Participant President or General Secretary
Date:________________________________________
The National Federation may make extra copies of this form if necessary.
Registration Form for Athlete
INDIVIDUAL KUMITE MALE/ FEMALE
Entry Form B (by 5th June, 2016)
Country :________________________________________
Name :__________________________________________
Sex : Male Female
Date of Birth: ________________________ age: ___________ weight: ________kg
Passport number:_________________________________________
Please TICK on the following event
Under 13yrs
|
Cadet
(14- 15yrs)
|
Junior
(16-17yrs)
|
Senior
(Above 18yrs)
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Under 13yrs
|
Cadet
(14- 15yrs)
|
Junior
(16-17yrs)
|
Senior
(Above 18yrs)
|
6-7 yrs ( )
8-9 yrs ( )
10-11 yrs ( )
12 -13yrs ( )
|
-52kg ( )
-57kg ( )
-63kg ( )
-70kg ( )
+70kg ( )
|
-55kg ( )
-61kg ( )
-68kg ( )
-76kg ( )
+76kg ( )
|
-60kg ( )
-67kg ( )
-75kg ( )
-84kg ( )
+84kg ( )
Open ( )
|
|
6-7 yrs ( )
8-9 yrs ( )
10-11 yrs ( )
12 -13yrs ( )
|
-47kg ( )
-54kg ( )
+54kg ( )
|
-48kg ( )
-53kg ( )
-59kg ( )
+59kg ( )
|
-50kg ( )
-55kg ( )
-61kg ( )
-68kg ( )
+68kg ( )
Open ( )
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Competitor’s Declaration : I, the undersigned submit my application to participate in the above mentioned championship and assume full responsibility for any or all damages ,injuries or losses that I or my child may sustain during competition.
Signature : _________________ _________________________
Participant President or General Secretary
Date:________________________________________
The National Federation may make extra copies of this form if necessary.
Registration Form for Athlete
INDIVIDUAL KATA MALE/ FEMALE
Entry Form B (by 5th June, 2016)
Country :________________________________________
Name :__________________________________________
Sex : Male Female
Date of Birth: ________________________ age: ___________ weight: ________kgs
Passport number:_________________________________________
Please TICK on the following event
|
|
category
|
tick
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category
|
tick
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6 -7 yrs
|
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6 - 7 yrs
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8 - 9 yrs
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8 - 9 yrs
|
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10 - 11 yrs
|
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10 - 11 yrs
|
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12 - 13 yrs
|
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12 - 13 yrs
|
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Cadet(14-15yrs)
|
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Cadet(14-15yrs)
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Junior(16-17yrs)
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Junior(16-17yrs)
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Senior(+18yrs)
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Senior(+18yrs)
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Competitor’s Declaration : I, the undersigned submit my application to participate in the above mentioned championship and assume full responsibility for any or all damages ,injuries or losses that I or my child may sustain during competition.
Signature : _________________ _________________________
Participant President or General Secretary
Date:________________________________________
The National Federation may make extra copies of this form if necessary.
Registration Form for Athlete
TEAM KUMITE MALE/ FEMALE
Entry Form B (by 5th June, 2016)
Country :______________________________________
Club : ________________________________________
MEMBERS NAME’S DATE OF BIRTH
-
______________________________________________ ____________
-
______________________________________________ ____________
-
______________________________________________ ____________
-
______________________________________________ ____________
-
______________________________________________ ____________
-
(Sub)__________________________________________ ____________
-
(Sub)__________________________________________ ____________
Please TICK on the following event
|
|
category
|
tick
|
category
|
tick
|
6 -7 yrs
|
|
6 - 7 yrs
|
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8 - 9 yrs
|
|
8 - 9 yrs
|
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10 - 11 yrs
|
|
10 - 11 yrs
|
|
12 - 13 yrs
|
|
12 - 13 yrs
|
|
Senior(combine Junior)
|
|
Senior(combine Junior )
|
|
The National Federation may make extra copies of this form if necessary.
