•
• • • • • • •
All Styles & Ranks Welcome! Over 150 Divisions Separate Boys and Girls Divisions TKO State Champion Title Belts Awards 1st-8th places Media Coverage Grand Champion Awards Black Belt Expense
TABLE OF CONTENTS
TKO 19126 Rebel Yell Dr., Katy TX 77449 * 281-781-5181
Celebrating Our 13th Annual TKO State Championship
1. Cover Page 2. Welcome Letter 3. 2011 TKO Calendar How to be a TKO Tournament 4. How to Join TKO Team 5. How to Become a TKO Judge 6. 2010 TKO Highlights Article by Johnnie Murphy 7. 2010 TKO Champions 8. 2010 TKO Champions 9. 2010 TKO Champions 10. Championship information, TKO regulations & rules How the Ratings Works 11. 2011 TKO State Divisions 12. 2011 TKO Registrations
For Updated Information Go to the TKO website at www.WayneNguyen.com www.TKOState.com
2010 TKO Walt Mason Overall Grand Champion Winners Left David Tate Jr. and Chance Turner Adult Katas / Ashley Wood and Chad Cannon Adult Sparring
In Loving Memory of Walt Mason 1937-2001
1
Welcome to the 13th Annual Texas Karate Organizations 2011 State Championships! On Saturday, November 5, 2011, we are pleased to invite you to Texas’ 13th Annual T.K.O. (Texas Karate Organization) State tournament. As you know, the T.K.O. State Championship continues to bring together diverse styles and unites martial artists into one spectacular event. For many years, we have been sanctioning tournaments that provides top level of competition throughout Texas! The TKO State Finals event promises to draw top competition from all over the United States. We invite all ages, ranks and styles to compete and become a real state champion! To qualify, each competitor must compete and earn points at any karate tournament that is sanctioned by T.K.O. A competitor who places at a T.K.O. rated event receives points toward the rating. A competitor can accumulate points in sparring, forms, weapons and self-defense. The state tournament is open to anyone regardless of being a T.K.O. member; however, all T.K.O. members will be eligible to be seeded (placed in a preferred position of competition) at the state finals. Non seeded competitors will be seeded as wild card players. The winner of the wild card players will then advance with the seeded players to compete for the state title. We will be using modified S.K.I. rules (Sport Karate International) for the T.K.O. state finals. All competitors are required to mail or email points before the October 31st deadline. The season begins February 1 and ends October 31st of each year. This year’s event will be held in Houston, Texas (Location TBA). The Houston area is full of attractions for tourists. You will find plenty of shopping, tourist attractions, sports, great dining, amusement parks, zoos, museums and recreational activities. We promise you will enjoy the Saturday day competition, followed by enjoying your weekend in Dallas. To celebrate this year’s state event, we will be awarding all first place winners a “TEXAS STATE CHAMPION” Title Belt! And NEW for 2011! All 2nd and 3rd place will receive an embroidered “TKO Champion” Belt! Numerous local, regional, and national media will publicize and cover the “Texas Karate Organization 2011 State Championship.” We welcome all martial arts enthusiasts to experience what it takes to be the next “STATE CHAMPION!” We look forward to seeing you in Houston and hope you enjoy your visit. Always for the Martial Artist, Wayne Nguyen TKO Founder Dewey Sutton TKO Co-Founder
For Updated Information Go to the TKO website at www.WayneNguyen.com www.TKOState.com
