2005 Taiji Legacy

2005 TAIJI LEGACY International Martial Arts Championships Plano Convention Centre, Dallas, Texas / July 22 - 24 Competitor Registration Form 1 Please Print! ** Deadline postmarked by July 12 (late fee: $15) ** NAME: SCHOOL: ADDRESS: ADDRESS: city state zip city state zip PHONE: ( ) FAX:( ) SIFU / MASTER: AGE:_______ GENDER:_____ YRS EXP: _____ yrs. _____ mths PHONE: ( ) FAX: ( ) E-MAIL: E-MAIL: 2 Divisions (*please mark one!*) 3 Levels (*please mark one!*) KIDS ages 8 & under ADULT MEN The Taiji Legacy reserves the right to combine divisions that do not (boys & girls together) ADULT WOMEN meet a minimum of 6 participants for each event in all levels. JUNIORS ages 9 to 12 EXECUTIVE MEN ages 36+ YOUTH (kids & juniors) TEENS & ADULTS (boys & girls together) EXECUTIVE WOMEN ages 36+ LESS THAN 2 YEARS BEGINNER less than 2 yrs TEENS ages 13 to 16 SR. TAIJI EXECUTIVE ages 60+ 2 YEARS OR MORE INTERMEDIATE 2 to 4 yrs (boys & girls together) (no levels; men & women together) ADVANCED more than 4 yrs 4 Internal Events External Events Open Events TRADITIONAL KUNGFU MODERN WUSHU FORM CHEN TAIJI TAIJI STRAIGHTSWORD NORTHERN CHANGQUAN LONG WEAPON YANG TAIJI TAIJI SABRE SOUTHERN LONG NANQUAN SHORT WEAPON WU (HAO) TAIJI TAIJI LONG WEAPON SOUTHERN SHORT STRAIGHT SWORD FLEXIBLE WEAPON WU TAIJI OTHER TAIJI WING CHUN FORM SABRE 2-3 MAN FIST SET SUN TAIJI XINGYIQUAN SABRE STRAIGHTSWORD STAFF 2-3 MAN WEAPON SET 24 STEP TAIJI BAGUAZHANG STAFF SPEAR SPEAR SELF DEFENSE 48 STEP TAIJI LIU HE BA FA PA CHI NANDAO APPLICATION LU TAIJI OTHER WEAPON EAGLE CLAW NANGUN WING CHUN WOODEN CHENG MAN CHING OTHER INTERNAL FORM NORTHERN PRAYING MANTIS OTHER FORM DUMMY FORM GUANG PING 42 STEP TAIJI CHOY LAY FUT OTHER WEAPON 42 STEP TAIJI SWORD OTHER FORM OTHER WEAPON Reaction Skills (Refer to General Outline of Competition Rules) 5 RESTRICTED-STEP PUSH HANDS SHUAI CHIAO AGE: GENDER: WEIGHT: MOVING PUSH HANDS CHI SAU 7 & UNDER 15-17 Male POINT SPARRING (17 & UNDER) WEAPONS SPARRING 8-11 ADULT Female ________lbs CONTINUOUS SPARRING (ADULT) SAN SHOU FIGHTING 12-14 (Advanced Adult Only!) * Please be sure to mark your level in SECTION 3! 6 Musical Group Events 7 Novice Events 1 person registers - 4-6 people, 1.5 to 5 min time range. (This event is for 1st time competitors or exhibition only. OTHER FORM and OTHER WEAPON includes other internal, external, & wushu You will be scored but NOT ranked) TAIJI FORM # PEOPLE: _____ GROUP NAME: ____________________________________ INTERNAL FORM STYLE: ______________________________ TAIJI WEAPON # PEOPLE: _____ GROUP NAME: ____________________________________ EXTERNAL FORM STYLE: ______________________________ OTHER FORM # PEOPLE: _____ GROUP NAME: _____________________________________ SELF DEFENSE APPLICATION OTHER WEAPON # PEOPLE: _____ GROUP NAME: _____________________________________ STYLE: ______________________________ Chin Woo Compulsory Events (No levels; men & women together) 8 GONG LI QUAN (Strength Boxing) QUN YANG GUN (Sheep Flocking Pole) DIVISIONS JIE QUAN (Connecting Fist) WU HU QIANG (5 Tiger Spear) 15 yrs old & under BA GUA DAO (Baqua Sabre) 16 yrs old & up D:chinwoo/2004tcl/forms & documents/reg04.p65 9 I wish to compete for the following Grand Champion titles INTERNAL FORMS GRAND CHAMPION - Advanced Levels (must rank 1st in ALL required events) JUNIOR FORMS GRAND CHAMPION - Advanced Kids, Juniors & Teen Levels WING CHUN GRAND CHAMPION - Advanced Levels MODERN WUSHU GRAND CHAMPION - Advanced Levels (must rank 1st in ALL required events) TRADITIONAL EXTERNAL FORMS GRAND CHAMPION - Advanced Levels (must rank 1st in ALL required events) CHIN WOO FORMS GRAND CHAMPION (Must compete in all 5 Chin Woo Compulsory events and be 16 yrs old & up) 10 WAIVER I, ________________________________________, the undersigned, knowingly and without duress, do voluntarily submit my entry to the 2005 Taiji Legacy International Martial Arts Championships [hereinafter referred to as “Competition”], organized by Chin Woo Tournament, Inc. [hereinafter