iskf philippines 2nd world shotocup booklet
DESCRIPTION
The details of the 2nd World Shoto Cup hosted by the International Shotokan Karate Federation Philippines. The website is at http://iskf.ph/shotocupTRANSCRIPT
12nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Contents
Contents........................................................................................................................................................1
General Information .....................................................................................................................................3
About Cebu City ............................................................................................................................................5
History...................................................................................................................................................5
Climate .................................................................................................................................................. 6
Tourism .................................................................................................................................................6
Time Line/ Deadlines ....................................................................................................................................7
Competitor’s Checklist ..................................................................................................................................9
Schedule of Events......................................................................................................................................10
Schedule of Eliminations.........................................................................................................................12
November 10, 2012 ................................................................................................................................12
Junior Division Kata.............................................................................................................................12
Senior Division Kata ............................................................................................................................12
Adult Division Kata..............................................................................................................................12
Junior Division Kumite ........................................................................................................................13
Senior Division Kumite ........................................................................................................................13
Adult Division Kumite..........................................................................................................................13
Fees and Admission Prices..........................................................................................................................13
Waiver/Release Agreement for Contestants/Participants .........................................................................15
Representative, Managers and Coaches Registration Form.......................................................................16
Information for Judges................................................................................................................................17
Application for Judges Exam ...................................................................................................................17
Judge’s Requirements.............................................................................................................................17
Judge’s Exam Form .....................................................................................................................................18
Selection of Judges Form ........................................................................................................................19
Clinic Registration Form..............................................................................................................................20
Junior division – Kata Registration Form ....................................................................................................21
Junior division – Team Kata Registration Form ..........................................................................................22
Junior division – Kumite Registration Form ................................................................................................23
Junior division – Team Kumite Registration Form ......................................................................................24
Adult division – Kata Registration Form .....................................................................................................25
22nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Adult division – Team Kata Registration Form............................................................................................26
Adult division – Kumite Registration Form .................................................................................................27
Adult division – Team Kumite Registration Form .......................................................................................28
Senior division – Kata Registration From....................................................................................................29
Senior division – Team Kata Registration Form ..........................................................................................30
Senior division – Kumite Registration Form................................................................................................31
Senior division – Team Kumite Registration Form......................................................................................33
Banquet Registration Form.........................................................................................................................34
T-Shirt Order Form......................................................................................................................................35
Dan Examination.........................................................................................................................................37
Request for Dan Registration......................................................................................................................40
Advertising Page Charges............................................................................................................................41
32nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
General Information
2nd ISKF World Shoto Cup Karate Championships
Cebu City, Philippines
November 8-11, 2012
Tournament Hotel: Waterfront Cebu City Hotel and Casino
Salinas Drive, Lahug, Cebu City
6000 Philippines
Tournament Venue: Waterfront Cebu City Hotel and Casino
Salinas Drive, Lahug, Cebu City
6000 Philippines
Hotel Rate: OPTIONS
Standard Room (Single occupancy) $142.00 per person/per night
Superior Room (Single occupancy) $146.00 per person/per night
Deluxe Room ( Single occupancy) $151.00 per person/per night
Standard Room(Double occupancy) $97.00 per person/per night
Superior Room (Double occupancy) $101.00 per person/per night
Deluxe Room (Double occupancy) $106.00 per person/per night
Inclusive of round trip airport-hotel transfer, buffet breakfast, lunch,
dinner, banquet dinner and Cebu City tour.
Hotel Reservation:
Email Erico Super Perez, M.D. at [email protected] for hotel bookings.
Parking: Free parking available at the Waterfront Cebu City Hotel and Casino
Airport: Mactan Cebu International Airport,
Lapu-Lapu City, Cebu
Philippines
42nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Checks payable to: International Shotokan Karate Federation Philippines Inc.
Send all paperworks to: [email protected]
2nd ISKF WorldShoto Cup c/o Erico Super Perez, M.D.
