THE AMERICAN OKINAWAN KARATE ASSOCIATION
& Hanshi Ralph D. Passero present
AOKAINC
GRAND MASTER DON NAGLE
WORLD OPEN KARATE
CHAMPIONSHIP & WORLD OPEN
Team Fight Championship
(Team fights only open to Adult Black Belts)
SATURDAY SEPTEMBER 24th2016
Teams must pre register $75.00 pr team
OPEN TO ALL STYLES DOORS OPEN 9:00AM
Tournament begins at 11:00 AM
MARIST HIGH SCHOOL
1241 KENNEDY BOULEVARD BAYONNE, NEW JERSEY 07002
N.J. Tpk. to exit 14A, stay to left on Ave. E to 52nd St. turn right, go 4 blocks to
Kennedy Boulevard,turn right, go 5 blocks to 57th St., make a left into Marist HS.
Parking available
Children, Adults, & Over 35, Divisions
* Special - SIX KUMITE GRAND CHAMPIONSHIP Divisions *
(1st place in each division fights for Grand Championship)
JUNIOR DIVISION FOR BOYS & GIRLS
SUPER JUNIOR DIVISION FOR BOYS & GIRLS
ADULT DIVISIONS FOR MEN & WOMEN
All Grand Champions receive a Grand Champion Award
1st,2nd 3rd & 4th Place winners receive a Championship Award Certificate
With a photo of Soke Shimabuku and Grandmaster Don Nagle
Personalized with their name & position placed
THIS TOURNAMENT IS NON CONTACT
Mandatory gear—head, hand, foot, cup (male), mouthpiece, clean traditional Gi with top
(All supplied by competitor). No open hand/foot pads permitted.
For more information contact: Hanshi Ralph D. Passero
AOKAINC DOJO: 551 200 2601 or
Fees: 1, 2, or 3 events - ONLY $60.00
PRE REGISTRATION $50.00
ALL AMERICAN ISSHINRYU current members PAY $50.00
Personal checks accepted from: AMERICAN ISSHINRYU REGISTERED COMPETITORS
ABSOLUTELY NO AT THE DOOR DISCOUNTED RATE
PRE REGISTER Check or money order only $50.00 prior to 9/12/2015
MAKE PAYABLE TO: AOKAINC,
MAIL TO: AOKA INC. PO BOX 1954 BAYONNE, N J 07002
(Priorto: 9/12/2015)
DO NOT SEND CASH
Spectators - $7.00 (children under 5 admitted free)
Join AMERICAN ISSHINRYU and save $10.00
Don Nagle’s
American Okinawan Karate Association
*********************************************************************************************************************
CHILDERN’S DIVISION (17 AND UNDER)
MIGHTY MITES (6 & UNDER) KATA KUMITEJUNIORS ( 11 & 12)KATAKUMITE
BELTS B&G B & G BELTSB & G B G
NOVICE (6—10 KYU) ______NOVICE (6-10 KYU ______
INTERMEDIATE(4-5 KYU) ______INTERMEDIATE (4-5 KYU) ______
ADVANCED (1-3 KYU + DANS) ______ADVANCED (1-3 KYU + DANS) ______
WEE WEES (7 & 8) KATA KUMITE JUNIORS (13—15) KATAKUMITE
B & G B & GB & G B G
NOVICE (6 –10 KYU) ______NOVICE (6—10 KYU)______
INTERMEDIATE (4—5 KYU) ______INTERMEDIATE (4-5 KYU)______
ADVANCED (1-3 KYU + DANS) ______ADVANCED (1-3 KYU + DANS) ______
PEE WEES (9 –10) KATA KUMITESUPER JUNIORS (16 –17)KATAKUMITE
B & G B & GB & G B G
NOVICE (6 –10 KYU) ______NOVICE (6—10 KYU)______
INTERMEDIATE (4 –5 KYU) ______INTERMEDIATE (4—5 KYU)______
ADVANCED (1 –3 KYU + DANS) ______ADVANCED (1—3 KYU + DANS) ______
WEAPONS 11:00 AM
JUNIORS (ALL DIVISIONS ALL RANKS)______SUPER JUNIORS (ALL DIVISIONS ALL RANKS) ______
ADULT DIVISION (18 & OVER)
KATAKUMITE
MEN & WOMENMENWOMEN
NOVICE (6 –10 KYU) ______
BEGINNER (4—5 KYU)______
INTERMEDIATE (1 –3 ) KYU)______
ADVANCED (ALL DANS)______
UP TO 149 LBS ______150LBS &UP______
WEAPONS (11:00AM)DANS (MEN & WOMEN) ______KYU’S (MEN & WOMEN) ______
MASTERS KATA (OVER 5TH DAN) (MEN & WOMEN) ______
OVER 35 DIVISIONS
KATAKUMITE
MEN & WOMENMENWOMEN
NOVICE (6 –10 KYU)______
BEGINNER 4—5 KYU)______
INTERMEDIATE (1 –3 KYU) ______
ADVANCED (ALL DANS)______
GRAND CHAMPION — ALL KUMITE DIVISIONS FOR MEN & WOMEN BEGINNING ROUNDS,
NOVICE VS NOVICE, BEGINNER VS BEGINNER, ETC. FOR ADULT AND OVER 35 CATEGORIES.)
