2023 Online Registration Form Online Registration Opens: February 2, 2023 & Closes April 30, 2023 Register on line below until Aril 30, 2023. SORRY, NO REFUNDS !!! KARATE MAYNIA FLIER 2023 KARATE MAYNIA REGISTRATION DOWNLOAD KARATE MAYNIA ONLINE PRE-REGISTRATION FORM Online Registration Fee: $5 Competitor Information Name Name Date of Birth (MM/DD/YYYY) Date of Birth (MM/DD/YYYY) Age as of Jan 1st (computed automatically) Gender Gender Select Gender… Male Female Para Sport Competitor Nature of Disability Physical Intellectual Address Information Address Address City/Province City/Province Postal Code Postal Code Telephone Telephone Email Email Club Contact Club/Dojo Club/Dojo Club Telephone Club Telephone Club Email Club Email Club Location Club Address Club Address Club City/Prov Club City/Prov Club Postal Code Club Postal Code Spectators $10.00 Spectator – 13 Yrs & Older Number of Adults 13yrs+ $ 5.00 Spectator – 6Yrs – 12 Yrs Number of Children 6-12yrs $ FREE Spectator – 5 Yrs and Under Select The Divisions You Are Competing In $30.00 For Para Sport Only $70.00 For One to Three Divisions $10.00 Each Additional Division NOTE: As a para sport competitor also participating in non-para sport divisions, you will incur a $70.00 registration fee. NOTE: As a para sport competitor, you may also opt to participate in divisions for your belt color by selecting it below. Belt Color Select Belt Color… White Yellow Orange Green Purple Blue Brown Red/Other Black Skill Level* Skill level has been automatically matched to your belt colour* Please verify your skill level with this belt colour Novice Intermediate Advanced Black Please provide your date of birth in order to select from divisions for which you are eligible to participate. Select Para Divisions Forms Weapons Select Kyu Belt Divisions Forms Sparring Weapons Musical Select Black Belt Divisions Weapons Traditional Weapons Creative Weapons Traditional Forms Creative Forms Open Forms Sparring For a full listing of divisions, see the flyer here. Musical Competitors must bring their own sound box or share with someone in the same division. All adult black belts (18+), will compete in the same musical/creative division ALL Divisions will be split Male / Female Divisions with 20 or more competitors will be split at the discretion of the Promoters / Arbitrator Divisions with 2 or fewer competitors may be combined with other Divisions at the discretion of the Promoters / Arbitrator Approved Safety Equipment is MANDATORY in ALL Sparring Divisions. This includes: Head Feet, Hands Shin Guards Mouth Guard Groin (Male) Competitors must compete at the highest ranked belt they have achieved. Competitors may only compete in the age category for which they qualify To win a Grand Champions Belt, Competitor MUST place 1st in each of “Weapons”, “Forms” and “Sparring” divisions for their age & belt group (”Creative/Musical” NOT included), AND every divisions MUST have at least 5 competitors registered. Black Belts included. I acknowledge that I am over 18 By submitting this form I agree to assume full responsibility for any and all damages, injuries, or losses that I may sustain or incur, if any, while participating in the Karate Maynia tournament, May 07, 2022. I hereby wave all claims against the directors, sponsors, and volunteers of this event for any claim for injuries that I may sustain. Any picture taken of me at this event may be used for promotional purposes without financial compensation payable to myself. Total Payable: $0 (CAD) + $5 (CAD) Registration Fee Volunteer/Official Pre-Registration Black Belts/Officials/Scorekeepers meetings start at 9:00am SHARP ! Please be on time. Thank you for your support.