PO Box #2
Greenhills Post Office
San Juan, Metro Manila
1502 Philippines
52nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
About Cebu City
The City of Cebu (Cebuano: DakbayansaSugbo) is the capital city of Cebu and is the "second city" in
the Philippines, the second most significant metropolitan center in the Philippines and known as the
oldest settlement established by the Spaniards in the country.
The city is located on the eastern shore of Cebu and was the first Spanish settlement in the Philippines.
Cebu is the Philippines' main domestic shipping port and is home to about 80% of the country's domestic
shipping companies. Cebu also holds the second largest international flights in the Philippines and is a
significant center of commerce, trade and industry in the Visayas and Mindanao regions. According to
the 2009 LGPMS census, the city has a population of about 822,628 people.
Cebu City is the center of a metropolitan area called Metro Cebu, which includes the cities
of Mandaue, Lapu-Lapu and Talisay. Metro Cebu has a total population of about 2 million people.
The Mactan-Cebu International Airport, located in Lapu-Lapu City is only a twenty-minute drive away from
Cebu City. To the northeast of the city are Mandaue City and the town of Consolacion, to the west
are Toledo City, the towns of Balamban and Asturias, to the south are Talisay City and the town
of Minglanilla. Across Mactan Strait to the east is Mactan Island where Lapu-Lapu City is located.1
History
On April 7, 1521, Portuguese explorer Ferdinand Magellan landed in Cebu and was killed in the Battle of
Mactan led by Lapu-lapu. Several conquistadors later visited the land and started a Spanish settlement.
The signing of the Treaty of Paris at the end of the Spanish-American War provided for the cession of
Cebu along with the rest of the Philippine islands to the United States of America on December 10, 1898.2
The city, along with the rest of the country came under Japanese occupation during WWII and was
liberated in March 1945.
1http://en.wikipedia.org/wiki/Cebu_City
2http://en.wikipedia.org/wiki/Treaty_of_Paris_(1898)
62nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Climate
Climate Data for Cebu City on November3
Average High ⁰C (⁰F) 31.2 (88.2)
Daily Mean ⁰C (⁰F) 27.9 (81.1)
Average Low ⁰C (⁰F) 24.7 (75.6)
Rainfall mm (inches) 131.4 (5.173)
Tourism
The city derives significant income from tourism. It hosted the 1998 ASEAN Tourism Forum. The city also
hosted the East Asian Tourism Forum on August 2002, in which the province of Cebu is a member and
signatory.
There are a number of significant Spanish colonial buildings in Cebu City, including the Basilica Minore
del Santo Nino, Fort San Pedro, Casa Gorordo Museum and Magellan's Cross.
The Cebu Reggae Festival is a popular Filipino Reggae and Roots music
festival; it now has become one of the Philippines' largest annual Reggae
Festivals, in Cebu City. On Cebuano musical heritage, the Jose R. Gullas
Halad Museum in V. Gullas St. (former Manalili) corner D. Jakosalem St. in
Cebu City, holds musical memorabilia of Cebuano composers in the early
20th century, the likes of Ben Zubiri (composer of MatudNila), IntingRubi
(KasadyaNingTaknaa) and Minggoy Lopez (Rosas Pandan). The city also has
a sport institution, the Cebu City Sports Complex which exhibits sporting
and festival events.
Away from the city is the Cebu Taoist Temple, a Taoist temple in Beverly
Hills. The Taoist Temple gives a commanding view of Cebu City and the
nearby cities of Mandaue and Lapu-Lapu. Views of Cebu City can also be
seen from villages and gated communities located on the mountains.
The beauty of Cebu City Philippines Temple of The Church of Jesus Christ of
Latter-day Saints in Lahug marks the second of its kind in the Philippines
after Manila Philippines Temple. Cebu City Philippines Temple serves Latter
Day Saints from the island of Masbate, whole Visayas and Mindanao.1
Cebu as an island is already accessible to beaches. However, you can opt to visit the famous white beach
island Boracay. Boracay is only a plane and boat ride away from Cebu City. There are daily flights from
Cebu City to Caticlan. From Caticlannumerous ferry boats to BoracayIsland are available.