FOLLOW THE RULES OR DO NOT ENTER
THE AMERICAN OKINAWAN KARATE
ASSOCIATION, INC
REGISTRATION FORM Team Members MEN’S TEAM WOMEN’S TEAM
Entry Fee $75.00 per team
Name ______
Signature ______
Name ______
Signature ______
Name ______
Signature ______
Name of Dojo ______Phone ______
Address______
Town/City______State______
Fighters assume any and all deductable arising out of any and all insurance claims and agrees to hold harmless, any person, or organization involved with this tournament, and agrees to the rules of no contact
WAIVER OF LIABILITY
IN CONDITION OF BEING ALLOWED TO PARTICIPATE , THE UNDER SIGNED DOES HEREBY VOLUNTARILY SUBMIT THEIR APPLICATION FOR THE
AOKAINC. GRAND MASTER DON NAGLE’S WORLD OPEN KARATE CHAMPIONSHIP. THE UNDERSIDGNED DOES HEREBY SIGN FOR HIM/HERSELF,
HIS/HER HEIRS, EXECUTORS,ADMINISTRATORS, AND SUCCESSORS RELEASE AND FOREVER DISCHARGE THE PROMOTERS AND ORGANIZERS OF
THE SAID TOUNAMENT AND THEIR SERVANTS AND AGENTS AND ALL THOSE IN ANY WAY CONNECTED WITH THE RUNNING AND MANAGEMENT
OF THE SAME, INCLUDING BUT NOT LIMITED TO THE AMERICAN OKINAWAN KARATE ASSOCIATION INC. AND IT’S OFFICERS AND MEMBERS,
MARIST HIGH SCHOOL AND IT’S AGENTS, FROM ANY AND ALL ACTIONS CAUSE OF ACTIONS, CLAIMS AND DEMANDS FOR, UPON OR BY REASONS OF
ACTION OF ANY DAMAGE, LOSS OR INJURY TO PERSON OR PROPERTY OR DEATH, WHICH HERETOFORE HAS BEEN UNDERSIGNED PARTICIPATING
IN THE SAID TOURNAMNET. I ALSO HEREBY AGREE THAT ANY PHOTOGRAPHS, VIDEO OR FILM TAKEN AT THE EVENT MAY BE USED BY THE
TOURNAMNET DIRECTORS FOR PUBLICATION, BROADCAST OR FOR ANY OTHER PROMOTIONAL PURPOSES. I AM FULLY AWARE OF MY
(OR MY CHILD’S) PERSONAL PHYSICAL AND MEDICAL CONDITIONS, AND THEREBY ACKNOWLEDGE THAT I (OR MY CHILD IS) AM
PHYSICALLY FIT TO COMPETE IN THIS MARTIAL ARTS TOURNAMENT. THE APPLICANT HAS READ THE RULES PESONALLY OR HAS BEEN
INSTRUCTED BY HIS/HER TEACHER, SENSEI, ADULT GUARDIAN, OR PARENT AS TO THE RULES GOVERNING THE TOURNAMENT, AND I (AND
OR MY CHILD IS) AM FULLY PREPARED TO FOLLOW THE RULES IN A SAFE AND DISCIPLINED FASHION. BY SIGNING THIS WAIVER I WILL
ASSUME FULL RESPONSIBILITY FOR ALL MY (AND/OR MY CHILD’S) ACTIONS IN CONNECTION WITH THIS EVENT.
ALL PARTICIPANTS ARE RESPONSIBLE FOR ANY AND ALL DEDUCTIBLES RESULTING FROM ANY AND ALL INSURANCE CLAIMS.
