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Mai 2015
ISKF CANADA
Fédération Internationale de
Karaté Shotokan du Canada
34ee Championnat National ISKF Canada
15tthh to 17tthh May 2015
Information
Laval University, Québec City
Sanctioned by:
International Shotokan Karate Federation
Shihan Teruyuki Okazaki, Chairman and Chief Instructor
Shihan Yutaka Yaguchi, Chairman of Technical Committee
ISKF Canada
President Larry Loreth, 7th Dan
Chairman David Jones, 7th Dan
Organized by:
Denis Houde, Vice-Chairman ISKF Canada, Chief Instructor of Quebec ISKF.
34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015
2
Contents
Schedule of Events and Fees ............................................................. Erreur ! Signet non défini.
Tournament Events .............................................................................. Erreur ! Signet non défini.
Transportation ...................................................................................... Erreur ! Signet non défini.
Hotel ..................................................................................................... Erreur ! Signet non défini.
Réunion du Comité National .............................................................. Erreur ! Signet non défini.
Dan examination ................................................................................. Erreur ! Signet non défini.
Clinics ................................................................................................... Erreur ! Signet non défini.
34th National Championship ISKF Canada – Saturday May 16th .... Erreur ! Signet non défini.
34th National Championship ISKF Canada – Sunday May 17th ....... Erreur ! Signet non défini.
International Goodwill Tournament…………………………………………………………………….8
Individual Registration Form ............................................................... Erreur ! Signet non défini.
Waiver / Release Agreement for contestants ................................... Erreur ! Signet non défini.
Contestants Medical Questionnaire .................................................. Erreur ! Signet non défini.
Application for Juge’s Examination ................................................... Erreur ! Signet non défini.
ISKF Judges Registration ..................................................................... Erreur ! Signet non défini.
Youth Team Kata Registration ............................................................ Erreur ! Signet non défini.
Female Adult Team Registration……………………………………………………………………...15
Male Adult Team Registration ............................................................ Erreur ! Signet non défini.
Program Advertising Form……………………………………………………………………..............17
Registration Deadline: Friday May 1, 2015
Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0.
Email / info@quebeciskf.com / www.quebeciskf.com
34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015
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SCHEDULE OF EVENTS AND FEES
DATE
TIME
EVENTS
FEES
PLACE
10:00-11:30 am
DAN EXAMINATION
ISKF Fees
Abraham
Martin
1:30-4:30 pm
Friday
May15th
4:00-9:30 pm
Abraham
Martin
Hotel lobby
5:30-6:15 pm
SPECIAL OUTSIDE TRAINING
To promote the championship
Free
In Front of
the hotel
6:30-7:30 pm
Judge’s clinic
$30
Abraham
Martin
7:30-9:30 pm
Judge’s examination
Written and practical
$80
Du Manège
Departure by bus to
Laval University
Training seminar
Free
Hotel lobby
YAGUCHI SHIHAN 9Th Dan
Larry Loreth Sensei 7th Dan
Nidan and up
$30
Laval University
$30
Laval University
$45/Pers.
$60/Team
Laval University
$45/Pers.
$60/Team
Laval University
$45/Pers.
$125/Team
Laval University
8:00 am
8:45-9:45 am
Saturday
May16th
ISKF National Board
Of Director’s Meeting
REGISTRATION
Training seminar
8:45-9:45 am
HIROYOSHI OKAZAKI Sensei 8th Dan
David Jones Sensei 7th Dan
Kyu and Shodan
34th ISKF National Championship
10:00-5:00 pm
- Youth 9-17 Individual 8kyu to 4kyu
- Youth 15-17 brown to black belt
- Adult 8kyu to 1stkyu Championship
- Adult Dojo brown/black belt
- Senior Kata & Kumite Championship
34th ISKF National Championship
8:30-12:00 am
Sunday
May17th
1:00 pm
- Adult Kata Elimination
- Adult Kumite Elimination
- Provincial Team Kumite Elimination
OFFICIAL OPENING CEREMONY
Adult Kata Finals
Adult Team Kata Finals
Adult Kumite Finals
Team Kumite Finals
International Goodwill Tournament
CANADA / USA / MEXICO
6:30 pm
ISKF GENERAL ANNUAL MEETING
6:30 - Reception
7h00 – Banquet / Party
$60
Ballroom
Des Plaines
Regular fees are non-refundable. Late fees apply to all registration forms and fees received after the deadline.