3“Climatological Normals of Cebu” Hongkong Observatory. Retrieved 10 Oct 2011
Monument of Lapu-lapu.
72nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Time Line/ Deadlines Sunday, September 30, 2012 Cut-off date for accepting hotel reservations
All paperwork and fees due
Clinic Registration Form with registration fees
Selection of Judges Form
Dan Examination Form with fees
Judge's Examination Form with fees
Competitor’s Registration Form with registration fees
Competitor’s Waiver/Release Agreement
Banquet Reservation Form with banquet fees
T-shirt Order Form withT-shirt fees
Wednesday-Friday Competitor/Examinee/Judges check-in table open at Waterfront Cebu
November 7-9, 2012 Hotel and Casino
8am – 9pm
Thursday, November 8, 2012 Seminar by Master Yutaka YAGUCHI, Location to be announced
5:00pm - 6:30pm
Friday, November 9, 2012 Dan Examination, Location to be announced
10:00am-12:00nm
Friday, November 9, 2012 Judge’s Meeting and Judges Examination, Location to be announced
1:30pm-3:30pm
Friday, November 9, 2012 Seminar by Master Teruyuki OKAZAKI, Location to be announced
5:00pm -6:30pm
Saturday, November 10, 2012 Eliminations, Pacific Ballroom
8:00am-6:00pm
Sunday, November 11, 2012 Opening Ceremonies, Pacific Ballroom
8:00am-9:30am
Sunday, November 11, 2012 Finals, Pacific Ballroom
12:00nn-5:00pm
82nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Sunday, November 11, 2012 Banquet, Pacific Ballroom
7:00pm
92nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Competitor’s Checklist
Mouthpiece Approved by the ISKF Technical Committee
ISKF Fist Protectors Approved by the ISKF Technical Committee
Current 2012 ISKF Membership Card (If no current ISKF card, you will be charged $45 at check-in)
Standard White Karate gi
102nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Schedule of Events
All events will take place at the Waterfront Cebu Hotel and Casino
Wednesday - Friday, November 7-9, 2012
8:00am-9:00pm Check-in for all competitors, examinees, judges at check-in table at
Waterfront Cebu Hotel and Casino
Thursday, November 8, 2012
5:00pm-6:30pm Seminar by Master Yutaka YAGUCHI at Pacific Grand Ballroom
Friday, November 9,2012
10:00am-12:00nn Dan Examination, Location to be announced
Noon-1:00pm Directors and Governors Luncheon, Location to be announced
1:30pm-3:30pm Judges Meeting and Judges Exam, Location to be announced
5:00pm-6:30 pm Seminar by Master Teruyuki OKAZAKI, Location to be announced
Saturday, November 10, 2012
8:00 am Doors Open, Pacific Grand Ballroom
9:00am-8:00pm Eliminations (see page 9)
Sunday, November 11, 2012
12:00nn Doors Open
1:00pm Opening Ceremony
Introduction of Honored Guests and Officials
Contestant’s Oath
Finals:
• Junior Individual Kata: 3 finalists
• Senior Individual Kata: 3 finalists
112nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
• Adult Individual Kata: 3 finalists
• Junior Team Kata: 3 finalists
• Senior Team Kata: 3 finalists
• Adult Team Kata: 3 finalists
• Junior Individual Kumite: 4 finalists
• Senior Individual Kumite: 4 finalists
• Adult Individual Kumite: 4 finalists
• Junior Team Kumite: 2 finalists
• Senior Team Kumite: 4 finalists
• Adult Team Kumite: 4 finalists
7:00pm Banquet
122nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Schedule of Eliminations
November 10, 2012
Junior Division Kata
9:00 am – 12:00 nn
8 – 9 years old Boys Individual Kata
8 – 9 years old Girls Individual Kata
10 – 11 years old Boys Individual Kata
10 – 11 years old Girls Individual Kata
12 – 13 years old Boys Individual Kata
12 – 13 years old Girls Individual Kata
14 – 15 years old Boys Individual Kata
14 – 15 years old Girls Individual Kata
16 – 17 years old Boys Individual Kata
16 – 17 years old Girls Individual Kata
8 –17 years old Junior Team Kata (boys and girls can be combined)
• Countries may field unlimited number of entries in Individual events.
