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Martial Arts Mayhem Mail to: McLaughlin’s Martial Arts Pre-Registration Form PO Box 324 PKC # R___-__________ Complete by January 7, 2022 Lisbon, Ohio 44432 Name:___________________________________Age:______Birthdate:____/______/______ Address:____________________________City________________State_____Zip_________ Competitor Phone No:_________________Instructor Phone No:________________________ School:________________________________________Instructor:_____________________ Male Female Kata Sparring Weapons Self Defense Chanbara

Belt Rank/Kyu Rank:______________________________Division:____________________ Email:____________________________________________________________________ I agree to assume full responsibility for any and all damages, injuries or losses that I may sustain or incur, if any, while attending or participating. I hereby waive all claims against the promoters, operators, sponsors, advertisers, tournament agents or the Professional Karate Commission. I hereby waive any compensation whatsoever, for the use of photos, movies, media coverage, etc. utilized by those associated with this event at any time. I understand that incomplete forms cannot be processed, including inability to read the registration form and that proof of age by birth certificate or government identification is mandatory in all divisions. By signing, I acknowledge that I have read and understand the current version of PKC Region 3 rules; as well as use what safety equipment is required for every aspect of competition at this event. Entry fee can be made by cash or money order only, made out to McLaughlin's

Martial Arts. There are no personal checks and there are no refunds. I fully understand that any medical treatment

given to me will be of a First-Aid treatment only.

Signature:_______________________________________________Date:__________

Parent/Guardian (If under 18):_______________________________Date:__________ CASH OR MONEY ORDERS ONLY, PAYABLE TO: McLaughlin’s Martial Arts NO PERSONAL CHECKS OR REFUNDS BIRTH CERTIFICATES ARE MANDATORY IN ALL DIVISIONS

SATURDAY February 5, 2022

10 AM SHARP

LISBON DAVID ANDERSON HIGH SCHOOL

260 West Pine Street Lisbon, OH 44432

SPARRING*KATA*WEAPONS*SELF DEFENSE*CHANBARA

HOSTED BY: McLaughlin’s Martial Arts

PKC Single National and PKC Region 3 State Points

IMPORTANT INFORMATION

Ratings: PKC Single National and PKC Region 3 State Points

Early Bird Must be postmarked by 1/7/2022 $50 for one or all events

Pre-Registration: Must be postmarked by 1/26/2022 $55 for one or all events

Registration: $60 for one event Cash Only $5 for each additional event

Spectators: Adults………………..…$10.00 Children (12u)………...$7.00 Children (5 & under)….Free

*Black Belts that aren’t working are spectators. *Please be in uniform to Judge.

Cash or Money Order, No Checks, No Refunds

Mail to: McLaughlin’s Martial Arts PO Box 324 Lisbon, Ohio 44432

Tournament Schedule When: Saturday February 5, 2022

Where: Lisbon David Anderson High School

260 West Pine Street Lisbon, Ohio 44432

Times:

8:30 AM Doors/Registration Open

9:20 AM Score/Time Keeper Meeting

9:30 AM Black Belt Meeting

9:50 AM Line up and Bow in

10:00 AM Eliminations Begin

For More Information:

Call: (330) 831-0622 Email: mcdragon1977@yahoo.com

Kata Weapons

5yr & under (Kyu Ranks) 6yr & under (Kyu Ranks)

6-year-old (Kyu Ranks) 7-8-year-old (Novice; Int+Adv)

7-8-year-old (Novice; Int+Adv) 9-10-year-old (Novice; Int; Adv)

9-10-year-old (Novice; Int; Adv) 11-12-year-old (Novice; Int; Adv)

11-12-year-old (Novice; Int; Adv) 13-17-year-old (Novice; Int; Adv)

13-17-year-old (Novice; Int; Adv) Adult Kyu Ranks (18-34-year-old; 35+ Executive)

18-34-year-old (Novice; Advanced) Handicapable (All Ages/Ranks)

35+ Executive (Novice; Advanced) Junior Black Belt (12yr & under; 13-17-year-old)

Handicapable (All Ranks/Ages) Black Belt Creative (17yr & under; 18+ Adult)

Junior Black Belt (12yr & under; 13-14; 15-17) Black Belt Female (18+ Adult) (Large Division Split)

Black Belt Female (18-34-year-old; 35+ Exec) Black Belt Male (18-34-year-old; 35+ Exec.)

