DUKE CITY OPEN2017 USKA MAXIMUM POINT

TOURNAMENT HOST: MOUNTAIN EAGLE KARATE

EVENTS• Kobudo • Kata• Kumite • Team Kata• WKF modified kumite

PRICESCOMPETITORS• $40 for one event, $5 for each additional event• $5 discount for USKA members or early registration by April 28th

SPECTATORS• Adult/Children (5 and older) - $3 • Children under 5 - FREE

• CHECK-IN AND REGISTRATION STARTS AT 8AM• ALL WEAPONS DIVISIONS START AT 9AM • KATA AND KUMITE EVENTS START AT 10AMOPEN TO ALL SCHOOLS AND STYLES

SATURDAY, MAY 6, 2017NEW MEXICO SHOTOKAN

2808 GIRARD BLVD. NE, ALBUQUERQUE, NM 87107

Duke City Open Karate Tournament Saturday, May 6, 2017 USKA Maximum Point Sanctioned Tournament

REGISTRATION FORM Name_____________________________ Age_______ Sex: M or F Rank____________________ Address_______________________________ City__________________ State______ Zip__________ Phone#_______________ USKA Member#________________ Style____________________________

Must present member card

Instructor____________________ School_____________________ YRS____ MOS_____ (in Martial Arts)

TOURNAMENT DIVISIONS: $40.00 for 1 event - $5.00 each additional event ($5 discount for USKA members or early registration by April 28th for non-USKA members)

PLEASE CIRCLE THE DIVISION(S) YOU ARE ENTERING

******************************************************************************************************************** I understand that Karate is a contact sport. I am aware that I am participating in an activity which physical contact and injuries may occur which may potentially involve bodily harm or even death and do so at my own risk. I waive any claim or cause of action I may have against the promoters of the tournament, Mountain Eagle Karate, the judges and referees, other competitors, NM Shotokan Karate, and the United States Karate Alliance Inc. that may arise out of my participation in this tournament. I further agree to indemnify and hold harmless the promoters, Mountain Eagle Karate, the judges and referees, other competitors, NM Shotokan Karate, and the United States Karate Alliance Inc., for any injuries or damages which may affect my participation in this tournament. I further agree to conduct myself in a sportsmanlike and safe manner and understand if I fail to do so, I may be disqualified from the tournament and not be entitled to a refund. Competitor’s Signature*__________________________________________________Date______________________ *(Parent or guardian must sign if under 18 years old)

Please Register me for the following:

One Event Participation (Kata or Sparring or Weapons or Team Kata or WKF modified) $40.00……………………………………………………………………………….……………….....$_____________ Each additional event: $5……....................................................................................... $_____________ Fee for Spectators (under 5 yrs old free): $3 Fee ea………number of spectators over 5 yrs old _____$_____________ Please make checks payable to MEKA Pre-registration: Mail to MEKA/Gorman - 1509 Monte Largo Dr. NE, ABQ, NM 87112

FORMS (KATA) DIVISIONS Black Belt Men (2 div*) Black Belt Women (2 div*) Senior Kyus (40 & over) Brown Belt Men Brown Belt Women Colored Belt Men Colored Belt Women White/Yellow Belt Men (Novice) White/Yellow Belt Women (Novice) Young Men & Women (16-17) (Beg & Adv) Teen Men & Women (14-15) (Beg, Int* & Adv) Junior Boys & Girls (12-13) (Beg, Int & Adv) Youth (10-11) (Beg, Int & Adv) Dragons (8-9) (Beg, Int & Adv) Tiny Tigers (6-7) (Beg & Adv) Mini Mites (5 & under) *Minimum of 3 competitors to make a division.

SPARRING (KUMITE) DIVISIONS Black Belt Men (Lt Wt* & Hvy Wt*) Black Belt Women (Fly Wt* & Lt Wt*) Senior Kyu Men (40 & over) (Beg* & Adv*) Senior Kyu Women (40 & over) (Beg* & Adv*) Brown Belt Men Brown Belt Women Colored Belt Men Colored Belt Women White/Yellow Belt Men (Novice) White/Yellow Belt Women (Novice) Young Adult Men (16-17) (Beg & Adv) Young Adult Women (16-17) (Beg & Adv) Teen Men (14-15) (Beg & Adv) Teen Women (14-15) (Beg & Adv) Junior Boys (12-13) (Beg., Int., & Adv) Junior Girls (12-13) (Beg & Adv) Youth Boys (10-11) (Beg., Int., & Adv) Youth Girls (10-11) (Beg & Adv) Dragon Boys (8-9) (Beg, Int* & Adv) Dragon Girls (8-9) (Beg, Int* & Adv) Tiny Tigers (6-7) (Beg & Adv) Mini Mites (5 & under)

WEAPONS DIVISIONS Black Belt Men Black Belt Women Adult Kyu Teen (14 -17) Youth (10-13) Tiny Tigers (9 & under)

TEAM KATA DIVISIONS These are unofficial divisions

Will be determined by participants

WKF MODIFIED KUMITE DIVISIONS These are unofficial divisions

Will be determined by participants

Special thanks to Acme Solutions, LLC. for supporting our event and sponsoring our youth team awards!