one payment (payable to ISKF Nationals) with all paperwork to: iskf Santa Monica, 1218 5th St, Santa Monica, CA 90401.

Tournament Director Holly Forsyth • (310) 486-4614 • [email protected]

http://iskfsm.com


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Timeline & DeadlinesFriday, September 29, 2017 t to ISKF Santa Monica, 1218 5th St, Santa Monica, CA 90401

or electronic submission: [email protected] Advertising Space Reservation Form (page 30) & payment Ad artwork high-resolution print-ready digital file

t to ISKF Headquarters, 222 S. 45th Street, Philadelphia, PA 19104 or electronic submission: [email protected]

Meritorious Service Award Form (page 12) with photoFriday, October 13, 2017

all paperworK & FeeS dueRegional Directors must submit all paperwork—all competitors & examinees will register and pay fees to their Sensei or region.Each region will submit one payment (payable to ISKF Nationals) with all paperwork: t to ISKF Santa Monica, 1218 5th St, Santa Monica, CA 90401.

iskf Dan Registration Forms, with total fees (exam + registration) and one passport-sized photo (details on page 9)

Applications for Judges Exam (page 11) with exam fees Selection of Judges Form (page 13) Competitor Registration Forms with registration fees Competitor and Dan Examinee Medical Questionnaires (page 15) Competitor and Dan Examinee Waiver/Release Agreements (page 16) Training Seminar Registration (page 14) with training fees Banquet Reservation Form (page 31) with banquet fees T-shirt Order Form (page 32) with T-shirt fees

Wednesday, November 1, 2017 Cut-off date for accepting hotel reservations into the iskf group guest room block. See page 3 for tournament hotel information.t to ISKF Santa Monica, 1218 5th St, Santa Monica, CA 90401

or electronic submission: [email protected] Memorial Service Transportation Reservation Form (page 34)

Thursday, November 9, 2017 6 pm–9 pm

Competitors, examinees & judges check-in desk open Hilton LAx 2nd floor registration desk

Friday, November 10, 2017noon

Cut-off time for dan and judge’s examination registrants to check-in Hilton LAx 2nd floor registration desk

Friday, November 10, 201710 am–9 pm

Competitors, examinees & judges check-in desk open Hilton LAx 2nd floor registration desk

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Competitor’s ChecklistMouthpiece (approved by the iskf Technical Committee)White non-absorbent fist protectors (approved by the iskf Technical Committee)Standard white karate giiskf Passport (may be purchased at check-in—$70)Current 2017 iskf membership card (may be purchased at check-in—$50)Required for all collegiate events: Current semester full-time college student iD card

All competitors must check-in either Thursday, Nov 9, 6–9 PM or Friday, Nov 10, 10 AM–9 PM, Hilton LAx 2nd floor registration desk.

Dan & Judge Examinee’s Checklistiskf Passport (may be purchased at check-in—$70)

All examinees must be checked-in by noon Friday, Nov 10, Hilton LAx 2nd floor registration desk.

ISKF Passport Policy• The International Shotokan Karate Federation (iskf) requires

that all members and clubs within the iskf follow the new iskf Passport Policy.

• Passports are required for: — All students (regardless of age) who will be testing for the rank

of 1st kyu (ikkyu) —All students who have already attained the rank of 1st kyu • Passports must be presented prior to any test, examination or

competition, otherwise participation will not be allowed.• This policy is mandatory. • Club Instructors and Regional Directors will not require passports

for those students who have not yet attained 1st kyu level.• Students are permitted to purchase a passport at the time they

become members of iskf. • Passports do not expire.


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Schedule of EventsExcept for the Master Nakayama 33rd Memorial Service, all events will take place at the Hilton Los Angeles Airport. Refer to the hotel reader board for event room locations.

Thursday, November 9, 20176 pm–9 pm Check-in for all competitors, examinees & judges

8 pm Master Nakayama 33rd Memorial Service Venice Hongwanji Buddhist Temple 12371 Braddock Dr., Culver City 90230 (Memorial Service Transportation Reservation Form, see page 34)

Friday, November 10, 201710 am–9 pm Check-in for all competitors, examinees & judges9 am–10 am nCkA Board of Directors Meeting

10:15 am–11:45 am iskf Board of Directors and Board of Governors Meetingnoon–12:45 pm Directors and Governors Luncheon

1:30 pm–3 pm Judges Meeting, Judges Examinations (written & practical)3:30 pm–5:30 pm Dan Examinations

