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48th USA Karate Federation National Championships
and Eastern USAKF National Team Pool Selection
 Individual Registration Form (Entry form) All information must be supplied. Email address required for confirmations.
REGISTRATION FEE: Early On-Line registration $55 one event plus $5 for each additional event. On-line registration available until November 1. Registration includes USAKF membership. $10 Late fee at the door.
SPECTATOR FEE: Adults: $5 Children Ages 5-12: $3 - $7 and $5 at the door.
Be sure to fill out all fields and agree to terms and waiver information.
No refund requests honored the day of the event or afterwards. Refund requests prior to the day of the event will incur a $15 handling fee.
We will be using WUKF Rules and Divisions for Kata and Kumite. There are some modifications that are necessary - see our website.
You may only select one kata division to compete in.
Complete details at USA Karate Championships Website
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September 10, 2022 8:00am - 10:00pm
September 9, 2022 11:00pm [Eastern Time]
Louisville Church
1520 California Ave
Louisville, Oh 44646
1520 California Ave
Louisville, Oh 44646
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For weight divisions you must meet your weight as entered.
Karate Rank
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Information to help select divisions
All - Age and Experience
Final age and experience divisions will be determined by the tournament committee considering the actual enrollment in the tournament.
Kata - WUKF Modifications
Kata divisions will be by separate category and not by style.
We reserve the right to institute a style kata division but if we do, you will only be able to compete in one kata division of your choosing. Note: If enough youth competitors desire to compete in an additional kata division, we will consider it pending 1) there are enough competitors of a reasonable age grouping desire to do so, and each competitor pays an additional $10 fee on the spot for entry into this special additional event.
Kata may be judged by scorecard system or flag system depending on enrollment.
Kumite
All kumite will be judged as sanbon shobu (ippon and wazari totaling 3 points or sanbon). This applies regardless of age.
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Kumite (Free Fighting)
Kata
Kobudo (Weapons Kata)
Chanbara
Iaido
Kata
Kobudo (Weapons Kata)
Chanbara
Iaido
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Ohio Concussion Information for Youth Sports
Download and Read
This information sheet is provided to assist everyone including you and your child in recognizing the signs and symptoms of a concussion. Every athlete is different and responds to a brain injury differently, so seek medical attention if you suspect your child has a concussion. Once a concussion occurs, it is very important your athlete return to normal activities slowly, so he/she does not do more damage to his/her brain.
If this registration is for a minor, I acknowledge I have downloaded the link for the Ohio Concussion Parent Acknowledgement and I have read the information in the form.
Acknowledged
Privacy Notice:
By registering for this event, I understand my email address may be used by USA Sports Jujitsu Alliance, the USA Karate Federation and their affiliated organizations to announce other martial arts activities.
Photo Release:
I understand that any photos taken at this event may be used to promote USA Sports Jujitsu Alliance, the USA Karate Federation and their affiliated organizations activities and that this authorization also includes social media.
Video:
I understand that I may only take video of myself (or child) and that any video taken by me cannot be used for any commercial purposes.
Acknowledgement of Acceptance
WAIVER/RELEASE FOR COMMUNICABLE DISEASES INCLUDING COVID-19 ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATION AGREEMENT
In consideration of being allowed to participate on behalf of the USA Karate Federation athletic program, events and competitions and related activities, the undersigned acknowledges, appreciates, and agrees that:
1. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS the USA Karate Federation and their officers, officials, referees, coaches, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION)
Additionally, if I am signing on behalf of a minor, this is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Check this box to indicate that you have read and agree to all of the above terms & conditions1. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS the USA Karate Federation and their officers, officials, referees, coaches, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION)
Additionally, if I am signing on behalf of a minor, this is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Acknowledgement of Acceptance
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