• Only one Junior Kata Team per country.
• Participants must be Brown and Black Belts at their respective age groups on
November 10 & 11, 2012.
Senior Division Kata
11:00 am – 12:30 pm
Senior Men’s Individual Kata
Senior Women’s Individual Kata
Senior Men’s Team Kata
Senior Women’s Team Kata
• Countries may field unlimited number of entries.
• Participants must be Brown and Black Belts at least 45 years old and older on
orbefore November 11, 2012.
Adult Division Kata
11:00 am – 12:30 pm
Men’s Individual Kata
Women’s Individual Kata
Men’s Team Kata
Women’s Team Kata
• Countries may only field 4 entries in each Individual events and one entry for
each team events.
• Participants must be Brown and Black Belts from 18 to 44 years old on or
before November 11, 2012.
132nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Junior Division Kumite
1:30pm – 4:30pm
8 – 9 years old Boys Individual Kumite
8 – 9 years old Girls Individual Kumite
10 – 11 years old Boys Individual Kumite
10 – 11 years old Girls Individual Kumite
12 – 13 years old Boys Individual Kumite
12 – 13 years old Girls Individual Kumite
14 – 15 years old Boys Individual Kumite
14 – 15 years old Girls Individual Kumite
16 – 17 years old Boys Individual Kumite
16 – 17 years old Girls Individual Kumite
14 – 15 years old Boys Team Kumite (3 players)
14 – 15 years old Girls Team Kumite (3 players)
16 – 17 years old Boys Team Kumite (3 players)
16 – 17 years old Girls Team Kumite (3 players)
• Countries may field unlimited number of entries for both Individual and Team
Kumite events.
• Team Kumite must only have three players in both Boys and Girls Team.
• Participants must be Brown and Black Belts at their respective age groups
onNovember 10 & 11, 2012.
• ShobuIpponKumite only from eliminations to finals.
Senior Division Kumite
4:00 pm – 6:00 pm
Senior Men’s Individual Kumite
Senior Women’s Individual Kumite
Senior Men’s Team Kumite (5 players plus 1 reserve)
Senior Women’s Team Kumite (3 players plus 1 reserve)
• Countries may field unlimited number of entries in each individual event and
one entry for each team events.
• Participants must be Brown and Black Belts at least 45 years old and older on
orbefore November 11, 2012.
• ShobuIpponKumite from eliminations to finals only.
Adult Division Kumite
5:30 pm – 8:00pm
Men’s Individual Kumite
Women’s Individual Kumite
Men’s Team Kumite (5 players plus 1 reserve)
Women’s Team Kumite (3 players plus 1 reserve)
• Countries may only field 4 entries in each Individual events and one entry for
eachteam events.
• Participants must be Brown and Black Belts from 18 to 44 years old on or
beforeNovember 11, 2012.
• ShobuIpponKumite only from eliminations to finals.
Fees and Admission Prices
142nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
2nd ISKF World Shoto Cup Karate Championships Registration Fees
YOUTH DIVISION $30 Individual, single event
$40 Individual, both events
$60 Team Kata
$60 Team Kumite
ADULT DIVISION $35 Individual, single event
$45 Individual, both events
$60 Team Kata
$60 Team Kumite
SENIOR DIVISION $35 Individual, single event
$45 Individual, both events
$60 Team Kata
$60 Team Kumite
Late Registration: $10 PER COMPETITOR POSTMARKED AFTER September 30, 2012.