7 pm–8:30 pm Training SeminarsSaturday, November 11, 2017

8 am Doors Open—International Ballroom9 am Competition Eliminations and Finals

YouthCollegiate Color BeltsCollegiate AdvancedAdult Intermediate Color BeltsAdult Brown Belts

Competition EliminationsSenior Team KataSenior Individual Black & Brown BeltsYoung Adult Team KataYoung Adult Individual Black BeltsYoung Adult Team KumiteAdult Team KataAdult Individual Black BeltsAdult Team Kumite


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Schedule of Events (continued)

Sunday, November 12, 201711 am Doors Open—International Ballroomnoon Opening Ceremony

Introduction of Honored Guests and Officials | Contestants’ OathsISKF National Seniors Final Events

Team Kata 3 finalistsWomen Individual Kata & KumiteMen Individual Kata & Kumite

ISKF National Young Adults Final Events

Team Kata Women, 3 finalistsMen, 3 finalists

Women Individual Kata & KumiteMen Individual Kata & Kumite

Team Kumite Women, 2 finalistsMen, 2 finalists

DemonstrationISKF National Adults Final Events

Team KataWomen, 3 finalistsMen, 3 finalists

Women Individual Kata & KumiteMen Individual Kata & Kumite

Team KumiteWomen, 2 finalistsMen, 2 finalists

5 pm Closing Ceremonies 7 pm Banquet, Cash Bar, and Entertainment— La Jolla Ballroom


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Fees and Admission PricesISKF National Karate Tournament

Competitors’ Registration Fees Young Adult Division

$45 Individual, single event$55 Individual, both events$60 per Team

Adult Division$45 Individual, single event$55 Individual, both events$60 per Team

Youth Division$30 Individual, single event$45 Individual, both events$60 per Team Kata

Senior Division$45 Individual, single event$55 Individual, both events$60 per Team Kata

iskf National Collegiate

$30 Individual, single event$45 Individual, both events$60 per Team

Competitors’ Late Registration Fee (postmarked after October 13, 2017) $10 per competitor

Late registrants cannot be guaranteed a place on the tournament ladder. Absolutely no registrations postmarked after October 20 will be accepted.

Judge’s Examination Fee First time $80 Exam & registrationRanked judges $40 Exam

Training Seminars Fee All ranks $25 per personSpectator Admission Prices No charge Donations will be appreciated


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Dan Examination Registration Information• All dan exam registrants must be checked-in by noon Friday, Nov 10,

Hilton LAx 2nd floor registration desk.• Each dan registrant must show an iskf Passport at check-in or will

have to purchase one for $70.Dan Registration Packet Checklist iskf Request for Dan Registration form. Download the form from

the iskf website: http://iskf.com/information/#examguidelines One passport-sized photo Medical Questionnaire (page 15) Waiver/Release Agreement (page 16) Total Fees (Examination + Registration)

Dan Fees ExAMinATiOn REgisTRATiOn TOTALShodan $ 80 $ 90 $ 170

Nidan 100 120 220Sandan 120 165 285Yondan 150 220 370Godan 200 270 470

Rokudan 275 575 850Shichidan 325 875 1,200Hachidan 325 975 1,300

Friday, October 13, 2017all paperworK & FeeS due

Regional Directors must submit all paperwork—all competitors & examinees will register and pay fees to their Sensei or region.Each region will submit one payment (payable to ISKF Nationals) with all paperwork to: iskf Santa Monica, 1218 5th St, Santa Monica, CA 90401.


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Sample of Request for Dan Registration FormSample is shown smaller than actual size. Form can be downloaded from the iskf website: http://iskf.com/information/#examguidelines

REQUEST FOR DAN REGISTRATION

For purposes of clarity all information must be typewritten. Handwritten forms will be returned.

**All registration forms must be signed by the Chief Instructor of the examinee’s club to be accepted.**

Please send 1 photo with registration form by mail or email (attach photo).

No Dan Certificates will be issued without an ISKF Passport.

Name _________________________________________________________

Address _______________________________________________________ photo

_______________________________________________________

Telephone (_____) _________________________ E-mail_____________________________

Registering for ____________ Dan Date of Examination _________________

Examiner _________________________________ Instructor __________________________

**Instructor’s Signature_________________________________________________________**

Club Name ________________________ Country ____________ Region ________________

PERSONAL INFORMATION

Date of Birth _____/_____/_____ Sex M_____ F_____

Occupation ___________________________________________________________________________________

Last School or College __________________________________ Degree _________________________________

KARATE HISTORY

When did you begin karate practice? Year ______________ Month ______________

Previous Dan Registrations:

Date of Exam Reg. No. Date of Exam Reg. No.