Taking Texas Sport Karate into the Millennium People get involved with martial arts for a variety of reasons – to learn self-discipline, self-defense, self-confidence, lose weight or just a desire to become karate champions! Today Texas competition has grown in popularity. Black belts, advanced belts, intermediates and beginners have more events to choose to compete in as compared to previous years where forms and sparring were their only choices. For example, one competitor could enter weapons (creative, traditional, musical and non-musical), forms (creative, traditional, musical and non-musical), continuous sparring, self-defense, choreographed self-defense, and grappling, just to name a few. Since types of events are no longer limited, why should martial artists be limited to competing in one organization? With the birth of Texas Karate Organization (TKO) existing organizations such as AOK, SKI, NBL, NASKA, can sanction with TKO, using their own unique rules at each of their tournaments and still be related through a common tie. Being sanctioned by TKO, promoters can expect a steady growth in tournament registrations, which will create a higher level of competition among the competitors. TKO promises to endeavor to bring sport karate in Texas to a new level. The TKO publications will unite formerly separate leagues by making martial artists’ names familiar to each other and by forming friendships that span the state. You can expect to see TKO publications recognizing new and up-andcoming faces as well as reviewing current tournaments. Official Publication for the TKO ( Texas Karate Organization ) 19126 Rebel Yell Dr. Katy TX 77449 TKO Head Quarters 281-789-5181 / website—www.WayneNguyen.com / www.TKOState.com
2
Date
Tournament/City
Mar. 19 Big "D" Nationals – Dallas www.TexasKarate.com
Producer(s)
Phone
Rules
David Mason
(972) 239-5053
AOK
Apr. 2
Dragon Rock Karate Classic – Austin www.TheAOK.org
Nelda Edwards
(512) 759-2151
AOK
Apr. 9
Space City Open Nationals - Houston www.TheAOK.org
Linda Denley
(281) 397-9924
AOK
Apr.16
Tumbleweed Karate Championship Abilene www.TheAOK.org
Larry Fields
(325) 518-2261
AOK
Wayne Nguyen
(281)781-5181
NBL
May. 14 Houston International – Houston www.NorthsideKarate.com
D.E. Chambers
(281) 445-3374
AOK
May 28
Jam All Nationals - Houston, www.PettwaysTKO.com
Dona Pettway / JDog Holmes
(832)603-1008
NBL
June 4
Fire and Ice Nationals Karate Championship Hobbs, NM www.bodyrightgym.com Bryce Marchington
(575)318-1282
NBL
April 22-23 TKO Nationals NBL Cowboy Conference Houston www.WayneNguyen.com
June 11 Battle of Texas – Galveston – www.TheAOK.org
Jesse/Cindy Benavidez
(409) 925-3792
AOK
July 9
Best of the Best - San Antonio- www.TheAOK.org
Manual Serrano
832-858-1838
AOK
July 30
Gulf Coast Championship—Brownsville EvasRamirez.com
Eva Ramirez
956-466-1619
AOK
Aug 6
Victoria’s Best –Victoria TX www.victoriakarateacademy.com
Dawn Kabela
361-570-5424
NBL
Aug 27
Gray Eagle Garland- Dallas www.shaolin-kickboxing.com
Tony Jordan
(972) 272-4642
AOK
Sept 17
Ocean Nationals-Galveston www.WayneNguyen.com
Wayne Nguyen
(281) 781-5181
AOK
Oct. 8
DFW Karate Championship– Fort Worth www.dfwkaratechampionships.com
Dewey Sutton
817-797-5425
AOK
Oct. 15
BMA Championship – Houston www.TheAOK.org
Barry & Mitzi Benton
(281) 397-0566
AOK
Oct. 29
Phoenix Classic—Houston www.fuslhearfamilykarate.com
Wade Kirkpatrick/Bill Ramsey
(281) 346-2344
AOK
Nov 12
Southern Karate Championships - Dallas www.TheAOK.org
Barry Guimbellot
(972) 239-5053
AOK
Nov 5 2011
T.K.O. State Championship – Houston TX
Wayne Nguyen Dewey Sutton
(281)781-5181 TKO (817)-337-6004 Rules
HOW TO SANCTION YOUR TOURNAMENT WITH TKO ( TEXAS KARATE ORGANIZATION) Anyone in good standing with TKO and any other organization can sanction their tournament. All sanctioning applications must be approved by the executive offices. All TKO rated tournament promoters must provide adequate space area for an event. If your tournament does not follow the AOK or SKI rules please state the rules your tournament will follow in your brochure so your attendees will know.TKO reserves the right to cancel a TKO sanction tournament. Tournament season begins January 1st and ends October 30th. For information on how to become a TKO promoter, contact: Dewey Sutton at: 817-337-6007, 817-797-5425, Fax: 817-887-2396 Email: Info@tkokarate.com, Mail: 135 Keller Hicks Road, Keller, Texas 76248 ALL 1ST PLACE WINNERS WILL HAVE THEIR PICTURE TAKEN AND PUBLISHED IN THE 2012 TKO SPORT KARATE PUBLICATION Rules: All Division will use SKI rules (Modified). See attached information or go to—www.nblskil.com.
