Document 6596559

Name
Address
City
State
Zip
Rank
Age
Telephone
State
Zip
Karate School Name
Personal E-mail
City
I, the undersigned, hereby release Jeff Hardy, Bodyworks Martial Arts Center, Merrimack Valley High School and all persons associated with this
event in any capacity from liability due to injuries, etc., that I may incur as a result of my attendance and/or participation at the above specified
event. Furthermore, I hereby waive any compensation whatsoever for the use of pictures, movies, media coverage, etc., utilized by those
associated with this event at any time. I also hereby agree to abide by all rules stated in the CKMAA Rules including, but not limited to, my ability to
withstand the contact of tournament fighting. Additionally, I am fully aware of my personal medical condition and hereby certify that I am mentally
and physically fit to compete at said Karate Tournament.
_____________________________________________
Signature
_____________________________________________
(Signature of parent or guardian if under 18)
Sparring / Under Black Belt
Gender (Check One)
Male
Female
(Light helmet contact ......Intermediate & up (NO DIRECT TO THE FACE)
Age (Check One)
Rank (Check One)
6 Yrs & Under
13 & 14 Yrs
(beg) White / Yel / Orange
7 & 8 Yrs
15 Thru 17 Yrs
(inter) Purple / Blue / Green
9 & 10 Yrs
18 Thru 34 Yrs
(adv) Red / Brown
11 & 12 Yrs
35 Yrs & Over
Forms / Under Black Belt
Gender (Check One)
Male
Female
Age (Check One)
6 Yrs & Under
7 & 8 Yrs
9 & 10 Yrs
11 & 12 Yrs
Rank (Check One)
(beg) White / Yel / Orange
(inter) Purple / Blue / Green
(adv) Red / Brown
13 & 14 Yrs
15 Thru 17 Yrs
18 Thru 34 Yrs
35 Yrs & Over
Weapons / Under Black Belt
Division (Check One)
Male
Female
8 Yrs & under
9 - 11 Yrs
12 - 14 Yr
15 - 17 Yrs
Rank (Check One)
18-34 Yrs
35 Yrs & over
Intermediate Purple / Blue /Green
Advanced Red / Brown
Black Belt Sparring
Division (Check One)
 10 Thru 12 Yrs (M)
 10 Thru 12 Yrs (F)
 13 & 14 Yrs (M)
 13 & 14 Yrs (F)
 15 Thru 17 Yrs (M)
 15 Thru 17 Yrs (F)
 18 Thru 29 Yrs (M)
 13 – 14 Yrs (M)
 13 - 14 Yrs (F)
 15 - 17 Yrs (M)
 15 - 17 Yrs (F)
 18 - 29 Yrs (M)
 18 - 29 Yrs (F)
 30 - 39 (M)
 30 - 39 (F)
 40 yrs + (M)
 40 yrs + (F)
 30 – 39 Yrs (M)
 30 – 39 Yrs (F)
 40 Yrs + (M)
 40 Yrs + (F)
Black Belt Weapons
Division (Check One)
 10 - 12 Yrs (M)
 10 - 12 Yrs (F)
 40 Yrs & Over (F)
Black Belt Forms
Division (Check One)
 10 - 12 Yrs (M)
 10 - 12 Yrs (F)
 18 Thru 29 Yrs (F)
 30 Thru 39 Yrs (M)
 30 Thru 39 Yrs (F)
 40 Yrs & Over (M)
 13-14 Yrs (M)
 13- 14 Yrs (F)
 15 - 17 Yrs (M)
 15 - 17 Yrs (F)
 18 - 29 Yrs (M)
 18 - 29 Yrs (F)
Dear Martial Artist:
I would like to invite you to Combined Kenpo Martial Arts Association Tournament XXV, It will be held on November 8, 2014 at
Merrimack Valley High School in Penacook, New Hampshire.
On the day of the tournament, registration will run from 7:30 AM until 9:30AM; please note that no registrations will be accepted after 9:30.
The tournament will begin promptly at 9:30 AM. Competition starts with UBB weapons followed by youth divisions.
To help ensure a smooth-running event, we need Black Belt support. The Black Belt meeting will be held at 8:30 AM. Please be prompt
and ready to offer your expertise.
Good food and drinks will be available.
If you have any questions or need more information, please feel free to contact me at Bodyworks, Inc., 85 Manchester Street, Concord, NH
03301, (603) 225 -5620.
I anticipate many exciting events, an atmosphere of good sportsmanship and great competition. I look forward to seeing you for a fun,
top-quality event!
Jeffrey N Hardy.
RANK EQUIVALENTS (Adults)
White / Yel / Or - Beginner < 1 yr
Purple / Blue / Green - Inter 1-3 yrs
Red / Brown - Adv > 3 yrs
Black Belt
LIGHT helmet/
body
Contact for
Intermediate
& up
RANK EQUIVALENTS (Kids)
White / Yel /Or - Beginner < 8 mo
Purple/ Blue /Green - Inter < 3 yrs
Red / Brown / Jr Blk - Adv > 3 yrs
Sparring

