WEKAF Western Regional Tournament Saturday November 7th, 2009 Hilton Los Angeles Airport
When: Saturday November 7th, 2009 Competitor Fees: Weigh-In/ Registration: 7:00am-9:00am Pre-Reg $55 Tournament Start Time: 9:30am Addt’l Event: $10
Early Weigh-in/ Registration At-Door: $75 Friday November 6th, 2009 Addt’l Event: $15 7:00pm-10:00pm **Note: All competitors and their perspective masters/ instructors will have full convention **Note: All payments must be received privileges.** before Saturday October 24th, 2009 to qualify for Pre-reg pricing*** Spectator Fees: Where: Pre-Reg Convention (3 pass max): $15 Hilton Los Angeles Airport (For spectators from participating schools only) At-Door Convention: $25 5711 West Century Boulevard (includes access to tournament Los Angeles, CA 90045 and PMX Convention) Tournament only: $10 Please book your hotel stay at the Los Angeles Airport Hilton Vendors/ Tables: through the Pacific Media Expo Pre-Reg: $75 at www.pacificmediaexpo.com At-Door: $100
Room Rates (Convention Special) All parties interested in having a table at the $99 per night tournament, please contact me via email at: (Must be booked before October 22nd, 2009) [email protected]
**Note: Tournament is open to all current For more info contact: WEKAF USA members. Please refer to website www.wekafusa.org for more info.** Steve del Castillo (626) 318-0712 [email protected]
WEKAF Western Regional Tournament Saturday November 7th, 2009 Hilton Los Angeles Airport 5711 West Century Boulevard Los Angeles, CA 90045
Masters, instructors, competitors, and tournament guests, let me be the first to invite you to the World Eskrima Kali Arnis Federation Western Region Championships to be held on Saturday November 7th, 2009 at the Hilton Hotel located near the Los Angeles International Airport. This tournament is geared to promote and propagate the sport of Eskrima, Kali, and Arnis through the World Eskrima Kali Arnis Federation (WEKAF). It is our hope with this competition to find qualified candidates, who will participate next year in March for the National Tournament (location still being determined) and then late July for the 11th WEKAF World Championships to be held at Puerto Vallarta, Mexico. One thing different about this year’s tournament is that it is not a stand-alone tournament like it has been in the past. Our tournament will be held in conjunction with the Pacific Media Expo (PMX). The convention has been showcasing mainstream pop culture and media out of Asia to the American public. Here you will find many activities such as Japanese Anime, Hong Kong Action, Korean Drama, Asian Fashion Shows, Electronic Gaming, Martial Arts demonstrations, and many more other interesting trends and interests coming out of Asia. This will allow us to introduce the Filipino Martial Arts to a new demographic of people as well as give our competitors a chance to experience other media while waiting to compete. I’m sure you will all be excited to attend this year’s competition because of this. PMX has approved to give pre-registered tournament spectators from participating schools a full day convention access pass for only $15. All heads of schools and competitors who pre-register will be given a free full day convention pass as well. If you’re only interested in watching the tournament, then entry fees are only $10 at the door. The LAX Hilton is also offering rooms for $99 a night if you reserve them before October 22nd, 2009 on the PMX website. For more information regarding the Pacific Media Expo, please feel free to explore their website at www.pacificmediaexpo.com. To help the tournament run more quickly and efficiently, we will be having early weigh-in and registration the night before, Friday November 6th, 2009, from 7:00pm – 10:00pm. That way you can wake up bright and early ready to compete at the 9:30 start time. Just check with the information booth once you arrive at the Hilton for registration location. Make sure you pay your yearly WEKAF dues before the tournament. There will be individuals available before the tournament to handle any payment or issues you may have with this. With that being said, I hope that you are looking forward to this year’s tournament. Thank you very much and I hope to see you and your school at our tournament.