3
September 17, 2011
Galveston, TX San Luis Convention Center
Tournament Location Sheraton Hotel -Ball Room( by Bush Intercontinental Airport) 15700 John F. Kennedy Blvd, Houston, TX 77032 Stay for only $69 per night! Limited Rooms! Call (281) 442-5100 Mention TKO Karate
UNIQUE AWARDS
Join the 2011 TKO World Karate Team and Be a Part of History! Ask us how you or your school can get a “REKS” TKO Team Uniform FREE!!! If you are a Competitor or School Owner who wants to part of the nucleus that unites martial artists of all ages, ranks and style, if you feel that you can lead by example and be a positive role model for all people young and old, if you believe that through dedication and hard work that you can make a difference whether you win or lose, if you want to make new friends and be a part of Texas’ elite team, then join the TKO World Team! Yes, Its FREE!!! The TKO World Karate Team is not for profit and the sole purpose is to provide team support at local, state, national and world events. Because of the nature of the team, many opportunities can be gained by being a TKO team member. Go to www.WayneNguyen.com to enroll, or Email us at TKOKick@yahoo.com for details. BENEFITS OF BEING A TKO TEAM MEMBER: • To provide team support at local, state, national and world events • To generate media and corporate interest for future sponsorship • To represent Texas and unite martial artists of all ages, ranks and styles • To share the cost of travel and hotel expense • To be a positive role models for others to follow • To Represent Texas as a WORLD TEAM
4
2010 TKO STATE CHAMPIONSHIP Written by Johnnie Murphy Saturday January 29th 2011 was the date for the 2010 TKO state championships. This years state championships were held at the Lake Olympia Middle School Gymnasium in Missouri City, Texas. Wayne Nguyen, founder of the Texas Karate Organization and Dewy Sutton are the top officials of the TKO. They took every consideration to make this years state championship the best yet. Competitors came from all over the state of Texas for a chance to win one of the specially struck state championship belts. Al Ducascos, father of the world famous actor Mark Ducascos was at the tournament hanging out with Gary Lee. Al was also signing autographs and getting his picture take with fans. Al Ducascos is one of the top soft style grand masters with schools all over the world and a long list of his own accomplishments that include TV and movie appearances that have made him a house hold name in the west coast martial arts scene. He is particularly famous in the European regions for the many schools and competitions he and his students preside over. Starting at 10:30 AM allowed many competitors to wake up and get warmed up before the competition. Junior under black belt divisions started off the event and progressed into the adult under black belt groups. A lot of very talented martial artist were showcasing their skill. It was obvious that many hours of training were paying off for those who applied themselves. Under black belt forms and fighters put it into overdrive for a shot at the title. Moms and dads were routing for their kid and teams adding to the excitement of the whole event. Black belt divisions started later in the day to allow all the under black belt divisions to finish. The junior black belt forms and fighters were awesome. David Tate was on top in the junior black belt divisions winning multiple titles and adding to his vast number of championships over the past two years. Junior black belt sparring champion Colby Northcutt added to her countless number of victories with a big win in a large girls 14 to 17 sparring division. Sage Northcutt ended up taking on David Tate in a great point sparring match. As time ran down Sage was ahead and won the division. Adult black belt forms champions were no less spectacular with an array of well known champions vying for their 2010 belt. William Sheldon of Dallas was on top of the senior black belt forms and weapons with a sweep of those divisions. Chad Cannon was undefeatable in forms with his win in the men’s black belt creative divisions. Chance Turner was on fire in adult black belt weapons winning in the 18 plus hard creative division and Alfredo Bustamonte won in adult black belt traditional forms. In the black belt sparring, both men and women did a great job in their bid for a title. Udo Sohn of Germany won the senior black belt sparring division. Ashley Woods was the adult female top champion with her Walt Mason grand championship award win in the women black belt point sparring . A particularly great fight occurred between Jason Holmes ( J Dog) and Chad Cannon. This was a close fight that went