Contents

Table of Contents……………………..…………………………………………………………………………………1

General Information…………………………………………………………………………………………………….2

Important Deadlines…………….………………………………………………………………………………………….3

Schedule of Events………………………………………………………………………………………………………….4

Schedule of Events (continued)……….……………………………………………………………………………5

Fees and Admission Prices…………………………………………………………………………………………….…….6

Competitor Checklist and Dan Exam Fees ...... 7

Dan Exam Form ...... 8

Selection of Judges Form...... 9

Waiver/Release Agreement………………………………………………………………………...... 10

Contestant’s Medical Questionnaire...... 11

General Contest Rules ...... 12

Adult Division ‐ General Information...... 13

Adult Individual Black Belt Club Representative Seeding Form...... 14

Color Belt Adult Individual Registration Form...... 15

Brown Belt Adult Individual Registration Form...... 16

Black Belt Adult Individual Registration Form...... 17

Black Belt Adult Team Registration Form...... 18

International Goodwill Team Registration Form...... 19

Senior Division – General Information ...... 20

Senior Individual Registration Form...... 21

Senior Team Registration Form...... 22

Collegiate ‐ General Information...... 23

Collegiate Individual Registration Form...... 24

Collegiate Team Registration Form ...... 25

Youth Division – General Information ...... 26

Youth Individual Registration Form...... 27

Youth Team Registration Form ‐ Kata Only ...... 28

T‐Shirt Order Form ...... 29

Banquet Reservation Form...... 30

Program Advertising Form...... 31

Travel & Hotel Information………………………………..………………………………………………………32

2014 JKA/AF Nationals and Collegiate Goodwill Tournament

General Information

Event: JKA American Federation Nationals & Collegiate Goodwill Tournament

When: November 8 – 9, 2014

Where: University of New Orleans

Health & P. E. Center

New Orleans, Louisiana

For information: Tournament Website: www.jkaaf.org

Or contact

JKA American Federation

Phone 504-835-6825 Fax 504-835-6825

Email:

Make Payments to: JKA American Federation

Mail to: JKA American Federation

706-C Phosphor Ave.

Metairie, LA 70005

2014 JKA/AF Nationals and Collegiate Goodwill Tournament

Important Deadlines

Hotel Reservations: list and information to follow

Advertising Entries: Form included on page 30

Tournament Judges: See enclosed judges selection form

Dan Examination Registrations: Post Marked October 30, 2014

Must pre-register if you are testing

Tournament Registrations: Post marked October 30, 2014

All Participants must check in Friday November 7th, 2014at JKA/AF Headquarter from 12 n00n to 8 p.m.

Who Can Participate

Tournament:

The Tournament is open to any Shotokan school in the United States as well as International clubs, regardless of organization or affiliation. Competitors may participate in any event they qualify for ‐based on age, rank and gender. The tournament will follow JKA rules.

Dan Examinations:

JKA/AF members (only)

Exam will be held on Friday, November 7, 2014

Pre‐registration must be done if you are planning to test.

2014 JKA/AF Nationals and Collegiate Goodwill Tournament

Schedule of Events

Friday, November 7, 2014

10:00am to 9:00pm Check‐In for all competitors at Louisiana Karate Association

706 Phosphor Avenue, Metairie, LA 70005

* Late registrations will be assessed a $20 fee per contestant.

1:00pm to 2:00pm Seminar taught by Master Takayuki Mikami

at Louisiana Karate Association

* Registrations will be done on‐site. Cost is $25.

3:00pm to 4:30pm Dan Examinations (Shodan to Yondan)

at Louisiana Karate Association

* Pre‐registration required

Saturday, November 8, 2014

8:30am to 9:00am Late Check‐Ins (No registrations will be taken on this day)

8:45am Judges Meeting

9:00am Tournament Begins

Competition Eliminations – Finals Youth (up to 12 yrs)

Competition Eliminations – Collegiate, Senior and Adult Divisions

Competition Eliminations – Goodwill Team Events

8:00pm Banquet : New Orleans Yacht Club

403 Roadway Street

New Orleans, LA 70124

Sunday, November 9, 2014

9:00am Doors Open

10:00am Opening Ceremony

Demonstration

Youth Final Events Boys (13 – 14) Brown & Black Belts

Kata: 3 finalists Kumite: 2 finalists

Girls (13 – 14) Brown & Black Belts

Kata: 3 finalists Kumite: 2 finalists

Boys (15 – 16) Brown & Black Belts

Kata: 3 finalists Kumite: 2 finalists

Girls (15 – 16) Brown & Black Belts

Kata: 3 finalists Kumite: 2 finalists

Boys (15 – 16) Brown & Black Belts

Kata: 3 finalists Kumite: 2 finalists

Girls (15 – 16) Brown & Black Belts

Kata: 3 finalists Kumite: 2 finalists

Youth Team Kata 2 finalists Team Kumite 2 finalists

2014 JKA/AF Nationals and Collegiate Goodwill Tournament

Schedule of Events (continued)

