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Ballarat One Match 2024
Saturday 24 August 2024
Federation University Mt Helen
Please ensure that you have read the instructions to correctly complete this form - CLICK HERE FOR INSTRUCTIONS
Weigh-In: 11am at the venue
MEDICAL FORM:  must be obtained from your doctor and submitted at the weigh-in.
Click Here to download the Medical (Knockdown Full Contact) Form
BALLARAT ONE MATCH WAIVER:  must be completed and submitted at the weigh-in
Click Here to download the Ballarat One Match Waiver Form
It is important that the details provided are as accurate as possible!

Entry Form

First Name
Surname
Address
Suburb
Karate Grade
Telephone Number
Email
Instructor Email
Parent/Guardian Name
Gender
Weight (kg)
Post Code
Dojo
Date of Birth
Age on day of the tournament

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Martial Arts History:
If Kyokushin, how long have you been training for?
Prior to joining Kyokushin have you trained in another martial art?
If Yes, give details, training time, grade achieved:
Total training time in all martial arts:
Conditions of Entry
  • ​Every endeavour will be made to provide a suitable match up but there is no guarantee of a match.
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  • This One Match is open to over 18 years Full Contact, 16 & 17 years Colts and 12 to 15 years padded full contact​.
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  • All competitors must provide a Doctor's Certificate and signed Waiver on the form provided.  This MUST be handed in at the official weigh-in. NO FORMS = NO FIGHT
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  • All competitors must have mouth guards (interstate and overseas competitors please note that this is a legal requirement, and you will NOT be permitted to fight without a mouth guard).
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  • Male competitors MUST wear a groin guard.
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  • Female competitors may wear soft style breast guards only (VKKA approved type only).  You must present these for inspection at the weigh-in.
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  • Any female competitor discovered fighting with a non-approved breast guard will be immediately disqualified. 
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  • Competitors not weighed in by 11am on the day of the tournament, will be disqualified. Earlier weigh in is possible.    Please 
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  • By entering this tournament the competitor (or legal guardian, where the competitor is less than 18 years of age at time of tournament), hereby grants to the organisers (Victorian Kyokushin Karate Association, Inc.) a non-exclusive, non-royalty bearing and non-sublicensable licence to take photographs, record footage or live broadcast of the competitor ('content') and to use the content in any promotional material developed or distributed by the Victorian Kyokushin Karate Association, Inc. and its affiliates.    ​
Declaration
I, whose electronic acknowledgement of the conditions of entry and email address that appears on this entry form, in consideration and as a condition of the acceptance of my entry in this tournament, hereby waive all and any claim, right or cause of action which I might otherwise have for, or arising out of loss or injury, damage or loss of any description whatsoever which I may suffer or sustain in the course of, or as a consequence upon my entry or participation in this tournament.  In participating in this Victorian Knockdown Championships, I am aware, and understand the risk of harm (including personal injury or death, damage to property or economic loss).  I am aware that this sport is "dangerous recreational activity" that involves significant risk of harm.  This waiver, release and discharge shall be and operate separately in favour of all persons, corporations and bodies involved or otherwise in promoting or staging this event and the servants, agents, representatives and officers of them.  I understand that the Victorian Kyokushin Karate Association, Inc. reserves the right to reject any entry which, in its sole judgement, will be detrimental to the tournament.  I will abide by the rules of this Kyokushin tournament.  I acknowledge that I have read and understood the "Conditions of Entry".  
I am a member of an Ambulance Scheme:
I acknowledge that I have read and understood the conditions of entry and declaration

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