down to the wire. An exciting fight by two NBL World Champions that added to the prestige of the whole event. After an awesome display of tactical skill and technique, Chad narrowly fended off J Dog for his win in the men’s black belt middle weight sparring. Men’s point sparring grand championship came down to Chad Cannon and Chance Turner. Both are on Team Gypsy but that didn’t stop them from going at it in a tough contest for the money and state grand championship title. After a great back and forth contest Chad Cannon emerged as the 2010 TKO men’s Walt Mason Award black belt sparring grand champion. The junior forms grand championship division was big. David Tate ended up winning the 2010 TKO Walt Mason State Junior Grand Championship after a lengthy competition. Chad Cannon, Chance Turner and Alfredo Bustamonte competed for the adult forms Walt Mason Award grand championship. Chad Cannon ran a great creative open hand form. Alfredo Bustamonte ran Gojushiho Dai, a traditional open hand form. But it was to be Chance Turner and his dynamic bo staff weapons form that was the judges choice taking home the 2010 Walt Mason adult black belt forms grand champion. The 2010 TKO State championship concluded at 4:30 PM. A special thanks to Cindy Gallio, Chris Gallio, Regina Thompson,
5
Saturday, Oct. 8, 2011 Dewey Sutton’s
In order to run a fair and organized event, TKO is looking for qualified judges to be a Center Referee at this years TKO State Finals on Nov 4, 2012 ( Please note, TKO will be using SKI rules with a few modifications). A Center Referee requires you to be familiar with SKI/TKO Rules and Regulations, as well as being able to delegate a ring. Other requirements are as follows: • • • •
Must be at least a Black Belt and is 18 years or older. Has prior past experienced in judging. Able to assure fairness and impartial method of judging for all competitors regardless of style or affiliations. Capable to judge from morning to afternoon (Lunch provided)
Dependability is the #1 character trait we are searching for in our judging staff! Please email us at TKOKick@yahoo.com if you wish to sign up. A TKO representative will contact you to finalize you commitment to helping us judge.
5 STAR RATED
6
Order the TKO 2010 State Champion Picture for only
$20 1 8x10 OR 2 5x7 and 4 wallets Free Shipping Email us at TKOKick@yahoo.com
7
8
9
HOW THE RATINGS WORKS TKO rates both black belts and underbelts. A TKO member or non member may compete and earn points at any karate tournament that is sanctioned by TKO. A member who places in the top eight places at a TKO rated event receives points toward their rating. The Players rating will be updated on the website at www.WayneNguyen.com. When a player joins TKO ratings, he/she may backtrack to the beginning of the season (Feb.1st, 2011) and credit him/herself for any point he/she has earned at previous TKO tournaments. It is the responsibility of the member to tally his/her ratings points on an official TKO / SKI point chart and send it or submit it online at www.WayneNguyen.com in according to the instructions and deadline date. All tabulations points must be in before October 31, 2011 deadlines. IMPORTANT, PLEASE READ! If you have competed at a TKO rated event please list the event and the divisions in which you placed. Attached the information with your registration. 1st = 12 points, 2nd = 10 points, 3rd = 8 points, 4th - 8th = 6 points Example: 1. Ocean Nationals-Specialty 1st (12), Forms 3rd, Sparring 6th (6) 2.
2011 TKO STATE CHAMPIONSHIP INFORMATION Date: Saturday, November 5, 2011 Location: TBA - Please Check www.TKOState.com or www.WayneNguyen.com for updated information Tournament Hotel: We recommend you go to Hotels.com or Google the hotels Saturday Events: All Demo will begin at 9:30 am followed by Musical, Traditional and Creative Forms Division at 10:00 a.m. sharp! Sparring will follow after forms. Awards: Awards will be given to 1st thru 8th places in all division. Tournament Director: Dewey Sutton Tournament Coordinator: John Pruiett, Dona Pettway Tournament Arbitrator: Wayne Nguyen Seeded players: Forms and Sparring Competitor will go by Order of Seed. Wild Cards Players will Draw for Order. Wild Card Players: Wild Card competitors will draw for order of play, the winner of the wild card for sparring will then enter play as the first competitor. Players sparring continue fighting their way through seeded players.
Showdown– Specialty 3rd (8), Forms 1st (12), Sparring 1st (12) Specialty 20 pts, Forms 20 pts, Sparring 18 pts
Proof of Age: All Youth competitor must retain on their person a birth certificate and present it upon request or risk disqualification and forfeit all fees. No refund.
