Houston Marriott Westchase - 2900 Briarpark Dr, Houston, TX 77042

Houston Marriott Westchase - 2900 Briarpark Dr, Houston, TX 77042

COMPETITOR Registration Form Please Print! **Deadline:postmarked by July 16 (late fee: $20)**
Personal Information
NAME: / SCHOOL:
ADDRESS: / ADDRESS:
City / State / Zip Code / City / State / Zip Code
PHONE: / ()- / FAX: / ()- / SIFU / MASTER:
AGE: / GENDER: / EXPERIENCE: / yrs. / mo. / PHONE: / ()- / FAX: / ()-
EMAIL: / EMAIL:
Divisions (*please mark one!*) / Levels (*please mark one!*)
KIDS ages 8 & under
(boys & girls together)
JUNIORS ages 9 to 12
(boys & girls together)
TEENS ages 13 to 16
(boys & girls together) / ADULT MEN
ADULT WOMEN
EXECUTIVE MEN ages 36+
EXECUTIVE WOMEN ages 36+
SR. TAIJI EXECUTIVE ages 60+
(no levels; men & women together) / The Legends reserves the right to combine divisions that do not meet a minimum of 6 participants for each event in all levels.
YOUTH (kids & juniors)TEENS & ADULTS
LESS THAN 2 YEARS BEGINNER less than 2 yrs.
2 YEARS OR MORE INTERMEDIATE 2 to 4 yrs.
ADVANCED more than 4 yrs.
External Events / Internal Events
TRADITIONAL KUNGFU
NORTHERN
SOUTHERN LONG
SOUTHERN SHORT
SABRE
STRAIGHTSWORD
STAFF
SPEAR
NORTHERN PRAYING MANTIS
CHOY LAY FUT
OTHER FORM
OTHER WEAPON / MODERN WUSHU
CHANGQUAN
NANQUAN
STRAIGHTSWORD
SABRE
STAFF
SPEAR
OTHER FORM
OTHER WEAPON / WING CHUN
WING CHUN FORM
WING CHUN WEAPON
OPEN EVENTS
FORM
LONG WEAPON
SHORT WEAPON
DOUBLE/FLEXIBLE WEAPON
2-3 MAN FIST SET
2-3 MAN WEAPON SET
/ CHEN TAIJI
YANG TAIJI
WU (HAO) TAIJI
WU TAIJI
SUN TAIJI
24 STEP TAIJI
42 STEP TAIJI
XINGYIQUAN
BAGUAZHANG / TAIJI STRAIGHTSWORD
TAIJI SABRE
42 STEP TAIJI SWORD
OTHER INTERNAL FORM
OTHER INTERNAL WEAPON
Musical Group Events / Exhibition Events
1 person registers 4-6 people, 1.5 to 5 min time range. / (Exhibition events are scored but NOT ranked)
EXTERNAL FORM / # PPL: / GROUP NAME: / EXTERNAL FORM / STYLE:
EXTERNAL WEAPON / # PPL: / GROUP NAME: / EXTERNAL WEAPON / STYLE:
INTERNAL FORM / # PPL: / GROUP NAME: / INTERNAL FORM / STYLE:
INTERNAL WEAPON / # PPL: / GROUP NAME: / INTERNAL WEAPON / STYLE:
Reaction Skills Events (Refer to General Outline of Competition Rules) **Please be sure to mark your level in SECTION 3!**
POINT SPARRING (17 & under) CONTINUOUS SPARRING (adult) CHI SAU
/ RESTRICTED-STEP PUSH HANDS MOVING PUSH HANDS
SAN SHOU(Advanced Adult Only) / AGE: 7 & UNDER 15-17GENDER: MALE FEMALE
8-11 ADULT
12-14 WEIGHT: ______lbs
Chin Woo Compulsory Events (No levels; men & women together)
GONG LI QUAN (Strength Boxing)
JIE QUAN (Connecting Fist)
BA GUA DAO (Bagua Sabre) / QUN YANG GUN (Sheep Flocking Pole)
WU HU QIANG (5 Tiger Spear) / DIVISIONS
15 YEARS OLD & UNDER
16 YEARS OLD & UP
Cultural Events Competition *NEW* / Usa / Pan America Team Qualifier
LION DANCE COMPETITION
WESTERN CHESS COMPETITION
CHINESE CHESS COMPETITION / CHINESE CALLIGRAPHY
PAINTING
(All ages, men and women together. More information at: / TRADITIONAL KUNG FU
MODERN WUSHU
TAI CHI
CHIN WOO / TRADITIONAL LION DANCE
CHINESE CHESS
CHINESE CALLIGRAPHY
PAINTING
WAIVER / Certificates will be awarded to qualifiers. (Advanced level only for teen, adult, and executive competitors. 2 or more years experience for kids and juniors. Selecting team qualifier events does not add to the competition fee. More information at:
I, ______, the undersigned, knowingly and without duress, do voluntarily submit my entry to the 2012 LEGENDS of Kung FuWorld Martial Arts Championships [hereinafter referred to as “Competition”], organized by Chin Woo Tournament, Inc. [hereinafter referred to as “Chin Woo”]. I hereby assume all risk of physical and mental injuries, disabilities, and losses, which may result from or in connection with my participation in the Competition. Acting for myself, heirs, personal representatives, and assignees, I do hereby release Chin Woo, its officers, agents, representatives, servants, employees, volunteers, and all other related members from all claims, actions, suits, and controversies at law or in equity by reason of any matter, cause, or thing whatsoever that I may sustain as a result of or in connection with my participation in the Competition.
