2016 Pacific Northwest Karate-Do Classic -22nd Annual
Date: Nov 05, 2016 to Nov 05, 2016
This Tournament is closed for online registration.
Registration Fee:
1 Event: $55
$10.00 each additional event
Synchronized Kata: $30 per team
Tickets at the Door: General Admission for Adults — $5, Children (10 & Under) — $3
Tournament Contact Information:
Joni Sharrah
jsharrah@windermere.com
2062282392
Venue & Location:
Lynnwood High School
18218 North Road
Bothell, WA 98012
Tournament Information:
Style of Martial Art: Traditional Karate
Tournament Sponsor: USA Karate Academy
Tournament Background:
Presented by: USA Karate Academy
Directed by: Joni Sharrah
Operations: Alan Sharrah
Tournament Date: Saturday, November 5, 2016
Location: Lynnwood High School Gymnasium 18218 North Road, Bothell WA 98012
Athlete Check-in: 8am
Events begin: 9am
Registration Fees: 1 Event: $55 | 2 Events: $65 | 3 Events: $75
Synchronized Kata registration is taken the day of competition, $30 per team
(or $10 per person)
Entry Deadline: If registering by mail, please have postmarked no later than Oct. 28
Online registration open until 7:55pm, Nov. 3
If submtting payments by mail: Make checks or money orders payable to USA Karate Club and send payment with completed athlete registration and waiver forms to:
USA Karate Club
20126 Ballinger Way NE, PMB #222
Shoreline WA 98155
A $25 fee will be charged for returned checks.
Alternatively, athletes may register online using a credit card at www.karatetmaster.com.
Rules: Modified AAU/International Karate Rules will be in effect. Visit www.aaukarate.org for a complete list of tournament rules and regulations.
Awards: Custom medals for first, second, and third place. All junior competitors will receive a participation ribbon.
Other Events: Officials’ meeting Friday, November 4, 6:30pm, at USA Karate Academy dojo. Address is 1535 NE 177th St., Shoreline WA 98155.
Tournament Dress Code: Athletes must wear a solid white gi. Sleeves and pants must be hemmed to an appropriate length - no rolled sleeves or pant legs. Female athletes must wear a white sport tank or t- shirt under the gi jacket. A single organization karate patch may be worn on the left chest.
Officials. must wear gray slacks, a white shirt, a blue or red tie, black shoes, and a blue blazer.
Mandatory Equipment: Helmets with faceshield for youth 17 and under, groin cups for all male fighters, red, white, or blue naugahyde knuckle pads, and mouthguard for all. A proper uniform and equipment are required to participate.
Optional Equipment: Shin and instep guards for juniors, shin guards for adults, chest protectors for all, certified sports glasses with strap or soft contact lenses, helmets with or without faceshields for adults 18 and up.
Disallowed Items: Headbands, jewelry, colored T-shirts, metal hair clips. No long and/or dirty fingernails.
Lodging: A block of rooms is available at the Courtyard by Marriott Seattle-North/Lynnwood Everett for $139-$144 USD for the nights of 11/4-6. Taxes not included. Book online or by phone (1-888-236-2427) and request the 2016 Pacific Northwest Karate- do Classic block by Oct. 19, 2016.
Medical Release:
By clicking the "I Agree" you are electronically signing this agreement indicating that you have read, and understood the terms and conditions, refund policy, and release of liability, you are 18 years of age or older or the parent or legal guardian of the minor registering for this tournament or event. In the case of registering a minor you attest that the name entered as the parent or legal guardian is the name of the person accepting the agreement and you are in fact the parent or legal guardian of the registered minor.
WAIVER/RELEASE FORM (“AGREEMENTâ€)
IN CONSIDERATION of being permitted to participate in any way in The Pacific Northwest Karate-do Classic Championships, I, for myself, my personal representatives, assigns, heirs, and next of kin:
1. ACKNOWLEDGE, agree, and represent that I understand the nature of the Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I
further agree and Warrant that if at any time I believe conditions to be unsafe, I will immediately
discontinue further participation in the Activity.
2. FULLY UNDERSTAND that: (a) ATHLETIC ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH (“RISKSâ€): (b) these Risks and dangers may be caused by my actions or inactions, the actions or inactions of others participating in the Activity, the condition in which the Activity takes place, or THE NEGLIGENCE OF THE “RELEASEES†NAMED BELOW: (c) there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foresee- able at this time and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation or that of the minor in the Activity.
3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the WA Karate Services, USA Karate Academy, Joni and Alan Sharrah, including related affiliated and subsidiary companies of each, as well as the officers, directors, agents, employees and assigns of each, lessors of premises on which the Activity takes place. FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEES†OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS, NEGLIGENT SECURITY, TRAVEL, AND RECREATIONAL OPERATIONS AND ACTIVITIES: AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION
OF RISK, AND INDEMNITY AGREEMENT.
I, or anyone on my behalf, makes a claim against any of the Releasee’s, I WILL INDEMNIFY, SAVE, AND
HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost as which any may incur as the result of such claim.
Agreement to Participate
I, or we, grant to the Directors, Assistants, or assigned chaperones of this event to act as
guardians/spokesmen in granting permission for emergency treatment/hospitalization (including anesthesia) if necessary for my child en route to or from or at the site of karate event or
hospital or other medical facility. I understand that should a health emergency arise, I will be
attempted to be notified, but that if I cannot be reached by telephone, such medical treatment as deemed necessary by competent medical personnel is authorized.
I hereby authorize the tournament directors to allow the reproduction, dissemination, and/or
publication of my name and likeness for media coverage, public relations, or any other purpose
which may involve the use of photographs, films, and/or video tape recording, This is to be done in conjunction with my participating in this karate event and I understand and agree that I may neither pay a fee to receive individual promotional consideration from my participation in this event, nor will I receive any payment for the possible commercial use of my name or likeness.
I REALIZE THAT THERE ARE NO REFUNDS. MINOR RELEASE: AND I, THE MINOR’S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF ATHLETIC
ACTIVITIES AND THE MINOR’S EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE
RELEASEE’S FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR’S ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEES†OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND FURTHER AGREE THAT IF, DESPITE THIS RELEASE, I, THE
MINOR, OR ANYONE ON THE MINOR’S BEHALF MAKES A CLAIM AGAINST ANY OF THE RELEASEES NAMED ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE, OR COST ANY MAY INCUR AS A RESULT OF ANY SUCH CLAIM.
I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST
EXTENT, ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.
This Tournament is closed for online registration.