Sho (1) Dan ____________ __________________ Go (5) Dan ____________ ___________________

Ni (2) Dan ____________ __________________ Roku (6) Dan ____________ ___________________

San (3) Dan ____________ __________________ Shichi (7) Dan ____________ ___________________

Yon (4) Dan ____________ __________________ Hachi (8) Dan ____________ ___________________

I REQUEST THAT MY RANK BE LISTED IN THE REGISTER OF THE INTERNATIONAL SHOTOKAN KARATE

FEDERATION. I PROMISE TO UPHOLD THE STANDARDS AND HONOR OF THE ISKF.

Student’s Signature __________________________________________________________________________

FOR EXAMINER’S USE ONLY

Rank Awarded _______________________ Examiner’s Signature ____________________________________________________

Promotion by: (circle one) EXAMINATION RECOMMENDATION HONORARY ISKF PASSPORT Y / N

Remarks:


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Application for Judge’s Exam• All examinees must be checked-in by noon Friday, Nov 10,

Hilton LAx 2nd floor registration desk.• Each examinee who has a previous judge ranking must show an

iskf Passport at check-in or will have to purchase one for $70. Judges’ Requirements fOR jUDgE’s LEvEL YOUR RAnk MUsT bE AT LEAsT

D NidanC SandanB YondanA Shichidan

Examination Date Nov 10, 2017 Place 2017 Nationals, Los Angeles, CAPLEAsE PRinT LEgibLY

NameAddress

City State ZipTelephone E-Mail

Current Judge’s Rank (if any) Date Tested LocationCurrent Dan Rank

RegionPERsOnAL infORMATiOn

Date of Birth Gender f M Height WeightOccupation

Last School or College DegreeApplicant’s Signature

Judge’s Examination Fee $80, first time, exam & registration$40, ranked judges, exam




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Meritorious Service Award FormAwards Presentation Time & Date 7 PM Sunday, November 12, 2017

One individual from each region is selected to receive the Meritorious Service Award for his/her outstanding service and contribution in promoting the growth and goals of the International Shotokan Karate Federation (iskf). These awards are presented at the 2017 iskf/Us National Championships Banquet. This is to confirm that the following individual will receive the 2017 Meritorious Service Award:

NomineeRankClub

RegionBrief description of the

individual’s contribution (approximately 50 words or less)

Nominee’s Photo Please include a high-resolution, print-ready photo with nominee’s name and region written on the back (no action photos please; passport-style head shot only.)

Submit this form & photo by Friday, September 29, 2017

to iskf Headquarters, 222 S. 45th Street, Philadelphia, PA 19104 or electronic submission: [email protected]


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Selection of Judges Form• Judges must meet the requirements as established by the

International Shotokan Karate Federation (iskf). • The iskf Technical Committee shall designate the Chief Judge

and Arbitrator. • A minimum of 3 judges is requested from each region,

2 of whom must be rated C or above.• Each participating judge must show an iskf Passport at check-in

or will have to purchase one for $70. Judge’s Uniform • Saturday: karate gi

• Sunday: White long-sleeved shirt with maroon tie, gray pants & navy blazer

Region

This is to confirm that the following persons will serve as Judges at the 2017 iskf/Us National Karate Championships:

nAMEDAn

RAnk

jUDgE’s RAnk

(A, b, C)iskf

CERTifiCATiOn nUMbER123456

Signature of Regional Director




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Training Seminar RegistrationEvent Time & Date 7–8:30 PM Friday, November 10, 2017

RegionCLAss (ChECk OnE) C = COLORED bELTs; b = bLACk & bROwn bELTs; iT = insTRUCTOR TRAinEEs RAnk

C b iT nAME kYU DAn123456789

1011121314151617181920212223

Training Seminar Fee $25 per personTotal Amount Due $




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Medical QuestionnaireThis Medical Questionnaire must be completed, signed, and submitted to the proper iskf authority each year by any iskf member wishing to compete in a karate tournament, take a Dan Examination, or participate in any iskf event requiring this form.1. You must have had a complete physical examination by a physician or a health care facility dated no

longer than two years prior to the event in which you are expecting to participate.2. This Medical Questionnaire will be reviewed by the iskf event committee and will be kept confidential.

Contents may be reviewed by your instructor and the tournament medical staff.PLEASE PRINT OR TYPE

Name Last First

Birthdate Age Gender f M Rank

Address City State Zip

Instructor Club Region

Family Doctor Physician name Physician phone

Emergency Contact Name Phone Relationship to Competitor

Do you have a history of any of the following conditions? Please check all that apply to you:nO YEs if YEs, PLEAsE ExPLAin bELOw

Allergy to medication(s)? List all.