Registration Deadline: Friday May 1, 2015
Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0.
Email / info@quebeciskf.com / www.quebeciskf.com
34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015
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TOURNAMENT EVENTS
Categories
Youth
8 Kyu to 4 Kyu
Gender
Girls
Boys
Age
Kata
Kumite
9-11
Mixed
Mixed
12-14
Mixed
Team
Kata
None
One group
15-17
Youth
Brown & Black
Belt
Adult
8Kyu & 7Kyu
Adult
6Kyu to 4Kyu
Adult
Brown Belt
Adult Dojo
Brown & Black
Belt
Adult
Black Belt
Senior
Black Belt
International
Goodwill
CANADA/USA/
MEXICO
Girls
Boys
Team
Kumite
None
None
9-11
Mixed
12-14
Mixed
Mixed
None
None
None
15-17
None
Female
Male
18 +
None
Female
Male
18 +
None
Female
Male
18 +
Female
Male
Female
Male
Female
Male
Female
Male
18 +
None
None
Mixed
Separate divisions Male
& Female
Provincial
Provincial
None
18-44
None
45 +
45-55
None
None
None
None
National
Team
National
Team
Registration Deadline: Friday May 1, 2015
Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0.
Email / info@quebeciskf.com / www.quebeciskf.com
34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015
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TRANSPORTS
Taxi transportation from the airport to the hotel
Château Laurier cost approximately $ 40.
Limousine cost $ 65 for four (4) people.
All major car rental companies have a desk at the airport.
Avis 418-872-2861,
Hertz 418-871-1571,
Enterprise 418-861-8820
National/Alamo 418-877-9822.
HÔTEL CHÂTEAU LAURIER 1-800-463-4453.
Booking code: National Karate Championship #14053.
Château Laurier is the official hotel of the 34th National ISKF Canadian Championship. The hotel is located at 1220 Place Georges-V, Québec. Laval University is hosting the training sessions and the championship. Bus transportation will be organized
to/from the hotel and the university on Saturday and Sunday, May 16 and 17. Bus
transportation will be available in the morning and at end of day. Events will take
place at the PEPS (Pavillon d'éducation physique), which is located at 2300 rue de
la Terrasse, Laval University.
Rooms available
Rates
Standard room
$139 + Tx / 1 to 4 people
Contemporary room
$169 + Tx / 1 to 4 people
Check-in time is 4:00 pm and check-out time is noon.
The hotel will set aside rooms for the event until April 14, 2015.
For booking:
• call the hotel at 1-800-463-4453.
• Email: réservation@vieuxquébec.com
• Please mention the promo code of the National Karate Championship #14053.
• Credit card required.
Registration Deadline: Friday May 1, 2015
Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0.
Email / info@quebeciskf.com / www.quebeciskf.com
34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015
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DETAILED SCHEDULE
National committee meeting
Abraham Martin Room, from 1:30 p.m. to 4:30 p.m.
Dan examination
Abraham Martin Room from 10:00 am to 11:30 am under the supervision of
Yaguchi Shihan, 9th Dan. Please send your Dan Examination Registration by mail at:
QUÉBEC ISKF, 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G3A 3Z0
•
•
•
•
1 Dan registration form
2 passport-sized photos
Examination cost (see iskf.com) payable in USD issued to: QUEBEC ISKF
ISKF certificate registration payable in USD issued to: QUEBEC ISKF
Judges Clinic
The clinic will be held Friday May 15 from 6:30 p.m. to 7:30 p.m. at
Abraham Martin Room. Clinic cost $30 and is for black belts only.
ISKF Judge Examination is in two parts and cost $80.
1. Written examination in French or English
2. Practical exam
Both written and practical exams will be Friday May 15 at
Du Manège Room from 7:30 p.m. to 9:30 p.m.