Late registrants will not be guaranteed a place in the tournament
brackets.
Send all paperwork to: [email protected]
2nd ISKF WorldShoto Cup c/o Erico Super Perez, M.D.
PO Box #2
Greenhills Post Office
San Juan, Metro Manila
1502 Philippines
152nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Waiver/Release Agreement for Contestants/Participants All participants must complete.
"Event" means the 2nd
ISKF World Shoto Cup Karate Championships
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 to be held at Waterfront Cebu City Hotel and Casino,
Cebu City, Philippines, on November 8-11, 2012, I hereby release and waive any claims against ISKF: ISKF Philippines, the
International Shotokan Karate Federation, Waterfront Cebu City Hotel and Casino 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 while 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 to 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 nullify 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.
_______________________________ ________________________________
Name (Print) Country
_______________________________ _________________________________
Date of Birth (MM/DD/YY) Signature
_______________________________ _________________________________
Date 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) Signature
______________________________
Date
Each contestant must obtain their own health insurance prior to travel and are responsible for their own hospital and
healthcare while attending the Event. Only first aid will be administered at the Event.
*** Attach a photocopy of valid ISKF card***
162nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Representative, Managers and Coaches Registration Form To be completed by country representative
Country: ______________________________
Name Position
1 Official Representative
2 Manager
3 Coach
4 Coach
5 Coach
6 Coach
7 Coach
172nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Information for Judges
Application for Judges Exam
All examinees must be checked-in by 9pm on Thursday, November 8, 2012.
Judge’s exam fee is $40 per person.
All examinees with previous judge ranking must present an ISKF Qualification Card at check-in or will be
charged $40 per qualification.
Checks payable to: International Shotokan Karate Federation Philippines Inc.
Judge’s Requirements
For Judge’s Level Rank must be at least
D Nidan
C Sandan
B Yondan
A Shichidan
182nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Judge’s Exam Form
For purposes of clarity all information must be typewritten. Handwritten forms will be returned.
Examination Date ________ Place ______________________________
Name _______________________________________________________
Address ______________________________________________________
______________________________________________________
Telephone ______________ Email ______________________________________________________
Current Judge’s Rank _____ Date of Examination ___________ Location ____________________
Current Dan Rank ________ Club Name__________________________________________________
Country _______________ Region _____________
*All registrant’s form must be signed by the Chief Instructor of the examinee’s club to be accepted.
PERSONAL INFORMATION
Date of Birth ________________| Sex MF|Height __ft __ in / __ cm | Weight ___ lbs/ __ kgs
Occupation __________________________________________________________________________
Last School or College _______________________________________ Degree ____________________
Applicant’s Signature __________________________________________________________________
192nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Selection of Judges Form
We are expecting a large number of competitors for this event. In order for it to run smoothly
and timely we will need as many ISKF Qualified Judges as possible. Please encourage the judges in your
country to come to this ISKF World Shoto Cup and participate as judges and officials. All judges must
wear gray pants, white long-sleeved shirt, maroon tie and navy blazer, Saturday and Sunday.