***SKI (Sport Karate Internationals) / TKO (Texas Karate Organization) RULES AT A GLANCE (MODIFIED)*** Age Rule: To compete at the state championship you must compete at the age you were as of January 1st, 2011. Birth Certificate required upon request. 01a Forms Judges sit on one side of ring for all forms division. 02a Specific forms criteria Traditional Forms - (Uniforms requirements will not be enforced) No elevated spin kicks, no gymnastics, no splits, etc.. TRADITIONAL FORMS ONLY. Hard Creative/Musical - Sport or traditional uniform. Form must include: a. Series of at consecutive hand techniques b. Spinning kick landing to a hand technique or split. c. Series of multiple kicks. d. Either a jumping front thrust kick, flying side kick, split kick, tornado kick, whip kick, two or more kicks while airborne, gyroscope kick or capoleira kick. 03a Sparring Judges sit in ring corners or stand. Center Referee stands. 04a No Groin kick. 05a Head and face (light contact) allowed in all divisions. Just touch, no blood, cut, bruises, scrapes or excessive contact (disqualification enforced). 06a One point all hand techniques, one point all kicks except - 2 points for head and spin kicks. 07a Total points in 2 minutes win. Protest – A $25.00 protest deposit fee will be required from (coach, parent, player, etc.) wishing to have the rules arbitrated or interpreted. If the protest results in a valid arbitration, the $25.00 will be returned. However, if it is determined that the protest was invalid, the deposit will not be returned. Coaching – Instructor, parent or friend must have a coach pass during sparring or player will be disqualified. There will be a designated area or couch box from both side of the ring. Coach pass could be purchase for $10.00 before the event. Only one (10 second) time-out is allowed during each match.
10
2011 TKO STATE DIVISIONS SATURDAY, Nov. 5, 2011 10:00 a.m. sharp! PLEASE NOTE: POINTS for Weapons is considered “Specialty” divisions. You must perform with weapons! POINTS for Creative and Traditional are considered “FORMS” divisions. You can compete in 1 or both! There is no limit in division entered! D –1 DEMONSTRATION DIVISION Begin 9:30 am BREAKING DIVISION B-1 ( ) 17– All Ranks B-2 ( ) 18+ All Ranks H-1 HANDICAPABLE TEAM KATA – All Ages/Ranks ADULT BLACK BELT WEAPONS ( HARD/SOFT ) With or Without Music B/W-1 ( ) 18+ Creative Weapons (M) B/W-2 ( ) 18+ Creative Weapons (F) B/W-3 ( ) 35+ Creative Weapons (M/F) WEAPONS - ( HARD/SOFT ) With or Without Music W-1 ( ) 9- Beg. / Int. (M/F) W-2 ( ) 9 -Advance / Black (M/F) W-3 ( ) 10-12 Beg. / Int. (M/F) W-4 ( ) 10-12 Advance / Black (M/F) W-5 ( ) 13-15 Beg / Int. (M/F) W-6 ( ) 13-15 Advance/ Black (M/F) W-7 ( ) 16-17 Beg / Int. (M/F) W-8 ( ) 16-17 Advance/ Black (M/F) W-9 ( ) 18+ All Ranks (Non Black) (M/F) W-10 ( ) 35+ All Ranks (Non Black) (M/F) BLACK BELT CREATIVE FORM ( HARD/SOFT) BC-1 ( ) 18+ Creat/Mus (M) BC-2 ( ) 18+ Creat/Mus. (F) BC-3 ( ) 35+ Creat/Mus (M/F) CREATIVE FORMS WITH OR WITHOUT MUSIC CF-1 ( ) 9- Beg. / Int. (M/F) CF-2 ( ) 9-Advance / Black (M/F) CF-3 ( ) 10-12 Beg. / Int. (M/F) CF-4 ( ) 10-12 Advance / Black (M/F) CF-5 ( ) 13-15 Beg / Int. (M/F) CF-6 ( ) 13-15 Advance / Black (M/F) CF-7 ( ) 16-17 Beg / Int. (M/F) CF-8 ( ) 16-17 Advance / Black (M/F) CF-9 ( ) 18+ All Ranks (Non Black) (M/F) CF-10 ( ) 35+ All Ranks (Non Black) (M/F)