I also understand that participation in this Competition, especially but not limited to fighting sparring matches, entails a great risk of injury, and I assume full responsibility for all my actions, intentional or otherwise, during and in connection with my participation in the Competition. I fully understand that any medical attention or treatment afforded to me by Chin Woo, its officers, agents, representatives, servants, employees, volunteers, and all other related members will be of first aid type only, and I hereby release Chin Woo, its officers, agents, representatives, servants, employees, volunteers, and all other related members from any liability for such aid.
I agree that my performance, attendance, and participation at the Competition may be filmed or otherwise recorded or telecast live. I consent to the use by Chin Woo of my name, likeness, voice, poses, pictures, and biographical data concerning fully or in parts, in any form or language, with or without other material, throughout the world, without limitation, for television, radio, video, theatrical motion pictures, internet or any other medium by devices now known or hereafter devised, and I do hereby waive any compensation in regard thereof as well as any future rights to the aforementioned.
I have read and fully understand the waiver listed above. I also understand that all fees paid are nonrefundable. Parent or legal guardian signature is required if competitor is under eighteen (18) years of age.
______
COMPETITOR SIGNATURE PARENT OR GUARDIAN (If competitor is under 18 years of age) DATE
Spectator Tickets and Passes / Competition Fees
ONE DAY PASS (competition only): / $15 / X / : / $0 / REGISTRATION FEE:(includes 1st INDIVIDUAL event) / $65
TWO DAY PASS (competition only): / $30 / X / : / $0 / # of additional events / X / $20: / $0
THREE DAY PASS (competition only): / $35 / X / : / $0 / # of team events / X / $80: / $0
MASTERS’ DEMO & SANSHOU FINAL(separate from day passes): / $25 / X / : / $0 / # of cultural events (except lion dance competition) / X / $20: / $0
SANSHOU FIGHT NIGHT(Friday only, does not include Sanshou Finals): / $25 / X / : / $0
VIDEO PASS:
(valid for regular competition only; not valid for Masters’ Demo / Sanshou) / $40 / X / : / $0 / Late Fee ($20 after July 16): / $
Total Spectator Fees: / $0 / CASH ONLY ON JULY 27-29! Total Competition Fees: / $65
Sanshou Registration Fee / Lion Dance Competition Fee
Sanshou Event : Check Here / Registration Fee: / $80 / Lion Dance Event : Check Here
(1 person registers per team, 6 to 8 people per team. Multiple teams may use same musicians.) / Registration Fee: / $100
Late Fee ($20 after July 16): / $ / Late Fee ($20 after July 16): / $
Total Sanshou Fees: / $ / Team name: / Total Lion Dance Fees: / $
Total Fees & Payment CASH REGISTRATION ONLY ON JULY 27 – 29!
Total Spectator Fees (from Section 12): / $0 / *** All fees paid are non-refundable ***

Free Shoes if you register by June 29!
Enter European Shoe Size here:
Total Competition Fees (from Section 13): / $65
Total Sanshou Registration Fees (from Section 14): / $0
Total Lion Dance Competition Fees (from Section 15): / $0
TOTAL: / $65
PLEASE MAIL FORM WITH CHECK / MONEY ORDER
MADE PAYABLE TO:
CHIN WOO TOURNAMENT, INC.
1778 N. PLANO RD. STE #108
RICHARDSON, TX 75081 USA / Payment Method: VISA MasterCard Checks Money Order
Card owner name:
Credit Card #:
Expiration Date: / /
Signature:
Any questions? Contact: Phone (214) 878-4598 Fax: (972)680-7888 email:

FOR OFFICE USE ONLY

DATE POSTMARKED______AMOUNT______⃞CASH CHECK #______RECEIVED BY:______

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