To be completed by country representative
Country: ______________________________
Name Dan Rank Judge’s Rank
(A, B, C, D)
ISKF
Certification Number
1 2 3 4 5 6 7 8 9
10 11 12 13 14 15 16 17 18 19 20
202nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Clinic Registration Form To be completed by country representative
Country: ______________________________
Clinic details:
1st Clinic November 8, 2012 5:00pm-6:30pm Master Yutaka YAGUCHI
2nd Clinic November 9, 2012 5:00pm-6:30pm Master TeruyukiOKAZAKI
Clinic fees:
One clinic only: US$40
Two clinics: US$60
Name Birth Date
Month/DD/YYYY
Instructor/
Trainee 1st Clinic 2nd Clinic
Ex. John DOE Jan. 1, 1975 Instructor X X
1
2
3
4
5
6
7
8
9
10
Amount Enclosed: US$:
212nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Junior division – Kata Registration Form To be completed by country representative
Country: ______________________________
Name Gender Kata Age
Category
Birth Date
Month/DD/YYYY
Ex. John DOE M 16-17 Jan. 1, 1995
1
2
3
4
5
6
7
8
9
Amount Enclosed: US$
222nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Junior division – Team Kata Registration Form To be completed by country representative
Country: ______________________________
Name Gender Birth Date
Month/DD/YYYY
1
2
3 1
Alternate
232nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Junior division – Kumite Registration Form To be completed by country representative
Country: ______________________________
Name Gender Kumite Age
Category
Birth Date
Month/DD/YYYY
Ex. John DOE M 16-17 Jan. 1, 1995
1
2
3
4
5
6
7
8
9
Amount
Enclosed: US$
242nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Junior division – Team Kumite Registration Form To be completed by country representative
Country: ______________________________
Name Gender Birth Date
Month/DD/YYYY
1
2
3 1
Alternate
252nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Adult division – Kata Registration Form To be completed by country representative
Country: ______________________________
Name Gender Age
(on Nov. 10, 2012)
Birth Date
Month/DD/YYYY
Ex. John DOE M 27 Jan. 1, 1985
1 M
2 M
3 M
4 M
1 F
2 F
3 F
4 F
Amount Enclosed: US$
262nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Adult division – Team Kata Registration Form To be completed by country representative
Country: ______________________________
Name Gender Birth Date
Month/DD/YYYY
1
2
3 1
Alternate
M
1
2
3 2
Alternate
F
Amount Enclosed: US$:
272nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Adult division – Kumite Registration Form To be completed by country representative
Country: ______________________________
Name Gender Age
(on Nov. 10, 2012)
Birth Date
Month/DD/YYYY
Ex. John DOE M 27 Jan. 1, 1985
1 M
2 M
3 M
4 M
1 F
2 F
3 F
4 F
Amount Enclosed: US$
282nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Adult division – Team Kumite Registration Form To be completed by country representative
Country: ______________________________
Name Gender
Birth Date
Month/DD/YYYY
1
2
3
4
5
1
Alternate
M
1
2
3 2
Alternate
F
Amount Enclosed:
USD
292nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Senior division – Kata Registration From To be completed by country representative
Country: ______________________________
Name Gender Age
(on Nov. 10, 2012)
Birth Date
Month/DD/YYYY
Ex. John DOE M 47 Jan. 1, 1965
1
2
3
4
5
6
7
8
9
Amount Enclosed: US$
302nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Senior division – Team Kata Registration Form To be completed by country representative
Country: ______________________________
Name Gender Birth Date
Month/DD/YYYY
1
2
3 1
Alternate
1
2
3 2
Alternate
1
2
3 3
Alternate
Amount Enclosed: US$:
312nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Seniordivision – Kumite Registration Form To be completed by country representative
Country: ______________________________
Name Gender Age
(on Nov. 10, 2012)
Birth Date
Month/DD/YYYY
Ex. John DOE M 47 Jan. 1, 1965
1 M
2 M
3 M
4 M
1 F
2 F
3 F
4 F
Amount Enclosed: US$
322nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
332nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Senior division – Team Kumite Registration Form To be completed by country representative
Country: ______________________________
Name Gender
Birth Date
Month/DD/YYYY
1
2
3
4
5
1
Alternate
M
1
2
3 2
Alternate
F
Amount Enclosed:
USD
342nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Banquet Registration Form Event Time & Date: 7:00 pm
Sunday, November 12, 2012
Location: Waterfront Cebu Juan Lahug Hotel and Casino – Pacific Ballroom
The banquet is open to all participants, family and friends. Please plan to attend with others from your
country. Banquet fees are non-refundable.