Black Belt Male (18-34; 35-42 Exec; 43+ Sr.)

Self Defense Chanbara

6yr & under (Kyu Ranks) 5yr & under (Kyu Ranks)

7-8-year-old (Novice; Int+Adv) 6-year-old (Kyu Ranks)

9-10-year-old (Novice; Int; Adv) 7-8-year-old (Novice; Int+Adv)

11-12-year-old (Novice; Int; Adv) 9-10-year-old (Novice; Int+Adv)

13-17-year-old (Novice; Int; Adv) 11-12-year-old (Novice; Int+Adv)

Adult Kyu Ranks (18-34; 35+ Exec) 13-14-year-old (Novice+Int; Advanced)

Junior Black Belt (17yr & under) 15-17-year-old (Novice+Int; Advanced)

Adult Black Belt (Large Division Split) Adult Kyu Ranks (18-34; 35+ Executive)

Handicapable (All Ages/Ranks) Junior Black Belt (12yr & under; 13-17-year-old)

Adult Black Belt Female (Large Division Split)

Sparring Adult Black Belt Male (Large Division Split)

5yr & under Kyu Ranks (Small; Tall)

6-year-old Kyu Ranks (Small; Tall)

7-8-year-old Female (Novice; Int+Adv)

7-8-year-old Male (Novice; Int+Adv)

9-10-year-old Female (Novice; Int; Adv)

9-10-year-old Male (Novice; Int; Adv)

11-12-year-old Female (Novice; Int; Adv)

11-12-year-old Male (Novice; Int; Adv)

13-14-year-old Female (Novice; Int, Adv)

13-14-year-old Male (Novice; Int; Adv)

15-17-year-old Female (Novice; Int, Adv)

15-17-year-old Male (Novice; Int; Adv)

18-34-year-old Female (Novice; Advanced)

18-34-year-old Male (Novice; Advanced)

35+ Executive Female (Novice; Advanced)

35+ Executive Male (Novice; Advanced)

Junior Black Belt Female (12yr & under; 13-17-year-old)

Junior Black Belt Male (12yr & under; 13-14; 15-17-year-old)

Black Belt Female (18-34-year-old; 35+ Senior)

Black Belt Male (Light, Middle, Heavy Weight)

Black Belt Male (35-42 Executive; 43+ Senior)

Division Splits: __

• 3 Splits—Novice; Intermediate; Advanced o Novice—1st 1/3 of Belt System o Intermediate—2nd 1/3 of Belt System o Advanced—3rd 1/3 of Belt System o Example: 10 Kyu Ranks

▪ Novice—10th Kyu –7th Kyu ▪ Intermediate—6th Kyu –4th Kyu ▪ Advanced—3rd Kyu –1st Kyu

• 2 Splits—Novice; Advanced o Novice—1st ½ of Belt System o Advanced—2nd ½ of Belt System o Example: 9 Kyu Ranks

▪ Novice—9th Kyu –5th Kyu ▪ Advanced—4th Kyu –1st Kyu

***Note: Intermediate+Advanced = Intermediate Ranks and

Advanced Ranks

This is an open tournament. All Karate-Ka

who display good sportsmanship and are

members of an authentic karate school are

welcome.

Hotel Information:

Group Discounts must mention event

Days Inn Lisbon

40952 State Route 154

Lisbon, Ohio 44432

(330) 420-0111 $85+ Tax book by

January 21, 2022

Holiday Inn Express

240 Cunningham Road

Salem, Ohio 44460

(330) 408-9119 100+Tax book by

January 4, 2022

Quality Inn

15860 Saint Clair Avenue

East Liverpool, Ohio 43920

(330)386-3800 $89+ Tax book by

January 21, 2022

Mandatory Gear:

Weapons – Max height of Bo is 6’

weapons must be made of solid

material, no hollow weapons, weapons

must be safe, no live or sharp blades.

Self Defense – Both Competitor and

Attacker MUST wear head gear. Cannot

turn any weapon on Attacker.

Chanbara – Must have own helmet with

facemask and foam sword. Max sword

length is 40”

Sparring Must have own vinyl

or foam dipped feet, hand, and

headgear, mouthpiece

and groin protector for males

OHIO PKC RULES WILL BE USED

AWARDS FOR 1ST- 4TH PLACE