All UBB matches go to three points; no time limit. Black belt division matches go to five (5) points. In the event of a tie, the first point
awarded in sudden-death wins. One (1) point is awarded for both kicks and punches. A majority of voting judges is required to confirm a
point. Each judge has an equal vote. A "No-See" disqualifies a judge from voting on a point.

All sparring competitors must wear groin protectors, mouth guards, and foam-type hand, foot, and head protectors.

No jewelry of any kind may be worn during competition.

No contact is allowed to the spine, kidneys or against the joints . Controlled, light contact is allowed "above the belt" in
Intermediate divisions & up No direct face contact in any division One (1) excessive contact violation draws a
warning. Two (2) excessive contact violations result in a point awarded to the opponent. Automatic disqualification follows any intentional or
malicious contact resulting in injury. The groin is not a legal striking target in Black belt division matches.

No open-hand techniques, sweeps or throws are allowed in non-Black belt division matches.

Three (3) ring boundary violations (running out of the ring) result in a point awarded to the opponent. Both feet must be judged to be out of
the ring for the competitor to be in violation. Each violation thereafter results in a point awarded to the opponent.

No spinning back fists are allowed under black belt. A spinning back fist (in BB division) thrown as a means of "bailing out" without control or
focus is grounds for disqualification. Controlled spinning back kicks are allowed in all divisions.

Each competitor must be present at the proper ring prior to the beginning of the event and may not leave until after participation. No
competitor may enter an event after it has started.

Attitude problems are not tolerated in any competitor at any rank; disqualification follows any indication of disrespect. We expect all
participants and spectators to refrain from un-sportsmanship-like conduct.
 Equipment: Foam safety equipment, foot/hand/head gear, chest protection (encouraged) mouthpiece and groin protection mandatory!
Forms





A restart of any form automatically incurs a one (1) point penalty. TIE: students may do the same form w/o penalty
Judges must give competitors their undivided attention when viewing a form; they must not allow surrounding activity to detract from their
ability to judge effectively, consistently, and fairly.
All scores are displayed for competitors.
Three (3)-competitors will execute their forms before any scores are given. At that point, each competitor will return to the ring one-at-a-time
to receive a score. This should create a consistent scoring standard, eliminating any disadvantage the first several competitors may
otherwise have.
Dropping or otherwise losing control of a weapon results in disqualification (light incidental floor should not be penalized)
REGISTRATION INFORMATION (no family discount after Nov 5)
     
Family discount: for preregistration only
Spectator Fees
Payment
Pre-registration by Nov 5, 2014 $40.00 for the first event and $5.00 for each additional event.
2 Family members - $80 for 1,2, or 3 events
3 family members – $120 for 1,2, or 3 events
Registration after Nov 5, 2014 $50.00 for the first event and $5.00 for each additional event. (no discounts)
On November 8, 2014: No registrations accepted after 9:30 AM
Adult: $5.00
Children 6 YRS AND UNDER FREE
Full payment must accompany registration.
Cash, Travelers Check: U.S. currency only.
Personal Check: Payable to Bodyworks, Inc. Indicate driver’s license number on front of check.
Money Order, Certified Check: Payable to Bodyworks, Inc. in U.S. currency at any U.S. bank.
Directions to Merrimack Valley High School
 From Route 93 take Exit 15W
(Routes 202 & 3).
 At the second set of lights, take a
right onto Route 3 North to Penacook.
 Go 4.9 miles.
 Take the first right after Beede
Electric Company (under flashing
yellow light). Look carefully for the
sign, as you can't see the school from
the road.
Bodyworks, Inc.
85 Manchester Street
Concord, NH 03301
Phone (603) 225-5620
RESPECT THE TRAINING ● HONOR THE COMITTMENT ● CHERISH THE RESULTS