referred to as “Chin Woo”]. I hereby assume all risk of physical and mental injuries, disabilities, and losses which may result from or in connection with my participation in the Competition. Acting for myself, heirs, personal representatives, and assignees, I do hereby release Chin Woo, its officers, agents, representatives, servants, employees, volunteers, and all other related members from all claims, actions, suits, and controversies at law or in equity by reason of any matter, cause, or thing whatsoever that I may sustain as a result of or in connection with my participation in the Competition. I also understand that participation in this Competition, especially but not limited to fighting point or full contact sparring matches, entails a great risk of injury, and I assume full responsibility for all my actions, intentional or otherwise, during and in connection with my participation in the Competition. I fully understand that any medical attention or treatment afforded to me by Chin Woo, its officers, agents, representatives, servants, employees, volunteers, and all other related members will be of first aid type only, and I hereby release Chin Woo, its officers, agents, representatives, servants, employees, volunteers, and all other related members from any liability for such aid. I agree that my performance, attendance, and participation at the Competition may be filmed or otherwise recorded or telecast live. I consent to the use by Chin Woo of my name, likeness, voice, poses, pictures, and biographical data concerning fully or in parts, in any form or language, with or without other material, throughout the world, without limitation, for television, radio, video, theatrical motion pictures, or any other medium by devices now known or hereafter devised, and I do hereby waive any compensation in regard thereof as well as any future rights to the aforementioned. I have read and fully understand the waiver listed above. I also understand that all fees paid are nonrefundable. Parent or legal guardian signature is required if competitor is under eighteen (18) years of age. COMPETITOR SIGNATURE PARENT OR GUARDIAN DATE (If competitor is under 18 years of age) 11 Spectator Fees 12 Banner Fees ONE DAY PASS (competition only) $10 x ___: ______ Promote your school or business by hanging banners! TWO DAY PASS (competition only) $20 x ___: ______ You must provide your own banner. Banner specifica- MASTERS DEMO (separate from 1 & 2 day pass) $10 x ___: ______ tions are as follows: VIP SEAT AT THE MASTERS’ DEMO $25 x ___: ______ Less than 5’ long....$75 x ___: ______ Sanshou Fight (separate from 1 & 2 day pass) $10 x ___: ______ Between 5’ to 10’ long....$100 x___: ______ VIP SEAT AT THE SANSHOU FIGHT $25 x ___: ______ VIDEO PASS (good for competition only) $35 x ___: ______ Larger than 10’ long....$125 x ___: ______ Total Spectator fees: ______ 140 x 50 pixel Web Banner....$100 x ___: ______ 13 Payment CASH REGISTRATION ONLY ON JULY 22 - 24 REGISTRATION FEE: _______$55 PLEASE MAIL FORM WITH CHECK OR MONEY ORDER (includes 1st INDIVIDUAL event) MADE PAYABLE TO: # of additional events ____ x $10: _______ CHIN WOO TOURNAMENT, INC. # of team events ____ x $70: _______ 1350 E. ARAPAHO RD. #110 Late Fee ($15 after July 12): _______ RICHARDSON, TX 75081 USA Total Spectator Fees (section 11): _______ Payment method: VISA MasterCard Checks Money Order Banner Fees (section 12): _______ Card Owner Name: _________________________________________ CASH ONLY ON JULY 22 - 24 ! TOTAL: _______ Credit Card #: _____________________________________________ Sanshou Event : _______$70 *** All fees paid are nonrefundable *** Exp. Date: ________________________________________________ Any questions? Just call: Signature: ________________________________________________ Phone: (972) 680-7888 Fax: (972) 680-7889 E-mail: [email protected] FOR OFFICE USE ONLY DATE POSTMARKED _________________ AMOUNT __________ CASH CHECK # __________ RECEIVED BY: __________.

Load more