Humbly,
Steve del Castillo Chief Instructor 12Pares Esgrima Self Defense Club WEKAF Western Region Director 2009
WEKAF Western Regional Tournament Saturday November 7th, 2009 Hilton Los Angeles Airport 5711 West Century Boulevard Los Angeles, CA 90045
Application Form PLEASE PRINT CLEARLY
PERSONAL INFORMATION: !!!!!!!!!!! ! !!!!!!!!!!!!!!!! FULL NAME MI LAST NAME !!!!!!!!!!!!!!!!!!!!!!!!!!!!!! HOME STREET ADDRESS !!!!!!!!!!!!!!!!!!!!! !! !!!!! CITY STATE ZIP CODE
(!!!) - !!!!!!! !!/!!/!!!! HOME NUMBER DATE OF BIRTH (MM/ DD/ YYYY) !!!!!!!!!!!!!!!!!!!! E-MAIL ADDRESS
EMERGENCY CONTACT: !!!!!!!!!!! ! !!!!!!!!!!!!!!!! FULL NAME MI LAST NAME !!!!!!!!!!!!!!!! RELATION
(!!!) - !!!!!!! (!!!) - !!!!!!! CONTACT NUMBER #1 CONTACT NUMBER #2
SCHOOL INFORMATION: !!!!!!!!!!!!!!!!!!!!!!!!!!! NAME !!!!!!!!!!! ! !!!!!!!!!!!!!!!! INSTRUCTOR FULL NAME MI LAST NAME
RELEASE FROM LIABILITY WAIVER FORM
READ IT CAREFULLY AND OBTAIN LEGAL ASSISTANCE IF YOU DO NOT UNDERSTAND IT. INITIAL NEXT TO EACH NUMBER
1. ______- Voluntary Application. I, the undersigned, acknowledge and state that I have ACCEPTED to participate in the World Eskrima Kali Arnis Federation (WEKAF) Western Region Championships to be held on Saturday November 7th, 2009 in conjunction with the Pacific Media Expo (PMX). 2. ______- Assumption of risk. I am aware and understand that in general, eskrima is a dangerous and hazardous activity, and in particular, the techniques and methods of this event, all in which as a practitioner in this art, I shall be participating, is an extremely dangerous and hazardous event. I am voluntarily and of my own free will assuming all risks associated with this event with full knowledge and understanding of the hazards involved. 3. ______- Health Advisory and Condition. I hereby acknowledge and understand that participating in this event involves extremely strenuous physical activity and heavy physical contact, and that I have been advised to consult a physician before commencing and undertaking such activity. I hereby represent that, to the best of my knowledge, I am in good physical health and condition, sufficient to undertake this dangerous and hazardous competition. 4. ______- Knowing and Voluntary Execution. I hereby declare that I have read this Release from Liability, and that I fully understand the meaning and importance of its contents. I acknowledge that this Release is a binding contract among WEKAF/ PMX, named above and any and all of these companies, federations or organizations associates, officials, employees and staff and myself, and that under this contract I am releasing WEKAF/ PMX named above and any and all of these companies, federations or organizations associates, officials, employees and staff from all liability for claims I may have against them. I further declare and represent that I am at least 18 years of age, that I have full legal capacity to be bound by this contract, and that I am signing this contract of my own free will and accord.
Competitor Signature: ______Date: ______
Parent/ Legal Guardian (for competitors 18 years of age and younger)______Date: ______
WEKAF Tournament Division Form (Please check all that apply) NAME: On-Site Weight: Forms/ Sayaws Junior Girls Forms/ Sayaws Junior Boys Forms/ Sayaws Womens Forms/ Sayaws ! JGF 01 - Traditional Single (under 10yrs) ! JBF 01 - Traditional Single (under 10yrs) ! WF 01 - Traditional Single (18-49yrs) ! JGF 02 - Traditional Double (under 10yrs) ! JBF 02 - Traditional Double (under 10yrs) ! WF 02 - Traditional Double (18-49yrs) ! JGF 03 - Open Single (under 10yrs) ! JBF 03 - Open Single (under 10yrs) ! WF 03 - Open Single (18-49yrs) ! JGF 04 - Open Double (under 10yrs) ! JBF 04 - Open Double (under 10yrs) ! WF 04 - Open Double (18-49yrs) ! JGF 05 - Traditional Single (10-11yrs) ! JBF 05 - Traditional Single (10-11yrs) Senior Womens Forms/ Sayaws ! JGF 06 - Traditional Double (10-11yrs) ! JBF 