BLACK BELT TRADITIONAL FORMS BT-1 ( ) 18+ Traditional (M) BT-2 ( ) 18+ Traditional (F) BT-3 ( ) 35+ Traditional (M/F) FORMS ( Traditional Forms only) Note: Points for Creative and Traditional are considered “FORMS” divisions. You can compete in 1 or both! U/F-1 ( ) 5- All Ranks (M/F) U/F-2 ( ) 6-7 Beg. (M/F) U/F-3 ( ) 6-7 Int. (M/F) U/F-4 ( ) 6-7 Advance / Black (M/F) U/F-5 ( ) 8-9 Beg. (M/F) U/F-6 ( ) 8-9 Int. (M/F) U/F-7 ( ) 8-9 Advance / Black (M/F) U/F-8 ( ) 10-11 Beg. (M/F) U/F-9 ( ) 10-11 Int. (M/F) U/F-10 ( ) 10-11 Advance (M/F) U/F-11 ( ) 10-11 Black (M/F) U/F-12 ( ) 12-13 Beg. (M/F) U/F-13 ( ) 12-13 Int. (M/F) U/F-14 ( ) 12-13 Advance (M/F) U/F-15 ( ) 12-13 Black (M/F) U/F-16 ( ) 14-15 Beg. (M/F) U/F-17 ( ) 14-15 Int. (M/F) U/F-18 ( ) 14-15 Advance (M/F) UF-19 ( ) 14-15 Black (M/F) U/F-20 ( ) 16-17 Beg. (M/F) U/F-21 ( ) 16-17 Int. (M/F) U/F-22 ( ) 16-17 Advance (M/F) U/F-23 ( ) 16-17 Black (M/F) U/F-24 ( ) 18-34 Beg. (M/F) U/F-25 ( ) 18-34 Int. (M/F) U/F-26 ( ) 18-34 Adv. Non Black (M/F) U/F-27 ( ) 35+ Beg. (M/F) U/F-28 ( ) 35+ Int. (M/F) U/F-29 ( ) 35+ Adv. Non Black (M/F) YOUTH SPARRING U/S-1 ( ) 5 Beg (M/F) U/S-2 ( ) 5 Int.-Adv. (M/F) U/S-3 ( ) 6-7 Beg. (M) U/S-4 ( ) 6-7 Int. (M) U/S-5 ( ) 6-7 Adv. (M) U/S-6 ( ) 6-7 Black (M) U/S-7 ( ) 8-9 Beg. (M) U/S-8 ( ) 8-9 Int. (M) U/S-9 ( ) 8-9 Adv. (M) U/S-10 ( ) 8-9 Black (M) U/S-11 ( ) 6-7 Beg. (F) U/S-12 ( ) 6-7 Int. (F) U/S-13 ( ) 6-7 Adv. (F) U/S-14 ( ) 6-7 Black (F) U/S-15 ( ) 8-9 Beg. (F) U/S-16 ( ) 8-9 Int. (F) U/S-17 ( ) 8-9 Adv. (F) U/S-18 ( ) 8-9 Black (F)
U/S-19 U/S-20 U/S-21 U/S-22 U/S-23 U/S-24 U/S-25 U/S-26 U/S-27 U/S-28 U/S-29 U/S-30 U/S-31 U/S-32 U/S-33 U/S-34 U/S-35 U/S-36 U/S-37 U/S-38 U/S-39 U/S-40 U/S-41 U/S-42 U/S-43 U/S-44 U/S-45 U/S-46
(
10-11 Beg. 10-11 Int. 10-11 Adv. 10-11 Black ( ) 10-11 Beg. ( ) 10-11 Int. ( ) 10-11 Adv. ( ) 10-11 Black ( ) 12-13 Beg. ( ) 12-13 Int. ( ) 12-13 Adv ( ) 12-13 Black ( ) 12-13 Beg. ( ) 12-13 Int. ( ) 12-13 Adv. ( ) 12-13 Black ( ) 14-15 Beg. ( ) 14-15 Int. ( ) 14-15 Adv. ( ) 14-15 Black ( ) 14-17 Beg. ( ) 14-17 Int. ( ) 14-17 Adv. ( ) 14-17 Black ( ) 16-17 Beg. ( ) 16-17 Int. ( ) 16-17 Adv. ( ) 16-17 Black ( ( (
)
) ) )
(M) (M) (M) (M) (F) (F) (F) (F) (M) (M) (M) (M) (F) (F) (F) (F) (M) (M) (M) (M) (F) (F) (F) (F) (M) (M) (M) (M)
ADULT SPARRING ( NON BLACK ) U/S-47 ( ) 18-34 Beg. (F) U/S-48 ( ) 18-34 Int. (F) U/S-49 ( ) 18-34 Adv. (F) U/S-50 ( ) 18-34 Beg. Lt. 173.8— (M) U/S-51 ( ) 18-34 Beg. Hvy. 173.8+ (M) U/S-52 ( ) 18-34 Int. Lt. 173.8 - (M) U/S-53 ( ) 18-34 Int. Hvy. 173.8+ (M) U/S-54 ( ) 18-34 Adv. Lt. 173.8- (M) U/S-55 ( ) 18-34 Adv Hvy 173.8+ (M) U/S-56 ( ) 35+ Beg. (F) U/S-57 ( ) 35+ Int. (F) U/S-58 ( ) 35+ Adv. (F) U/S-59 ( ) 35+ Beg. (M) U/S-60 ( ) 35+ Int. (M) U/S-61 ( ) 35+ Adv. (M) BLACK BELT POINT SPARRING B/S-1 ( ) 18+ Light 162.8- (M) B/S-2 ( ) 18+ Middle 184.8- (M) B/S-3 ( ) 18+ Heavy 184.8+ (M) B/S-4 ( ) 18+ Feather 132(F) B/S-5 ( ) 18+ Light 132.1+ (F) B/S-6 ( ) 35+ Light 173.8- (M) B/S-7 ( ) 35+ Heavy 173.8+ (M) B/S-8 ( ) 35+ All Weights (F) B/SP-9 ( ) 45+ All Weights (M)
11
