Registration Form 2019 U.S
Registration Form 2019 U.S. Kungfu Team Trials Sunday March 10, 2019 U.S. citizens or permanent residents only – must be current member of USAWKF
Important Registration Policies – Please read carefully! 1. Please read “ 2019 US Kung Fu Team Trials” and understand all terms and conditions. 2. All registration forms must be filled out completely and accurately. Both email address and phone number are required 3. Please note that all registration and event fees are non – refundable 4. Any returned check will be assessed with fee of $35
______First Name Last name USAWKF Member # Birthday (mm/dd/yyyy)
______Email Phone School Please complete the following steps and calculate your fees accordingly. 1. Gender Male Female 2. Age Group ( Please check one)
Group A: below age 12 (born on or after January 1, 2008) G Group B: age 12-17 (born between January 1, 2002 and December 31, 2007) r G Group C: age 18-39 (born between January 1, 1980 and December 31, 2001) Group D: age 40-59 (born between January 1, 1960 and December 31, 1979) Group E: age 60 and above (born on or before December 31, 1959) 3. Events: Taijiquan Style Chen Yang Sun Compulsory 42-form Other Traditional Taijiquan Nanquan Style Yongchunquan Wuzuquan Cailifo Huheshuangxing Dishuquan Other Nanquan Styles
Other Quanshu XIngyiquan Baguazhang Bajiquan Tongbeiquan Piguaquan Fanziquan
Ditangquan Hongquan Chaquan Huaquan 花拳 Paoquan
Xiangxingquan Huaquan 华拳
Shaolinquan Wudangquan Emeiquan Other traditional Quanshus
Single Weapon
Broadsword Sword Staff Spear Pudao Taijijian (incl 42-form Taijijian)
Dagger Whip Walking Stick (Zhang) Club (Guai) Shovel (Chan) Fork
Fan Taijidao Taijiqiang Nandao Nangun Other traditional apparatus
Double Weapons
Double Broadswords Double Swords Double Whips Double Hooks
Double Daggers Double Axes Other Traditional Double Weapons
Soft Weapon
Nine-Section Whip Two-section staff Meteor Hammer (Liuxingchui)
Rope dart Other traditional soft weapons
4. Fees: Registration fee ($30 before or on March 10, 2019) =$______
____ Events x$20 =$______
Total: =$______
5. Payment method ( Check or Money order ): Please make your check or money order payable to Omei Academy 6. Mail Payment, completed registration and waiver forms to: Omei Academy, 10070 Imperial Ave., Cupertino, CA 95014. Please reference participant’s name on the check.