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www.iskf.ph/shotocup INTERNATIONAL SHOTOKAN KARATE FEDERATION – PHILIPPINES WATERFRONT HOTEL AND CASINO CEBU CITY, PHILIPPINES NOVEMBER 8-11, 2012

ShotoCup 2012 booklet v33

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Page 1: ShotoCup 2012 booklet v33

www.iskf.ph/shotocup

INTERNATIONAL SHOTOKAN KARATE FEDERATION –

PHILIPPINES

WATERFRONT HOTEL AND CASINO

CEBU CITY, PHILIPPINES

NOVEMBER 8-11, 2012

Page 2: ShotoCup 2012 booklet v33

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ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Contents

Contents........................................................................................................................................................1

General Information .....................................................................................................................................3

About Cebu City ............................................................................................................................................4

History...................................................................................................................................................4

Climate .................................................................................................................................................. 5

Tourism .................................................................................................................................................5

Time Line/ Deadlines ....................................................................................................................................6

Competitor’s Checklist ..................................................................................................................................8

Schedule of Events........................................................................................................................................9

Schedule of Eliminations.........................................................................................................................11

November 10, 2012 ................................................................................................................................11

Junior Division Kata.............................................................................................................................11

Senior Division Kata ............................................................................................................................11

Adult Division Kata..............................................................................................................................11

Junior Division Kumite ........................................................................................................................12

Senior Division Kumite ........................................................................................................................12

Adult Division Kumite..........................................................................................................................12

Fees and Admission Prices..........................................................................................................................13

Waiver/Release Agreement for Contestants/Participants .........................................................................14

Representative, Managers and Coaches Registration Form.......................................................................15

Information for Judges................................................................................................................................16

Application for Judges Exam ...................................................................................................................16

Judge’s Requirements.............................................................................................................................16

Judge’s Exam Form .....................................................................................................................................17

Selection of Judges Form ........................................................................................................................18

Clinic Registration Form..............................................................................................................................19

Junior division – Kata Registration Form ....................................................................................................20

Junior division – Team Kata Registration Form ..........................................................................................21

Junior division – Kumite Registration Form ................................................................................................22

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ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Junior division – Team Kumite Registration Form ......................................................................................23

Adult division – Kata Registration Form .....................................................................................................24

Adult division – Team Kata Registration Form............................................................................................25

Adult division – Kumite Registration Form .................................................................................................26

Adult division – Team Kumite Registration Form .......................................................................................27

Senior division – Kata Registration From....................................................................................................28

Senior division – Team Kata Registration Form ..........................................................................................29

Senior division – Kumite Registration Form................................................................................................30

Senior division – Team Kumite Registration Form......................................................................................32

Banquet Registration Form.........................................................................................................................33

T-Shirt Order Form......................................................................................................................................34

Dan Examination.........................................................................................................................................36

Request for Dan Registration......................................................................................................................39

Advertising Page Charges............................................................................................................................40

Page 4: ShotoCup 2012 booklet v33

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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, and banquet dinner.

Hotel Reservation:

Email Andrew Teh 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

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ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Send all paperworks to: [email protected]

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)

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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.

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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

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Sunday, November 11, 2012 Banquet, Pacific Ballroom

7:00pm

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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

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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

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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

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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.

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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.

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ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Fees and Admission Prices

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]

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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***

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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

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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.

Judge’s Requirements

For Judge’s Level Rank must be at least

D Nidan

C Sandan

B Yondan

A Shichidan

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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 __________________________________________________________________

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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

Page 20: ShotoCup 2012 booklet v33

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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 Teruyuki OKAZAKI

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$:

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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$

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212nd

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

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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$

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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

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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$

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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$:

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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$

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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

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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$

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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$:

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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$

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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

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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: $_____________

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ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, 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: $___________________

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ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

Deadline: Postmark by September 30, 2012

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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.

Personal checks are not acceptable.Additional $10 is required for the processing fee.

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

UNITED STATES RATE

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ISKF World Shoto Cup Karate Championships | November 8-11, 2012 | Cebu City, Philippines

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

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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]

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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

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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]