Have you ever been told in the last two years that you could not participate in a sport? Explain why.Hypertension (high blood pressure)

Heart murmur

Recent infection

Bone fracture in past 6 months

Concussion or severe head injury in past 6–12 months

Seizures

Eye injury

Severe bone bruises requiring padding

Kidney injury

Positive test for HIV

Positive test for Hepatitis C

Other surgeries/hospitalizations in the past 6–12 months. Explain.

Are you currently taking any medications? List all.

I attest that the above information is true and correct to the best of my knowledge. I further understand that this information is necessary to participate in iskf events.

Last complete physical exam

Date of exam Name of Physician Name of health care facility

I give permission to the above-named physician and/or health care facility to release any and all information regarding my last complete physical exam to the iskf National Committee for review, to medically qualify my participation in the karate competition on November 11–12, 2017.

Signatures

Competitor DateParent or Guardian

if competitor is under 18 years of age Date

Instructor Date

Coach Date


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Waiver/Release AgreementEvery competitor and dan examinee must complete, sign and submit this Waiver/Release Agreement.

Event 2017 International Shotokan Karate Federation National Karate Tournament, National Collegiate Tournament, National Youth Tournament and National Senior Tournament; Hilton Los Angeles Airport, Los Angeles, California; November 10, 11, 12, 2017.I understand that there are risks and dangers inherent in participating and/or receiving instruction at the Dan & Judges exams, Clinics and the tournament (all of which will herein be referred to as the EvEnT). I also understand that in order to participate and/or receive instruction at the EvEnT, I must give up my rights to hold the Hilton Los Angeles Airport, the International Shotokan Karate Federation (iskf), the iskf Southwest Region, the International Shotokan Karate Federation Santa Monica (iskfsM) and all other clubs, schools, instructors, members, judges, officials and representatives (collectively the “Releases”) liable for any injury or damage which I may suffer while participating and/or receiving instruction at the EvEnT.Knowing this, and in consideration of being permitted to participate and/or receive instruction at the EvEnT, I hereby voluntarily release the Releases, and each of them, from any and all liability resulting from or arising out of my participation and/or receipt of instruction at the EvEnT.I understand and agree that I am releasing not only the entities and individuals set forth in the paragraph above, but also the officers, agents, principals, partners, shareholders, directors and employees of those entities or individuals.I 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 and/or receipt of 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 death or personal injury or property damage suffered by me while participating and/or receiving instruction at the EvEnT. I expressly acknowledge and assume any and all risks that my participation in the EvEnT may subject me to personal injury or bodily harm.I understand and agree that this Waiver/Release will be binding on me, my spouse, my heirs, my personal representatives, my assigns, my children and any guardian ad litem for said children.I understand and agree that by signing this Waiver/Release, I am agreeing to release, indemnify and hold the above-named individuals or entities and their officers, agents, principals, partners, shareholders, directors and employees harmless from any and all liability or costs, including attorney fees, associated with or arising from my participating and/or receipt of instruction at the EvEnT. Any damage to the hotel or the tournament site that I cause are my full responsibility. Said damages are not the responsibility of the the International Shotokan Karate Federation (iskf), the iskf Southwest Region or the International Shotokan Karate Federation Santa Monica (iskfsM).I 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.I acknowledge that I have read this Waiver/Release agreement and that I understand the words and language in it. I have been advised of the potential dangers incidental to participating and/or receiving instruction at the EvEnT.

Print Name Date

Sign Name Witness

Parent/Guardian Release I am the parent or legal guardian of the minor ___________________________________________________________

and am signing this Waiver/Release on behalf of said minor.

Print name of parent Date

Signature of parent

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Adult Competition—General InformationQualifications • The US National Karate Championship is open to International Shotokan Karate Federation

United States (iskf/Us) members only. • Any qualified member of the iskf who wishes to compete may do so by filling out the

appropriate forms and meeting the deadlines for registration.• There are no limits to the number of competitors from one region.• Young Adult Division competitors must be 18–21 years old.• Adult Division competitors must be 22–44 years old.• Individuals ages 45 and above must participate in the Senior Division.• Adult individuals may not compete in both the Adult Division and the Senior Division.• Competitors must show current iskf membership cards at check-in.• Competitors ranked 1st kyu (ikkyu) and above must show iskf Passports at check-in.