Only participants who are at least Nidan and 22 years old will be admitted to the
ISKF judge examination and act as such. Registration forms must be received no later than May 1, 2015. Please bring your whistle and wear your gi.
If participant passes the exam, provincial manager must send payment to cover
fees at the ISKF office in the following month.
Registration Deadline: Friday May 1, 2015
Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0.
Email / info@quebeciskf.com / www.quebeciskf.com
34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015
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Training Clinics
A training session is planned Friday from 5:30 pm to 6:15 pm in front of the hotel to
promote the championship to reporters. Free for all rank.
Hiroyoshi Okazaki Sensei 8th Dan will be in charge of this training session.
A general training session for all level is planned Saturday morning at Laval University
from 8:45 a.m. to 9:45 a.m. with Yaguchi Shihan and Hiriyoshi Okazaki Sensei.
Clinic cost $30. Clinic open to all level, from white belt to black belt.
34th National ISKF Canadian Championship
Saturday May 16
Four rings will be set up for the event. Schedule: Youth Eliminations and Finals, Adults
8 to 1 kyu Eliminations and Finals. Dojo Championship – Senior (45 +) brown and
black belt, kata and kumite, at Laval University from 10:00 a.m. to 5:00 p.m. Registration cost for Youth and Adult is $45 per contestant.
Team registration cost $60 per team.
Championship – Mid-level Belts
Youth and Adult
We are proud to include yellow to blue belts in this coming Canadian Championship. We invite all yellow, orange, green and blue belts (8 to 4 kyu) members of ISKF
to participate in this prestigious competition. Categories will include:
Kata / Kumite and Team Kata for Youth and Adult.
8 and 7 kyu will compete together and same goes for 6 to 4 kyu.
•
•
Kata: Eliminations by flag and
in finals Heian katas 1 to 5 plus Tekki Shodan ou Bassai Dai.
Kumite: 8 and 7 kyu Ippon kumite / Jodan-Shudan, both sides
6 to 4 kyu Ippon kumite / Jodan-Shudan-Mae geri, both sides
Registration Deadline: Friday May 1, 2015
Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0.
Email / info@quebeciskf.com / www.quebeciskf.com
34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015
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Dojo Championship
We continue this year the Dojo Championship. This competition is always well appreciated by contestants who compete
in a team. Each dojo is allowed to register two teams of three contestants each.
Brown and/or black belt contestants age 18 to 45.
Black belts who compete in this category cannot be part of the team
that represent their province.
1. Team Kata Mixed 2. Team Kumite male/female
34th National ISKF Canadian Championship
Sunday, May 17
Male/Female Adult black belt eliminations will take place in the morning starting at
8:30 as well as eliminations for Provincial Team Kumite.
The opening ceremony will begin at 1:00 p.m. with national anthems of
Canada and Japan, followed by demonstrations. Then we will proceed, in order:
kata finals, team kata finals, kumite finals and provincial team kumite finals.
International Goodwill Tournament
CANADA – USA - MEXICO
For the first time in Canada as part of the ISKF Canadian Championships, we are
please to welcome teams from USA and Mexico for the International Goodwill
Tournament. Male and female teams from three different countries will compete,
including the Canadian team, which will be selected during individual finals.
Don't miss...
ISKF Canada Banquet – Sunday May 17
The Great 34th ISKF Canada Banquet Event will take place
at the Les Plaines Ballroom. All members and their family and friends are welcome to join us. Banquet cost $60 per person.
Limited number of seats. Book early!
At 9:30 p.m., a cash bar will be available and the excellent band
GILL & GANG will be performing during the evening.
Registration Deadline: Friday May 1, 2015
Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0.
Email / info@quebeciskf.com / www.quebeciskf.com
34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015
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Individual Registration
Name
Dojo
Province
Tel.
Email
Date of Birth (D/M/Y)
Age on May 16, 2015
Sex (M/F):
Grade
KYU
DAN
Cost for individual events – $45 per person. Please select events.
Category
8-7 Kyu
6-4 Kyu
Brn-Blk
Kata
Kumite
9-11
12-14
15-17
Adult 18 to 44
$
Senior (45 +)
Cost of Clinics
Judges clinic………………………......................$30
Judges clinic and examination………….........$80
$
Training clinic………………………………………$30
Banquet
____meal x $60 per person
Date:
$
Total amount: $
Registration Deadline: Friday May 1, 2015
Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0.