Collegiate Final Events Women (Brown and Black Belt)

Kata: 3 finalists Kumite: 2 finalists

Men (Brown and Black Belt)

Kata: 3 finalists Kumite: 2 finalists

Team (Mixed) Kata 2 finalists

Women’s Team Kumite 2 finalists

Men’s Team Kumite 2 finalists

Senior Final Events Women (Brown and Black Belt)

Kata: 3 finalists Kumite: 2 finalists

Men (Brown and Black Belt)

Kata: 3 finalists Kumite: 2 finalists

Team (Mixed) Kata 2 finalists

Women’s Team Kumite 2 finalists

Men’s Team Kumite 2 finalists

Adult Final Events Women (Brown and Black Belt)

Kata: 3 finalists Kumite: 2 finalists

Men (Brown and Black Belt)

Kata: 3 finalists Kumite: 2 finalists

Women’s Team Kata 3 finalists

Women’s Team Kumite 2 finalists

Men’s Team Kata 3 finalists

Men’s Team Kumite 2 finalists

International Goodwill Team Events

Women’s Team Kata 3 finalists

Women’s Team Kumite 2 finalists

Men’s Team Kata 3 finalists

Men’s Team Kumite 2 finalists

Closing Ceremonies Awards Presentation and Closing ceremonies

NOTE: DIVISIONS SUBJECT TO CHANGE

2014 JKA/AF Nationals and Collegiate Goodwill Tournament

Fees and Admission Prices

Tournament Fees:

Youth Division Individual, Single Event $35

Individual, Both Events $45

Team (one or both) $65

Collegiate Division Individual, Single Event $35

Individual, Both Events $45

Team (one or both) $65

Senior Division Individual, Single Event $45

Individual, Both Events $55

Team (one or both) $100

Adult Division Individual, Single Event $45

Individual, Both Events $55

Team (one or both) $100

International Goodwill Team Events (one or both) free

IMPORTANT: Registrations received postmarked after October 30, 2014 will be assessed a $20 late fee per contestant.

Spectator Admission Prices: Competitors and Judges in uniform are free.

$6 One‐Day Pass

$10 Two‐Day Pass

No charge for children 10 years old and under.

2014 JKA/AF Nationals and Collegiate Goodwill Tournament

Competitor Checklist and Dan Exam Fees

COMPETITOR CHECKLIST

______Mouthpiece

______Gloves (white naugahyde)

______Current JKA/AF Card or JKA passport for JKA/AF members

______Current student ID card (2013)

______Standard White Gi

Dan Examination will take place Friday, November 7, 2014 at 3:00pm at Louisiana Karate Association.

DAN EXAMINATION FEES- payable to JKA/AF

Shodan $ 80.00

Nidan $100.00

Sandan $120.00

Yondan $150.00

DAN REGISTRATION FEES- (must be paid with exam fee) ‐ payable to JKA/AF

Shodan $130.00

Nidan $170.00

Sandan $225.00

Yondan $270.00

Godan $550.00

IMPORTANT: Pre‐registration required and must be postmarked no later than October 30, 2014.

Please make check or money orders payable to: JKA American Federation

Please send to: 706-C Phosphor Ave.

Metairie, LA 70005

2014 JKA/AF Nationals and Collegiate Goodwill Tournament

Dan Exam Form

Please type or print clearly.

Name______

Date of Birth______/______/______

Gender M / F Rank (dan)______

Address ______

City ______State ______Zip ______Country ______

Telephone ( )______Fax ( )______E-Mail ______

Dojo ______

Dan rank you are testing for: ______

Signature______

Date______

List previous JKA Dan registration numbers (if applicable):

Rank / Registration Number / Date of Exam / Chief Instructor/Examiner’s name
Shodan
Nidan
Sandan
Yondon

IMPORTANT: All Examinees must be members of the Japan Karate Association through Affiliations

officially recognized by the JAPAN KARATE ASSOCIATION and have a current JKA passport.

Your Chief Instructor must sign Dan Registration Form.

2014 JKA/AF Nationals and Collegiate Goodwill Tournament

Selection of Judges Form

Judges must meet the requirements as established by t he JKA/AF and the JKA. The Chief Instructor and/r tournament director will designate the Chief Judge and Arbitrator.

This is to confirm that the following persons wills serve as Judges at the 2014 JKA/AF National Karate Tournament and Collegiate Tournament.

Club:______

Name Dan Rank Judge's Rank

(A, B, C, D or none)

1. ______

2. ______

3. ______

4. ______

5. ______

6. ______

Signature of Club Director:______

This information must be postmarked no later than October 30, 2014.

ALL JUDGES MUST SHOW VALID JKA QUALIFICATION CARD

2014 JKA/AF Nationals and Collegiate Goodwill Tournament

Waiver/release agreement

PARTICIPANT’S MEDICAL QUESTIONNAIRE:

To be completed by all adults and guardians of minors attending the JKAAF National Tournament 2010.