Safety Precautions

• In kumite matches, mouthpiece and ISKF-approved white non-absorbent hand protectorsare required for all competitors, regardless of rank. No competitor will be permitted tocompete without both.

• No eye glasses or 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).• Female competitors may wear white chest protectors, worn inside the gi jacket.

Kata Matches Shodan and above must perform any kata from The Best Karate series #5–#11.Nationals Young Adult, Adult and Senior Individual Events

Young Adult and Adult

Competition

• Each region of the iskf/Us may seed the top 4 competitors from its region in the followingevents: Women’s Kata, Men’s Kata, Women’s Kumite and Men’s Kumite.

• Brown and black belt ranks will compete in separate events.• Intermediate (6, 5, 4 kyu) ranks will have a color belt competition.• Brown and color belt events will conclude on Saturday, Nov 10, 2017.• Eliminations for all black belt individual events will be on Saturday; finalists from each

individual event will advance to the finals on Sunday, Nov 11.Senior

Competition• No competition for intermediate ranks.• Brown and black belt ranks will be combined.• Eliminations for all individual events will be on Saturday; finalists from each individual event

will advance to the finals on Sunday, Nov 11.Nationals Adult and Senior Team Events

Team Kata • Each iskf region may send one men’s team, one women’s team and one mixed senior team, chosen in competition at the regional eliminations.

• Senior kata team members may not also participate as members of an adult team.• Eliminations for kata teams will be on Saturday, Nov 10, 2017; the top three men’s, women’s

and senior teams will advance to the finals on Sunday, Nov 11, 2017.Team Kumite • Each iskf Region may send one men’s and one women’s, chosen in competition at the

regional eliminations. • Each men’s team will consist of five (5) members and one alternate.• Each women’s team will consist of three (3) members and one alternate.• Eliminations for kumite teams will be on Saturday, Nov 10, 2017; the top two teams will

advance to the finals on Sunday, Nov 11, 2017.Contest Rules Please refer to the official Tournament Rules & Regulations Booklet which can be downloaded at:

http://iskf.com/tournament-rules/

http://iskf.com/tournament-rules/


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Black Belt Adult Individual Regional Representative Seeding Form• Each region may seed the top competitors from its elimination

tournament as “previously qualified” for the National Tournament. The maximum number of competitors is four (4) in each of these events: Women’s Kata, Women’s Kumite, Men’s Kata, Men’s Kumite.

• Each competitor must pre-register by October 13, 2017, and submit a Medical Questionnaire and a Waiver/Release Agreement.

• Competitors must be 22–44 years of age, shodan rank or higher• Competitors must show their iskf Passports and current iskf

membership cards at check-in.

Region

Regional Director’s Signature

nAME RAnkWomen’s Kata 1

234

Women’s Kumite 1234

Men’s Kata 1234

Men’s Kumite 1234




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Black Belt Young Adult & Adult Individual Registration Form• Each competitor must pre-register by October 13, 2017, and submit a Medical

Questionnaire and a Waiver/Release Agreement. • Young Adult Division competitors must be 18–21 years of age.• Adult Division competitors must be 22–44 years of age.• Individuals ages 45 and above must participate in the Senior Division. • Adult individuals may not compete in both the Adult Division and the Senior Division.• Competitors must show their iskf Passports and current iskf membership cards

at check-in.• The number of participants in each category will determine if any adjustments will be

made to the categories.• There are no limits to the number of competitors from one region. • Registration fees are non-refundable, per competitor:

single event, $45; both events, $55.

Region

AgEnAME RAnk gEnDER 18–21 22–44 kATA kUMiTE fEE

1 f M2 f M3 f M4 f M5 f M6 f M7 f M8 f M9 f M

10 f M11 f M12 f M13 f M14 f M15 f M

Total Amount Due $Friday, October 13, 2017

all paperworK & FeeS dueRegional Directors must submit all paperwork—all competitors & examinees will register and pay fees to their Sensei or region.Each region will submit one payment (payable to ISKF Nationals) with all paperwork to: iskf Santa Monica, 1218 5th St, Santa Monica, CA 90401.