Buffet banquet: $50 per person. Free for people who are booked at the Waterfront Hotel and
Casino.
Country:______________________________________________________________________________
Name Amount Enclosed
1. ____________________________________________________________ ______________
2. ____________________________________________________________ ______________
3. ____________________________________________________________ ______________
4. ____________________________________________________________ _______________
5. ____________________________________________________________ _______________
6. ____________________________________________________________ _______________
7. ____________________________________________________________ _______________
8. ____________________________________________________________ _______________
9. ____________________________________________________________ _______________
10. ____________________________________________________________ _______________
11. ____________________________________________________________ _______________
12. ____________________________________________________________ _______________
13. ____________________________________________________________ _______________
14. ____________________________________________________________ _______________
Total amount enclosed: $_____________
352nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Checks payable to: InternationalShotokan Karate Federation Philippines Inc.
Send all paperwork to: 2nd ISKF WorldShoto Cup c/o Erico Super Perez, M.D., PO Box #2, Greenhills Post
Office, San Juan, Metro Manila, 1502 Philippines
Deadline: Postmark by September 30, 2012
T-Shirt Order Form
Order your 2012 Shoto Cup World Karate Championships T-shirt now----it will be available for you when
you check-in at the tournament.
Price: $12
Sizes: S, M, L, XL, XXL
Country:______________________________________________________________________________
Name Size Quantity AmountEnclosed
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Total amount enclosed: $___________________
362nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Checks payable to: InternationalShotokan Karate Federation Philippines Inc.
Send all paperwork to: 2nd ISKF WorldShoto Cup c/o Erico Super Perez, M.D., PO Box #2,
Greenhills Post Office, San Juan, Metro Manila, 1502 Philippines
Deadline: Postmark by September 30, 2012
372nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Dan Examination The Dan Registration Request Form must be completed in typewritten form. Please do not
submit handwritten forms, as they will be promptly returned. Please do not omit any requested
information. Your name should be written exactly as you wish it to appear on your certificate. If any
error appears on the final certificate requiring replacement and is deemed to be the fault of the
submitter, a US $50.00 fee will be charged. The exact date of your examination, the name of your
examiner, and the dates and registration numbers for previous dan registrations must be included in
addition to all personal information indicated. Be sure to sign your request form. Also, please be
prompt and arrive at the dan exam location at least 1 hour before exam time to sign an additional
waiver. All minors (ages 7-17) must be accompanied by a parent or guardian to sign the waiver. If this
directive is not complied to, it will prohibit that person from taking the dan exam on that day!
INCOMPLETE, INCORRECT OR HANDWRITTEN REQUEST FORMS WILL BE RETURNED!
The original request form (only 1) must be accompanied by one passport-sized photograph
stapled to each dan registration form along with the appropriate registration fee. These materials
should be during Registration.
Registration fees should be remitted in the form of a certified check or cash U.S. dollars and
made to the order of International Shotokan Karate Federation Philippines Inc. Personal checks are
not acceptable.
INTERNATIONAL RATE
Examination Fee Registration Fee
Shodan $80 $60
Nidan $100 $70
Sandan $120 $100
Yondan $150 $150
Godan $200 $200
Rokudan $250 $500
Shichidan $300 $800
Hachidan $300 $900
382nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
UNITED STATES RATE
Examination Fee Registration Fee
Shodan $80 $80
Nidan $100 $110
Sandan $120 $155
Yondan $150 $210
Godan $200 $260
Rokudan $250 $550
Shichidan $300 $850
Hachidan $300 $950
SOUTH AFRICA RATE
Examination Fee Registration Fee
Shodan $60 $30
Nidan $70 $35
Sandan $80 $50
Yondan $100 $75
Godan $150 $100
Rokudan $200 $250
Shichidan $250 $400
Hachidan $250 $450
392nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
CARIBBEAN RATE
Examination Fee Registration Fee
Shodan $60 $60
Nidan $70 $70
Sandan $80 $100
Yondan $100 $150
Godan $150 $200
Rokudan $200 $500
Shichidan $250 $800
Hachidan $250 $900
All Dan ranking is registered with the International Shotokan Karate Federation. ISKF will
evaluate all registration requests for approval and issuance of registration numbers. Dan certificates will
be printed in Japan and forwarded from ISKF Headquarters to the regional director, who at his direction
delivers them to the student or his instructor.