06 - Traditional Double (10-11yrs) ! SWF 01 - Traditional Single (40 and over) ! JGF 07 - Open Single (10-11yrs) ! JBF 07 - Open Single (10-11yrs) ! SWF 02 - Traditional Double (40 and over) ! JGF 08 - Open Double (10-11yrs) ! JBF 08 - Open Double (10-11yrs) ! SWF 03 - Open Single (40 and over) ! JGF 09 - Traditional Single (12-13yrs) ! JBF 09 - Traditional Single (12-13yrs) ! SWF 04 - Open Double (40 and over) ! JGF 10 - Traditional Double (12-13yrs) ! JBF 10 - Traditional Double (12-13yrs) Mens Forms/ Sayaws ! JGF 11 - Open Single (12-13yrs) ! JBF 11 - Open Single (12-13yrs) ! MF 01 - Traditional Single (18-49yrs) ! JGF 12 - Open Double (12-13yrs) ! JBF 12 - Open Double (12-13yrs) ! MF 02 - Traditional Double (18-49yrs) ! JGF 13 - Traditional Single (14-15yrs) ! JBF 13 - Traditional Single (14-15yrs) ! MF 03 - Open Single (18-49yrs) ! JGF 14 - Traditional Double (14-15yrs) ! JBF 14 - Traditional Double (14-15yrs) ! MF 04 - Open Double (18-49yrs) ! JGF 15 - Open Single (14-15yrs) ! JBF 15 - Open Single (14-15yrs) Senior Mens Forms/ Sayaws ! JGF 16 - Open Double (14-15yrs) ! JBF 16 - Open Double (14-15yrs) ! SMF 01 - Traditional Single (40-49yrs) ! JGF 17 - Traditional Single (16-17yrs) ! JBF 17 - Traditional Single (16-17yrs) ! SMF 02 - Traditional Double (40-49yrs) ! JGF 18 - Traditional Double (16-17yrs) ! JBF 18 - Traditional Double (16-17yrs) ! SMF 03 - Open Single (40-49yrs) ! JGF 19 - Open Single (16-17yrs) ! JBF 19 - Open Single (16-17yrs) ! SMF 04 - Open Double (40-49yrs) ! JGF 20 - Open Double (16-17yrs) ! JBF 20 - Open Double (16-17yrs) ! SMF 05 - Traditional Single (50 and over) ! SMF 06 - Traditional Double (50 and over) Synchronized Team Forms/ Sayaws ! SMF 07 - Open Single (50 and over) ! TSF 01 - Synchronized Team Forms (3 persons +) ! SMF 08 - Open Double (50 and over) Single Stick Sparring Divisions Junior Girls Single Stick Sparring Womens Single Stick Sparring Mens Single Stick Sparring ! JGSS 01 -* 6-7yrs ! WSS 01 - Flyweight 100lbs & under ! MSS 01 - Flyweight 112lbs & under ! JGSS 02 - *8-9yrs ! WSS 02 - Bantamweight 101-110lbs ! MSS 02 - Bantamweight 113-117lbs ! JGSS 03 - 10-11yrs Lightweight ! WSS 03 -Featherweight 111-120lbs ! MSS 03 - Light Featherweight 118-122lbs ! JGSS 04 - 10-11yrs Heavyweight ! WSS 04 - Lightweight 121-131lbs ! MSS 04 - Featherweight 123-127lbs ! JGSS 05 - 12-13yrs Lightweight ! WSS 05 - Welterweight 132-145lbs ! MSS 05 - Super Featherweight 128-132lbs ! JGSS 06 - 12-13yrs Heavyweight ! WSS 06 - Middleweight 146-161lbs ! MSS 06 - Lightweight 133-137lbs ! JGSS 07 - 14-15yrs Lightweight ! WSS 07 - Heavyweight 162 & over ! MSS 07 - Welterweight 138-143lbs ! JGSS 08 - 14-15yrs Heavyweight Senior Womens Single Stick Sparring ! MSS 08 - Light Middleweight 143-148lbs ! JGSS 09 - 16-17yrs Lightweight ! SWSS 01 - Bantamweight 125lbs & under ! MSS 09 - Middleweight 149-154lbs ! JGSS 10 - 16-17yrs Heavyweight ! SWSS 02 - Lightweight 126-140lbs ! MSS 10 - Super Middleweight 155-161lbs Junior Boys Single Stick Sparring ! SWSS 03 - Middleweight 141-160lbs ! MSS 11 - Light Cruiserweight 162-168lbs ! JBSS 01 - *6-7yrs ! SWSS 04 - Heavyweight 161 & over ! MSS 12 - Cruiserweight 169-176lbs ! JBSS 02 - *8-9yrs Senior Mens Single Stick Sparring ! MSS 13 - Super Cruiserweight 177-184lbs ! JBSS 03 - 10-11yrs Lightweight ! SMSS 01 - Lightweight 132lbs & under (40-49yrs) ! MSS 14 - Light Heavyweight 185-194lbs ! JBSS 04 - 10-11yrs Heavyweight ! SMSS 02 - Middleweight 133-162lbs (40-49yrs) ! MSS 15 - Junior Heavyweight 195-205lbs ! JBSS 05 - 12-13yrs Lightweight ! SMSS 03 - Light Heavyweight 163-186lbs (40-49yrs) ! MSS 16 - Heavyweight 206-220lbs ! JBSS 06 - 12-13yrs Heavyweight ! SMSS 04 - Heavyweight 187-220lbs (40-49yrs) ! MSS 17 - Super Heavyweight 221lbs and over ! JBSS 07 - 14-15yrs Lightweight ! SMSS 05 - Super Heavyweight 221lbs & over (40-49yrs) ! JBSS 08 - 14-15yrs Heavyweight ! SMSS 06 - Lightweight 