Email / info@quebeciskf.com / www.quebeciskf.com
34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015
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Waiver/Release Agreement for Contestants/Participants
All participants must complete.
"Event" means the May 15-17 2015, 34rd ISKF Canada Championship
The undersigned is aware that there are risks and dangers inherent in participating and receiving instruction at the
Event. In consideration of being permitted to participate in the Event, I hereby release and waive any claims against
International Shotokan Karate Federation of Alberta, International Shotokan Karate Federation of Canada, Halifax
International Shotokan Karate Federation and International Shotokan Karate Federation and any and all clubs,
schools, instructors, members, judges, officials, officers, directors and representatives relating thereto (collectively the
"Releases") for any injury or damage which I may suffer as a result of participating and/or receiving instruction at
the Event including travel to and from the Event.
I understand and agree that this Release will have the effect of releasing, discharging, waiving and forever relinquishing any and all actions, those causes of action that I may have or have had, whether past, present or future, whether
now known or unknown and whether anticipated or unanticipated by me, arising out of my participation at the
Event. This Release shall be binding upon me, my heirs, successors, administrators, assigns and legal representatives.
I assume full responsibility for any and all risk of death or personal injury or property damage, which I may suffer
while participating in the Event. I expressly acknowledge and assume any and all risk that my participation in the
Event may subject me to personal injury and bodily harm.
I confirm that I have no past or present medical condition, injury or other physical or mental restriction which may
cause or contribute to personal injury or property damage while participating in the Event and if in case I have such a
condition, I agree to forthwith notify the Releases, as the case may be, and withdraw from the Event.
I further agree by signing this Release, I shall indemnify and hold any of the Releases harmless from any and all liability or costs, including legal fees, associated with or arising from my participation at the Event.
I understand that if I am signing this Release on behalf of a minor child, 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 Release and that I understand the words and language in it. I sign this Release
freely and voluntarily.
DATE
NAME (PRINT)
SIGNATURE
WITNESS
Parent/Guardian Release:
I am the parent or legal guardian of the minor____________________________ and I am signing
this waiver/release on behalf of the said minor.
NAME OF PARENT OR GUARDIAN (PRINT)
DATE
SIGNATURE
Registration Deadline: Friday May 1, 2015
Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0.
Email / info@quebeciskf.com / www.quebeciskf.com
34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015
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Contestant’s / Participant’s Medical Questionnaire
Every contestant must complete and return a medical questionnaire and Waiver & Release Agreement
Name:
_______________
Âge _______Gender
______
Rank_______KYU_________DAN
Address:
Dojo:
_____
Province
Do you have a history of any of the following conditions?
Please check all that apply to you. 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 monyhs
_____
_____
Seizures
_____
_____
Eye injury
_____
_____
Severe bone bruises requiring padding
_____
_____
Kidney injury
_____
_____
Allergy to medication (list all)
_____
_____
Other
________________________________________________________ Date _______________________
Signature of contestant (Parent or Guardian if under 18 years of age)
Bring your provincial medical number or card with you to the tournament
Registration Deadline: Friday May 1, 2015
Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0.
Email / info@quebeciskf.com / www.quebeciskf.com
34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015
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Registration to Judges Examination
•
•
•
Mandatory registration no later than May 1, 2015
Minimum Requirements: Nidan and 22 y.o.
Mandatory whistle and gi for practical exam on Friday, May 15.
Requirements
Level D
Level C
Level B
Minimum Level
Nidan
Sandan
Godan
Name:
Address:
Tel:
Mobile:
Email:
Dojo:
Province:
Date of Birth:
Sex
M
F
Rank
Judge qualifications obtained
Date of Examination
Registration number
D
C
B
If you never passed a judge exam, you must start at level D regardless of your level in karate.
Registration Deadline: Friday May 1, 2015
Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0.