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Brown Belt Adult Individual Registration Form• Each competitor must pre-register by October 13, 2017, and submit a Medical

Questionnaire and a Waiver/Release Agreement. • Competitors must be at least 18 years of age.• Individuals ages 45 and above must participate in the Senior Division. • Adult individuals may not compete in both the Adult Division and the Senior Division.• Competitors must show current iskf membership cards at check-in.• Competitors ranked 1st kyu (ikkyu) and above must show iskf Passports at check-in. • There are no limits to the number of competitors from one region. • Registration fees are non-refundable, per competitor:


Region

nAME RAnk gEnDER AgE kATA kUMiTE fEE1 f M2 f M3 f M4 f M5 f M6 f M7 f M8 f M9 f M





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Colored Belt (6, 5, 4 kyu) Adult Individual Registration Form• Each competitor must pre-register by October 13, 2017, and submit a

Medical Questionnaire and a Waiver/Release Agreement. • Competitors must be 18–44 years of age.• Competitors must show current iskf membership cards at check-in.• There are no limits to the number of competitors from one region. • Registration fees are non-refundable, per competitor:


Region


10 f M11 f M12 f M13 f M14 f M15 f M16 f M17 f M18 f M19 f M20 f M




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Adult Regional Team Registration Form• Each region may send one team for each of the following team events:

Women’s Team Kata, Women’s Team Kumite, Men’s Team Kata, Men’s Team Kumite.• All teams must pre-register by October 13, 2017. • Competitors must submit a Medical Questionnaire and a Waiver/Release Agreement.• Competitors must be at least 18 years of age, 3 kyu or higher• Competitors must show current iskf membership cards at check-in.• Competitors ranked 1st kyu (ikkyu) and above must show iskf Passports at check-in. • Registration fees are non-refundable, per team: $60.

RegionRegional Director’s Signature

nAME RAnkWomen’s Kata Team 1 (CAPTAin)

234 (ALTERnATE)

Women’s Kumite Team 1 (CAPTAin)

234 (ALTERnATE)

Men’s Kata Team 1 (CAPTAin)

234 (ALTERnATE)

Men’s Kumite Team 1 (CAPTAin)

23456 (ALTERnATE)




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Black & Brown Belt Senior Individual Registration Form • Each competitor must pre-register by October 13, 2017, and submit a Medical

Questionnaire and a Waiver/Release Agreement. • Individuals ages 45–64 must participate in this division. • Adult individuals may not compete in both the Adult Division and the Senior Division.• Competitors must show current iskf membership cards at check-in.• Competitors ranked 1st kyu (ikkyu) and above must show iskf Passports at check-in. • There are no limits to the number of competitors from one region. • Registration fees are non-refundable, per competitor:

single event, $45; both events, $55.Senior Division

Kumite• Method of kumite competition for ages 55–64 will be jiyu ippon.• Competitors over the age of 65 will not compete in kumite.

Region


10 f M11 f M12 f M13 f M14 f M15 f M16 f M17 f M




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Senior Team Kata Registration Form• Each region may send one kata team for the Senior Team Kata Event. • Teams may be a mix of male and female.• Senior kata team members may not also participate as members of an

adult team.• All teams must pre-register by October 13, 2017. • Each team member must submit a Medical Questionnaire and a

Waiver/Release Agreement.• Competitors must be 45 years of age and above.• Competitors must show current iskf membership cards at check-in.• Competitors ranked 1st kyu (ikkyu) and above must show their

iskf Passports at check-in.• Registration fees are non-refundable, per team: $60.

Region


nAME RAnkSenior Kata Team 1 (CAPTAin)

234 (ALTERnATE)

Total Amount Due $60Friday, October 13, 2017



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Collegiate Competition—General InformationQualifications • The National Collegiate Karate Tournament is open to International Shotokan

Karate Federation United States (iskf/Us) members who are full-time undergraduate or graduate students in good standing enrolled at a college, university or junior college in the United States.

• Competitors must be at least 18 years old. • A student may compete in the Collegiate Competition for a total of 4 years.• Competitors must show valid proof of current semester full-time student status

at check-in.• Competitors must show current iskf membership cards at check-in.• Competitors ranked 1st kyu (ikkyu) and above must show iskf Passports at check-in. • There is no limit to the number of contestants from one school.

Safety Precautions • In kumite matches, mouthpiece and ISKF-approved white non-absorbent hand protectors are required for all competitors, regardless of rank. No competitor will be permitted to compete without both.

• No eye glasses or 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).• Female competitors may wear white chest protectors, worn inside the gi jacket.

Collegiate Individual EventsbEginnERs (UnRAnkED TO 7 kYU)

inTERMEDiATE (6, 5, 4 kYU)

ADvAnCED (3 kYU AnD AbOvE)

• Combined Kata• Women’s Kumite• Men’s Kumite

• Combined Kata• Women’s Kumite• Men’s Kumite

• Women’s Kata• Men’s Kata• Women’s Kumite• Men’s Kumite

Collegiate Team Events• All members of a collegiate team must be from the same college/university. • Only one team per school is allowed in each team event.• A team consists of three members and one alternate.