Send all paperwork to: [email protected]
2nd ISKF World Shoto Cup c/o Erico Super Perez, M.D.
PO Box #2, Greenhills Post Office
San Juan, Metro Manila, 1502 Philippines
402nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Request for Dan Registration For purposes of clarity all information must be typewritten. Handwritten forms will be returned.
Name _______________________________________________________
Address _______________________________________________________ PHOTO
_______________________________________________________
Telephone ______________ Email ______________________________________________________
Registering for ___ Dan Date of Examination _______________________________________
Examiner _______________ Instructor __________________________________________________
*Instructor’s Signature __________________________________________________________________
Club Name ________________________ Country _______________ Region _____________
*All registrant’s form must be signed by the Chief Instructor of the examinee’s club to be accepted.
PERSONAL INFORMATION
Date of Birth ________________| Sex MF|Height __ft __ in / __ cm | Weight ___ lbs/ __ kgs
Occupation __________________________________________________________________________
Last School or College _______________________________________ Degree ____________________
KARATE HISTORY
When did you begin karate practice? Year ______________ Month ____________
Previous Dan Registrations:
Date of ExamReg. No. Examiner Date of Exam Reg. No. Examiner
Sho (1) Dan __________________ _________ Ni (2) Dan ___________ ________ ________
San (3) Dan __________________ _________ Yon (4) Dan ___________ ________ ________
Go (5) Dan __________ ________ _________ Roku (6) Dan ___________ ________ ________
Sichi (7) Dan __________________ _________ Hachi (8) Dan ___________ ________ ________
I REQUEST MY RANK TO BE LISTED IN THE REGISTER OF THE ISKF. I PROMISE TO
UPHOLD THE STANDARDS AND HONOR OF THE ISKF.
Student’s Signature __________________________________________________________________
FOR EXAMINER’S USE ONLY
Rank Awarded __________________________ Examiner’s Signature __________________________
Promotion by (circle one) EXAMINATION RECOMMENDATION HONORARY
412nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Remarks:
Advertising Page Charges
Rates: BW Colored
Full Page (inside back cover) 10”high x 7-1/2” wide $500 $1000
Full Page (interior) 10”high x 7-1/2” wide $300 $590
Half Page 5” high x 7-1/2” wide $180 $290
Quarter Page 5” high x 3-3/4” wide $100 $190
Eighth Page 2-1/2” high x3-3/4” wide $ 75 $150
Full page (inside back cover) is first come, first served basis. Artwork should be 300dpi in JPG, PSD, PNG,
or AI formats only. Any copy not already typeset must be typed, not handwritten. Business cards may be
used for art.
Deadline for softcopies and ad space payment: September 30, 2012, no later.
Ad size (Please check one):
__ Inside Cover __Full Page __Half Page __Quarter Page __Eighth Page
Company Name: _______________________________________________________________________
Company Address: _____________________________________________________________________
Company Representative: __________________________ Phone: _______________________________
Signature: ______________________________________ Date: _________________________________
Total Amount Enclosed: $____________________
Please send advertisements to: [email protected]
Please make checks or money orders payable to:
International Shotokan Karate Federation Philippines Inc.
422nd
ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines
Please send payment to:
2nd ISKF World Shoto Cup c/o Erico Super Perez, M.D.
PO Box #2, Greenhills Post Office
San Juan, Metro Manila
1502 Philippines