Name______Date of Birth______Sex______Rank______

Address______City ______State_____ Zip______

Organization______Country ______Dojo ______

Do you have a history of any of the following conditions? Please check either yes or no for each one.

If you answer yes to any, please explain:

Yes No

______Heart murmur

______Hypertension

______Recent infection

______Bone fracture in the past six months

______Concussion or severe head injury in the past six months

______Seizures

______Eye injury

______Severe bone bruises requiring padding

______Kidney injury

______Allergy to medication (list all):

______Are you currently taking any medications? If yes please specify ______

______Other:______

______Date ______

Signature of Participant (Parent or Guardian if under 18 years of age)

WAIVER/RELEASE AGREEMENT: Event: the JKAAF National Tournament 2014. I understand that there are risks and dangers inherent in martial arts training and in participating in and/or receiving 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 personal injury or death or for property damage suffered by me while participating in and/or receiving instruction at the EVENT. I expressly acknowledge that my participation in the EVENT may subject me to personal injury or bodily harm and I assume any and all risks of that participation. I also understand that in order to be allowed to participate

in and/or receive instruction at the EVENT, I must give up my rights to hold the JKA American Federation and its affiliates, All South Karate Federation , University of New Orleans, and any and all other clubs, schools, instructors, members, judges, officials, representatives and all other participants (collectively the “Releasees”) liable for any injury or damage which I may suffer while participating in and/or receiving instruction at the EVENT.

I also understand and agree that by signing the Waiver/Release, I acknowledge that I am solely responsible for having or obtaining all insurance coverage which may be necessary or desirable in connection with my participation in and/or receipt of instruction at the EVENT and for any travel to and from the EVENT and in all lodging or any other activities which may be related directly, indirectly or incidentally to the foregoing. I further understand and agree that any fees or costs required for necessary or requested medical attention shall be my sole responsibility and that I shall not seek indemnification or contribution from any Releasee in connection therewith. I also understand that the Releasees shall not be responsible for any incidental, consequential or exemplary damages of any kind even if they are notified of the possibility of such in advance. I also understand and agree that any damage to any lodging sites or the tournament site that I cause is my full responsibility. In no case are said damages the responsibility of any of the Releasees. I further understand and agree that as consideration for my participation in the EVENT, the JKA American Federation and /or its designees shall have the right to use my name, image or likeness in the promotion of the EVENT or in any publication relating to the EVENT (or similar Events) and in any broadcast or rebroadcast transmission of the EVENT without any additional consideration to me for the use of my said name, image, audio/sound or likeness.

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 in and/or receipt of instruction at the EVENT. Knowing this, and in consideration of being permitted to participate in and/or receive instruction at the EVENT, I hereby release and agree to indemnify

and hold harmless the above-named Releasees individually and their entities, and their officers, agents, principals, partners, shareholders, directors and employees from any and all liability or costs, including attorney fees, associated with or arising from my participation in and/or receipt of instruction at the EVENT. I further understand and agree that this Waiver/Release will be binding on my spouse, my heirs, my personal representative, my assigns, my children, any guardian ad litem and me for said children.

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.

Print Name______Date______

Sign Name______Witness______

2014 JKA/AF Nationals and Collegiate Goodwill Tournament

Contestants Medical Questionnaire

THIS FORM IS FOR MINOR PARTICIPANTS AND MUST BE FILLED OUT BY PARENT OR LEGAL GUARDIAN. PLEASE PRINT CLEARLY. ALL INFORMATION MUST BE SUPPLIED.

EMERGENCY CONTACT AND MEDICAL INFORMATION:

Name of Parent/Legal Guardian: ______

Address:______City______State______Zip______

Telephone ______(day) ______(night) Child’s Name:______

Any recent or present condition or injury: ______

My child is allergic to the following medications: ______

My child routinely takes the following medication: ______

Her/his last tetanus immunization was: ______

CONSENT FOR EMERGENCY TREATMENT:

Date: _____/_____ /_____

I hereby give permission to the Emergency Department at any hospital chosen or designated by the JKA American Federation to treat my son/daughter (name of minor):

Last Name ______First Name ______

while we are away. I understand this permission covers the average emergency such as strain, sprain, cut, bruise, scrape, bump, skin rash such as impetigo, poison oak or ivy, bites such as bee stings and snake bites, allergic reactions, foreign bodies in the eye or skin, upset stomach, diarrhea, pink eye, minor burns, sunburn, suspected minor fractures, minor concussions, fevers, diagnostic x-rays, suturing, and the like. I give permission for my child to receive a tetanus booster (if needed). This permission is valid for 6 months only. I also understand that in cases of major significance such as a fracture, appendicitis, or any illness or injury requiring admission that additional consents will be necessary for treatment and that the hospital will make every attempt to reach me. I can be reached at the above address.