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

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

Collegiate Contest RulesPlease refer to the official Tournament Rules & Regulations Booklet which can be downloaded at: http://iskf.com/tournament-rules/

Finals All Collegiate divisions will conclude on Saturday, November 11, 2017.


26

Collegiate Individual Registration Form• Each competitor must pre-register by October 13, 2017, and submit a Medical

Questionnaire and a Waiver/Release Agreement. • Competitors must be at least 18 years of age.• Competitors must be full-time undergraduate or graduate students in good standing

enrolled at a college, university or junior college in the United States. • No part-time students will be allowed to compete. • A student may compete in the Collegiate Competition for a total of 4 years.• Competitors must show valid proof of current semester full-time student status at check-in. • Competitors must show current iskf membership cards at check-in.• Competitors ranked 1st kyu (ikkyu) and above must show iskf Passports at check-in.• There is no limit to the number of contestants from one school.• Registration fees are non-refundable, per competitor:


SchoolCity State

CoachRegion

Ranking Categories bEginnERunranked to 7 kyu

inTERMEDiATE6 kyu to 4 kyu

ADvAnCED3 kyu and above


10 f M11 f M12 f M




27

Collegiate Team Registration Form• Each team member must pre-register by October 13, 2017, and submit a Medical

Questionnaire and a Waiver/Release Agreement. • Competitors must be at least 18 years of age.• Competitors must be full-time undergraduate or graduate students in good standing

enrolled at a college, university or junior college in the United States. • No part-time students will be allowed to compete. • Competitors must show valid proof of current semester full-time student status at check-in. • Competitors must show current iskf membership cards at check-in.• Competitors ranked 1st kyu (ikkyu) and above must show iskf Passports at check-in.• Only one team per event, per school. • Teams may be composed of any combination of rank.• All members of a team must be from the same school.• Registration fees are non-refundable, per team: $60.

CollegeCity State

CoachRegion

nAME RAnkTeam Kata

(Kata team may be any gender combination)

1 (CAPTAin)

234 (ALTERnATE)

Women’s Team Kumite 1 (CAPTAin)

234 (ALTERnATE)

Men’s Team Kumite 1 (CAPTAin)

234 (ALTERnATE)




28

Youth Competition—General InformationAge-Rank Qualifications

and Rules• All eligible youth competitors must be a member in good standing

with the International Shotokan Karate Federation. • Youth competitors must be between the ages of 7 and 17 years old.• The number of participants in each category will determine if

adjustments will need to be made, if any, to their categories. • If any division has fewer than 5 competitors, we reserve the right to

combine divisions.Youth Individual Events The competition is open to both male and female competitors and will

include five age categories as follows. AgEs 7–9 • 10–11 bOYs AnD giRLs wiLL bE combIned in ThE fOLLOwing gROUPs:

Unranked to 7 kyu kata kumite6 kyu to 4 kyu kata kumite3 kyu and above kata kumite

AgEs 12–13 bOYs AnD giRLs wiLL bE combIned in ThE fOLLOwing gROUPs:Unranked to 7 kyu kata kumite6 kyu to 4 kyu kata kumite3 kyu and above kata —

bOYs AnD giRLs wiLL bE Separate in ThE fOLLOwing gROUPs:3 kyu and above — kumite

AgEs 14–15 • 16–17 bOYs AnD giRLs wiLL bE combIned in ThE fOLLOwing gROUPs:Unranked to 7 kyu kata kumite6 kyu to 4 kyu kata kumite

bOYs AnD giRLs wiLL bE Separate in ThE fOLLOwing gROUPs:3 kyu and above kata kumite

Youth Team Kata • Team kata will be open to all ages, ranks and any gender.• The number of youth teams per region is not limited.

Youth Contest Rules Please refer to the official Tournament Rules & Regulations Booklet which can be downloaded at: http://iskf.com/tournament-rules/

Finals All Youth divisions will conclude on Saturday, November 11, 2017.


29

Youth Individual Registration FormDivisions bEginnERs

unranked to 7 kyuinTERMEDiATE 6 kyu to 4 kyu

ADvAnCED 3 kyu and above

Age Groups 7–9 10–11 12–13 14–15 16–17• Each region may send an unlimited number of competitors in each of

the three divisions in each of the five age groups.• Each competitor must pre-register by October 13, 2017, and submit

a Medical Questionnaire and a Waiver/Release Agreement. Parents who do not accompany their minor children must assure that these forms are submitted.