Email / info@quebeciskf.com / www.quebeciskf.com
34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015
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ISKF Judge Registration
To be completed by the Provincial Director
Province: ___________________________ Director: ____________________________
Name
Dan
Grade ISKF Judge
JUDGE SELECTION
•
•
•
•
Judges must meet ISKF standards.
ISKF Canada technical manager will select judges for the 4 rings.
A minimum of two Class C Judges or more are required from
each province.
Official judge uniform required for Saturday and Sunday.
Official judge uniform:
Whistle
Burgundy tie
White long sleeve shirt
Grey trousers
Navy blue vest
Registration Deadline: Friday May 1, 2015
Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0.
Email / info@quebeciskf.com / www.quebeciskf.com
34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015
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Youth Team Kata Registration
To be completed by the Provincial Director
Province: ___________________________
Dojo:
____Instructor: ________________________________
Each team must be registered.
Each province can register an unlimited number of teams.
The age of the oldest member of the team determines in which category the
team competes.
Boy/Girl mixed, age 9-11
Name
Grade
Age
Name
Grade
Age
Name
Grade
Age
Name
Grade
Age
Name
Grade
Age
1.
2.
3.
Girl age 12-14
1.
2.
3.
Boy age 12-14
1.
2.
3.
Girl age 15-17
1.
2.
3.
Boy age 15-17
1.
2.
3.
Rate:
Teams x $60 each
Total:
$
Registration Deadline: Friday May 1, 2015
Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0.
Email / info@quebeciskf.com / www.quebeciskf.com
34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015
15
Female Adult Team Registration
To be completed by the Provincial Director
Province: ____________________________Director: ____________________________
Each team must be registered.
You may register several teams.
Team kata (adult 18 +)
Team KATA/Female - Provincial team
Name
1.
2.
3.
Grade
Alternate
Team KATA/Female – Dojo Team or 8 to 1 kyu
Name
1.
2.
3.
Grade
Alternate
Team KUMITE/Female – Provincial Team
Name
1.
2.
3.
Grade
Alternate
Team KUMITE/Female – Dojo Team
Name
1.
2.
3.
Grade
Alternate
Rate:
Teams x $60 each
Total:
$
Registration Deadline: Friday May 1, 2015
Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0.
Email / info@quebeciskf.com / www.quebeciskf.com
34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015
16
Adult Male Team Registration
To be completed by the Provincial Director
Province: ____________________________Director: ____________________________
Each team must be registered.
You may register several teams.
Team Kata (adult 18 +)
Team KATA/Male - Provincial Team
Name
1.
2.
3.
Grade
Alternate
Team KATA/Male – Dojo Team or 8 to 1 kyu
Name
1.
2.
3.
Grade
Alternate
Team KUMITE/Male – Dojo Team
Name
Grade
1.
2.
3.
Alternate
Team KUMITE/Male – Provincial team
Name
1.
2.
3.
4.
5.
Grade
Alternate
Rate:
Teams x $60 each
Total:
$
Registration Deadline: Friday May 1, 2015
Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0.
Email / info@quebeciskf.com / www.quebeciskf.com
34th Championship National ISKF Canada, Laval University, Québec city, May 15thto17th2015
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Program Advertising Form
Advertising Rates:
Full page
Half page
Quarter page
$ 200.00
$ 100.00
$ 75.00
Artwork should be camera ready. Photographs must be half toned or
be provided on film negative (133-line screen recommended). Any
copy not already typeset must be typed, not hand written. Business
cards may be used for art.
Advertisement size (Please check one)
_______Full page
_______Half page
_______Quarter page
Notes: ________________________________________________________________________
Company Name: ____________________________________________________________
Company Address:____________________________________________________________
Representative: __________________________________Phone:______________________
Signature:
_______________________________________Date:______________________
$
Total amount enclosed:
Deadline for camera-ready art and ad space payment April 10, 2015
For your advertising, we will appreciate to receive a specific cheque about that and
the specific documentation. Please make cheque payable to QUEBEC ISKF.
Registration Deadline: Friday May 1, 2015
Please make cheque to: QUÉBEC ISKF / 178 De la Chalouperie, St-Laurent-Ile-d’Orléans, QC, G0A 3Z0.
Email / info@quebeciskf.com / www.quebeciskf.com