Sensei’s Name:______DATE: 24 SEPTEMBER 2016
Witness and Sensei
ALL TEAM FIGHT REGISTRATIONS TO BE PREPAID
FOLLOW THE RULES OR DO NOT COMPETE
THE AMERICAN OKINAWAN KARATE ASSOCIATION
& HANSHI RALPH D. PASSERO
PRESENT THE
AOKAINC.
GRAND MASTER DON NAGLE’S
WORLD OPEN
KARATE CHAMPIONSHIPS
WORLD OPEN TEAM FIGHTING CHAMPIONSHIPS
DATE: 24 September 2016
EMAIL ADDRESS: ______
NAME: ______RANK: ______
AGE: ______SEX: ____ HEIGHT: ______WEIGHT: ______
ADDRESS: ______
CITY: ______STATE: ______ZIP: ______
NAME OF DOJO: ______PHONE: ______
ADDRESS: ______
CITY: ______STATE: ______ZIP: ______
INSTRUCTOR’S NAME: ______RANK: ______
ALL AMERICAN ISSHINRYU CURRENT MEMBERS PAY $50.00
DON NAGLE’S AOKA INC.
**********************************************************
WAIVER OF LIABILITY
IN CONDITION OF BEING ALLOWED TO PARTICIPATE , THE UNDER SIGNED DOES HEREBY VOLUNTARILY SUBMIT THEIR APPLICATION FOR THE
AOKAINC. GRAND MASTER DON NAGLE’S WORLD OPEN KARATE CHAMPIONSHIP. THE UNDERSIDGNED DOES HEREBY SIGN FOR HIM/HERSELF,
HIS/HER HEIRS, EXECUTORS,ADMINISTRATORS, AND SUCCESSORS RELEASE AND FOREVER DISCHARGE THE PROMOTERS AND ORGANIZERS OF
THE SAID TOUNAMENT AND THEIR SERVANTS AND AGENTS AND ALL THOSE IN ANY WAY CONNECTED WITH THE RUNNING AND MANAGEMENT
OF THE SAME, INCLUDING BUT NOT LIMITED TO THE AMERICAN OKINAWAN KARATE ASSOCIATION INC. AND IT’S OFFICERS AND MEMBERS,
MARIST HIGH SCHOOL AND IT’S AGENTS, FROM ANY AND ALL ACTIONS CAUSE OF ACTIONS, CLAIMS AND DEMANDS FOR, UPON OR BY REASONS OF
ACTION OF ANY DAMAGE, LOSS OR INJURY TO PERSON OR PROPERTY OR DEATH, WHICH HERETOFORE HAS BEEN UNDERSIGNED PARTICIPATING
IN THIS TOURNAMENT. I ALSO HEREBY AGREE THAT ANY PHOTOGRAPHS, VIDEO OR FILM TAKEN AT THE EVENT MAY BE USED BY THE
TOURNAMNET DIRECTORS FOR PUBLICATION, BROADCAST OR FOR ANY OTHER PROMOTIONAL PURPOSES. I AM FULLY AWARE OF MY
(OR MY CHILD’S) PERSONAL PHYSICAL AND MEDICAL CONDITIONS, AND THEREBY ACKNOWLEDGE THAT I (OR MY CHILD IS) AM
PHYSICALLY FIT TO COMPETE IN THIS MARTIAL ARTS TOURNAMENT. THE APPLICANT HAS READ THE RULES PERSONALLY OR HAS BEEN
INSTRUCTED BY HIS/HER TEACHER, SENSEI, ADULT GUARDIAN, OR PARENT AS TO THE RULES GOVERNING THE TOURNAMENT, AND I (AND
OR MY CHILD IS) AM FULLY PREPARED TO FOLLOW THE RULES IN A SAFE AND DISCIPLINED FASHION. BY SIGNING THIS WAIVER I WILL
ASSUME FULL RESPONSIBILITY FOR ALL MY (AND/OR MY CHILD’S) ACTIONS IN CONNECTION WITH THIS EVENT.
ALL PARTICIPANTS ARE RESPONSIBLE FOR ANY AND ALL DEDUCTIBLES RESULTING FROM ANY AND ALL INSURANCE CLAIMS.
SIGNATURE OF COMPETITOR: ______
DATE: 24 September 2016
SIGNATURE OF PARENT/GUARDIAN:______
DATE: 24 September 2015