• Competitors must be 7–17 years of age on the date of the event. • Competitors must show current iskf membership cards at check-in.• Competitors ranked 1st kyu (ikkyu) and above must show their

iskf Passports at check-in. • Registration fees are non-refundable, per competitor:

single event, $30; both events, $45.Region

RAnknAME kYU DAn gEnDER AgE kATA kUMiTE fEE


10 f M11 f M12 f M13 f M14 f M




30

Youth Team Kata Registration Form• Each region may send an unlimited number of kata teams for the

Youth Team Kata Event. • Teams may be made up of any combination of age, rank and gender.• Competitors must be 7–17 years of age on the date of the event. • All teams must pre-register by October 13, 2017. • Each team member must submit a Medical Questionnaire and a

Waiver/Release Agreement. Parents who do not accompany their minor children must assure that these forms are submitted.

• Competitors must show current iskf membership cards at check-in.• Competitors ranked 1st kyu (ikkyu) and above must show their

iskf Passports at check-in. • Registration fees are non-refundable, per team: $60.

Region


nAME RAnk1 (CAPTAin)

234 (ALTERnATE)

1 (CAPTAin)

234 (ALTERnATE)

1 (CAPTAin)

234 (ALTERnATE)




31

Tournament Program Book Advertising Space Reservation Form

MEChAniCAL sPECifiCATiOns• 300 dpi• CMYk or grayscale• fonts embedded• Preferred format: PDf,

saved as “high quality print” or “press quality”

• Any copy not already typeset must be typed, not handwritten

• Business cards are acceptable, those in color will be converted to black & white

• Only cover ads may be in color; all other ads are black & white

71/2" x 10" fULL PAgEOUTsiDE bACk COvER

$ 600insiDE fROnT/bACk COvER

$ 500fULL insiDE PAgE

$ 350

71/2" x 5"hALf PAgE

$ 180

33/4" x 5"qUARTER

PAgE$ 100

33/4" x 21/2"1/8 PAgE/bC

$ 75

Company NameCompany Address

City State ZipPhone E-mail address

Company RepresentativeSignature Date

Please check one $ 600 Outside Back Cover (may be in color) $ 500 Inside Front/Back Cover (may be in color) $ 350 Full Inside Page (black & white only) $ 180 Half Page (black & white only) $ 100 Quarter Page (black & white only) $ 75 Eighth Page/Business Card (black & white only)

Total amount due $Checks/money orders payable to ISKF Nationals

Send this form, payment & artwork to

iskf Santa Monica, 1218 5th St, Santa Monica, CA 90401

or electronic submission: [email protected] Postmarked by Friday, September 29, 2017


32

Banquet Reservation Form Event Time & Date 7:00 PM Sunday, November 12, 2017

Location Hilton Los Angeles Airport, La Jolla BallroomThe banquet is open to all participants, family and friends. Please plan to attend with others from your region. Banquet fees are non-refundable. There will be a cash bar.

Buffet $70 per personSpecial dietary needs can

be accommodated upon request. Please specify.

Chicken & vegetable soup • Kale salad with yam, celery, garlic croutons, Japanese vegetable dressing • California herb marinated sirloin • Citrus marinated chicken breast • Roasted salmon with pepper coulis • Roasted garlic potatoes • Roasted brussel sprouts • Individual tarts

Region

nAMEsPECifY if

sPECiAL DiET qTY fEE123456789

10111213141516

Total amount due $Friday, October 13, 2017



33

T-Shirt Order FormOrder your 2017 iskf Tournament T-Shirt now—it will be available for you when you check-in at the tournament. Style: Short-Sleeve—$25Sizes: Adult—s, M, L, xL, xxL • Youth—s, M, L

Region

nAMEADULT

sizEYOUTh

sizE qTY fEE123456789

101112131415161718

Total amount due $Friday, October 13, 2017



34

Memorial Service Transportation Reservation FormFor those staying at the Hilton, sign-up here for round-trip transportation. This tally will help us determine the type of transport to hire.

Event Master Nakayama 33rd Memorial ServiceTime & Date 8:00 PM Thursday, November 9, 2017

Location Venice Hongwanji Buddhist Temple 12371 Braddock Dr., Culver City 90230

nAME CELL PhOnE #123456789

10111213141516

Send this form to iskf Santa Monica, 1218 5th St, Santa Monica, CA 90401

or electronic submission: [email protected] by Wednesday, November 1, 2017

2017 iskf nationals registration...14 training seminar registration 15 medical questionnaire 16...

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