149lbs & under (50yrs & over) ! JBSS 09 - 16-17yrs Lightweight ! SMSS 07 - Middleweight 150-180lbs (50yrs & over) ! JBSS 10 - 16-17yrs Heavyweight ! SMSS 08 - Cruiserweight 181-210lbs (50yrs & over) * Maybe divided into two weight classes ! SMSS 09 - Heavyweight 211lbs & over (50yrs & over) Double Stick Sparring and Team Sparring Divisions Junior Girls Double Stick Sparring Mens Double Stick Sparring Senior Mens Double Stick Sparring ! JGDS 01 - Lightweight 12-17yrs ! MDS 01 - Bantamweight 120lbs & under ! SMDS 01 - Lightweight 132lbs & under (40yrs & over) ! JGDS 02 - Middleweight 12-17yrs ! MDS 02 - Featherweight 121-128lbs ! SMDS 02 - Middleweight 133lbs & under (40yrs & over) ! JGDS 03 - Heavyweight 12-17yrs ! MDS 03 - Lightweight 129-136lbs ! SMDS 03 - Light Heavyweight 163-186lbs (40yrs & over) Junior Boys Double Stick Sparring ! MDS 04 - Welterweight 137-147lbs ! SMDS 04 - Heavyweight 187lbs-220lbs (40yrs & over) ! JBDS 01 - Lightweight 12-17yrs ! MDS 05 - Middleweight 148-158lbs ! SMDS 05 - Super Heavyweight 221lbs & over (40yrs & over) ! JBDS 02 - Middleweight 12-17yrs ! MDS 06 - Super Middleweight 159-170lbs Team Sparring (3 persons) ! JGBS 03 - Heavyweight 12-17yrs ! MDS 07 - Cruiserweight 171-181lbs ! TF 01 - Men's Open Weight Womens Double Stick Sparring ! MDS 08 - Super Cruiserweight 182-194lbs Team Name: ______! WDS 01 - Bantamweight 125lbs & under ! MDS 09 - Light Heavyweight 195-205lbs ! TF 02 - Women's Open Weight ! WDS 02 - Lightweight 126-140lbs ! MDS 10 - Heavyweight 206-220lbs Team Name: ______! WDS 03 - Middleweight 141-160lbs ! MDS 11 - Super Heavyweight 221lbs & over ! WDS 04 - Heavyweight 161lbs & over *Make sure team name matches other members team name*
Pre-registration before Saturday October 24th, 2009 Please circle T-Shirt Size (For Pre-Reg Only) Registration $_____.00 $55 Pre-reg (includes one event) Youth: S M L $10 Additional Events Adt'l Events _____ x _____ = $_____.00 $15 Full Day Convention Pass (3 pass max) Adult: S M L XL XXL 3X Registration after Saturday October 24th, 2009 and At-Door Full Day PMX Pass _____ x $15.00 = $_____.00 $75 Registration (includes one event) (You will be notified by email regarding who's name you want on the passes) **Note: Due to problems WEKAF has had in $15 Additional Events the past regarding bounced checks, checks $25 Full Day Convention Pass Total: $______.00 will NOT be accepted during the tournament** $10 Tournament Only Pass Spectators 5 and under free Please make check out to: Steve del Castillo Send payment to: Steve del Castillo **Note: Competitors must be current members of WEKAF USA. For more info contact: [email protected] or WEKAF Western Regionals Booth will be onsite to take membership payment. Please refer to (626) 318-0712 1100 North Grand Avenue www.wekafusa.org for more info.** Walnut, CA 91789
W.E.K.A.F. USA 2009-2010 Individual Membership Application Form
Name:______
Address:______
City:______State:______Zip:______
Telephone: (____)______Email:______
Date of Birth:______Age:______Weight:______
Style:______Instructor:______
School:______
Address:______
City:______State:______Zip:______
Telephone: (____)______, Email:______
Membership fee is due on January 1st of each calendar year. Your dues must be received no later than July 31st. If your dues are paid after that date, a penalty will apply. Payment should be made by check or money order payable to “WEKAF USA”. See fee schedule below.
1 Year Membership Jan-Dec 2009: • Received from Jan – Jul: Amount due: $25.00 • Received from Aug– Dec: Amount due: $30.00
2 Year Membership Jan 2009 –Dec 2010: Payment must be received by July 31, 2009 • Received from Jan. – Jul: Amount due: $40.00 •
Send To: WEKAF USA For Information: P.O. BOX 581183 Call Cecille Denney @ (916)804-7499 Elk Grove CA 95758 email: [email protected]
Office use only Method Of Payment: ______Amount: ______Date Rec’d: ______WEKAF #: ______