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Hanshi Gary Viccars, 8th Dan. Chairman: South Pacific
Victorian Kyokushin Karate Association Inc.
2024 Victorian Knockdown Championships
Sunday April 28
The Arena, 110 Victoria St, North Geelong
Please ensure that you have read the instructions to correctly complete this form - CLICK HERE FOR INSTRUCTIONS
When paying through EFT ensure that the Description states First Name & Surname of the Competitor
Application Entry Fee
Early Bird $80 (if payment received on or before April 14)
$130 (if payment received after April 14)
Weigh-In: 9am - 11am Sunday 28 April 2024
MEDICAL FORM: must be obtained from your doctor after April 14 and submitted at the weigh-in.
Click Here to download the Medical (Knockdown Full Contact) Form
Spectators must purchase tickets online from The Arena, Geelong website here
Do not pay any Spectator's Ticket to VKKA. You can ONLY purchase through The Arena Geelong here
Spectator's Tickets: Adults $25, U16 $15, Family $60
Full Contact Entry Form
First Name
Surname
Address
Suburb
Karate Grade
Telephone Number
Instructor Email
Parent/Guardian Name
Gender
T-Shirt Size
Post Code
Dojo
Date of Birth
Age on day of the tournament
...
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:
Adult Division (18yo and over)
Please select both a Grade and Weight Division
Grade Division
Weight Division
Adult Weight (kg)
Colts Divisions (16yo & 17yo)
Colts Weight (kg)
Junior Colts Divisions (14yo & 15yo)
I am interested in competing in the Junior Colts Division
Junior Colts Weight (kg)
Conditions of Entry
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Your entry will not be accepted until your entry fee is received. Please pay directly into our bank account BSB 633 108, Account number 125176180, Account Name Victorian Kyokushin Karate Association Inc and ensure you state who it is from. If you need to mail a cheque or postal note please mail to Hanshi, 38 Roxby St, Manifold Heights 3218 or contact him on 03 5229 5229
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All competitors must provide a Doctor's Certificate on the form provided. This MUST be handed in at the official weigh-in.
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All competitors must comply and adhere to the COVID-19 requirements.
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The form MUST be obtained from your doctor AFTER April 14.
You can download the form by clicking here.
NO FORM = 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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Novice competitors MUST wear shin/instep guards.
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Intermediate competitors MAY wear shin/instep guards (optional). Organisers reserve the right to combine divisions if needed (competitors will be notified); heavyweight competitors please note that the super heavyweight and heavyweight divisions may be merged.
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Late competitors, or competitors withdrawing from their match, will forfeit their entry fee and the match. Incorrect weight will result in disqualification, unless there is an opening in an alternative division. If the starting time or weigh-in time is altered, competitors will be notified.
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Competitors not weighed in by 11am on the day of the tournament, will be disqualified. Please Note: An early weigh-in on the Saturday may be possible. Competitors will be advised by email.
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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
You have not completed all the fields
FORM NOT SUBMITTED
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