Registration Form for Athlete
TEAM KATA MALE/ FEMALE
\Entry Form B (by 5th June, 2016)
Country :______________________________________
Club : ________________________________________
MEMBERS NAME’S DATE OF BIRTH PASSPORTS NUMBER
-
________________________________ _______________ ______________
-
________________________________ _______________ ______________
-
________________________________ _______________ ______________
Please TICK on the following event
-
Male
|
Female
|
Combined team(-13yrs only)
|
category
|
Tick
|
category
|
Tick
|
category
|
boy
|
girl
|
6 -7 yrs
|
|
6 - 7 yrs
|
|
6 - 7 yrs
|
|
|
8 - 9 yrs
|
|
8 - 9 yrs
|
|
8 - 9 yrs
|
|
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10 - 11 yrs
|
|
10 - 11 yrs
|
|
10 - 11 yrs
|
|
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12 - 13 yrs
|
|
12 - 13 yrs
|
|
12 - 13 yrs
|
|
|
Cadet
|
|
Cadet
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|
|
|
|
Senior(combine Junior )
|
|
Senior(combine Junior)
|
|
|
|
|
The National Federation may make extra copies of this form if necessary.
TERMS OF RESPONSIBILITY
(by 5th May, 2016)
Please fill out this form and send it back to the Korea Karatedo Federation on or before May 5th , 2016
I, _____________________________ the undersigned, as the Chief of Delegation of my country/team, duly enrolled to participate in the 10th Korea Open International Championships, which will be held in Busan, Korea from 8th to 10th July 2016, with full knowledge of the Statutes, the Rules and the Norms of the Korea Karatedo Federation, pledge myself to faithfully accomplish the regulations of this before mentioned entity, and I take any and all administrative, civil and criminal responsibilities of whatever happens to our athletes, coaches and other members of our delegation participating in this championships, before, during and after the competition, such as physical injuries, personal expenses, or monetary debts and casual material damages to the hotels, the venue, means of transportation, departure on time, etc.
Furthermore, I exempt from any legal, civil or criminal responsibilities the organizers of the Championships, the Korea Karatedo Federation, its directors, as well as any person, company, or entity related to the event (sponsors, public and private entities).
I authorize the organizers of the event to use images, photos and the names of our competitors and other members of our delegation (as considered necessary) for the sport activities and publications of karate, related to the event, without any monetary compensation.
Dated: _______________ Signature: ___________________________
Country/Nation
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Surname, First Name
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Passport No. & Expiry Date
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Credit Card Details & Expiry Date
|
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Position in the Federation
|
|
Address
|
|
Tel
|
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Fax
|
|
E-mail
|
|
Accommodations & Transfer Application Form
(by 5th June, 2016)
NATIONAL FEDERATION INFORMATION
Name of Federation
|
:
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Country
|
:
|
Address
|
:
|
Phone
|
:
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E-mail 1
|
:
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Fax.
|
:
|
E-mail 2
|
:
|
Name / Surname of Contact person
|
:
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Position in National Federation Delegation
|
:
|
INVOICE DETAILS
Name
|
:
|
Country
|
:
|
Address
|
:
|
Phone
|
:
|
E-mail 1
|
:
|
Fax.
|
:
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E-mail 2
|
:
|
TRAVEL DETAILS
(by 5th June, 2016)
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Arrival
|
Departure
|
Group 1
|
Arrival Venue
|
|
Departure Venue
|
:
|
Arrival Date
|
:
|
Departure Date
|
|
Arrival Time
|
:
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Departure Time
|
:
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Flight No.
|
:
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Flight No.
|
:
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Number of Persons
|
:
|
Number of Persons
|
:
|
Group 2
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Arrival Venue
|
|
Departure Venue
|
:
|
Arrival Date
|
:
|
Departure Date
|
|
Arrival Time
|
:
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Departure Time
|
:
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Flight No.
|
:
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Flight No.
|
:
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Number of Persons
|
:
|
Number of Persons
|
:
|
* If the space is not enough, please make an additional sheet*
Hotel Reservations
(by 5th June, 2016)
Country/Region: ________________________ Federation: _________________________
Person in charge: ________________ _ Mobile: ____________________________
Tel: ___________ __Fax: _________ ___ E-mail: ___________________________
No
|
First Name/ Last Name
|
Gender (M/F)
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Position
|
Room Type**
S/T
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Check in Date
|
Check out Date
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Number of Nights
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* Positions: A=Athlete, CO=Coach, VIP= President & Delegation Head, NF=Leaders of National Federation, R=Referees/Judges, M/P=Media/Press, O=Others
** Room type: S = Single bed room, T= Twin bed room
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