2011 TKO STATE FINALS TOURNAMENT REGISTRATION FORM Registration and payment instructions: 1. Print and fill all information requested. 2. Place “X” in front of each division competing. 3. Total the number of events and spectators. 4. Make Checks Payable to: TKO. No personal checks accepted at door. NO REFUNDS, NO TRANSFERS, NO SUBSTITUTIONS--- PLEASE DO NOT ASK Mail to: 19126 Rebel Yell Dr., Katy TX 77449 . To insure your pre-registration we suggest you mail by certified mail to insure your registration.
Name: __________________________________ Rank: ___________ Date of Birth _______/ _______ / _______ Age: _____ Sex: M / F Weight:______ (Age on Jan 1st, 2011)
(Circle one)
Address: ______________________________________________ City: ________________________ State: ______ Zip: _________ Phone: _______________ Club Name: ____________________________________ Instructor: _____________________________________ School Phone: ________________________ Club Address: ______________________________________________ City: ___________________ State: ________ Zip: _____________ Liability Waiver: I,____________________________________ the undersigned, do hereby release Wayne Nguyen, Dewey Sutton, TKO (Texas Karate Organization), and all other person associated with this event in any capacity, from any liability due to injuries, etc. that may incur as a result of my attendance or that my child, and/or participation at the TKO State Championships event. Furthermore, I hereby permanently waive any compensation whatsoever for the use of picture, videos, media coverage, et… utilized by those associated with this event which may be use for profit making purpose, I clearly understand the fighting aspect of this sport and competition involves bodily contact. I have read, understand and agree to abide by the rules associated with TKO events and assume all responsibility and any associated liability for infringement of such rules. Additionally, I am fully aware of my personal medical condition and hereby certify that I am mentally and physically fit to compete at this tournament and also understand that a valid birth certificate should be present to compete at the TKO State Tournament. Date: _____________ Competitor Signature: ______________________________ Parent/Guardian Signature: ________________________________ (If under 18 years of age)
Need to beat the deadline? Now you can go on-line and Pre-register! Register On On--line! - www.WayneNguyen.com Please fill in the Code Number for all divisions entered: ___________ /___________ /__________/ __________ /__________/ REGISTRATION FEE INFORMATION Register Early $ Save Money $
Early Registration Received by 10/31/2011 $35
Registration After 10/31/2011 $45
=
Additional Events
$25 x ________
$30 x ________
=
Demonstration Division—Everyone’s a WINNER!( Receive a trophy Win or Lose)
$10
$15
=
Saturday Day Spectator Pass
$10 x ________
$10 x ________
=
Coaches Pass (Allows you to coach the competitor at the Ringside )
$5
$5
=
Video Pass ( Allows you to video record at the Ringside )
$5
$5
=
Entry Fee – 1 Event
TOTAL REGISTRATION FEE =
TOTAL
=
PAYMENTS: Make payable to Wayne Nguyen – Mail to : 19126 Rebel Yell Dr, Katy TX 77449. No personal Checks accepted at the door. Only U.S. Currency, Travelers Checks or Money Order. NO REFUNDS, NO TRANSFERS, NO SUBSTITUTION —– PLEASE DO NOT ASK! Got Question? Call 281-781-5181
12