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Bakerland Developments Presents the
2023 Victorian Non Contact & Kata Regional Championships Sunday September 10

Winchelsea Primary School Hall
15 Gosney Street, Winchelsea
 
Please ensure that you have read the instructions to correctly complete this form - CLICK HERE FOR INSTRUCTIONS
Competitor Entry Cost: $10 for Kumite or Kata, $15 for entry into both
Spectators: $5 (Cash Only and only available at the door on the day)
There will also be a full canteen service providing food and drinks
After submitting this form, you will receive a confirmation email, if you do not receive an email please contact us.

Entry Form

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

I wish to enter: (select from drop down)
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Conditions of Entry
  • 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, please mail to Shihancho, 38 Roxby St, Manifold Heights 3218 or contact him on 03 5229 5229.  The deadline for entries is Friday Sept 1.

  • The competitor agrees to abide by the rules and regulations of this tournament as decided by the V.K.K.A. Inc.
  • Mouth guards & groin guards (males) are compulsory, leg/instep protectors are optional.  
  • Hand mitts are NOT permitted.  See your instructor for advice on proper selection of protective equipment.​
  • The VKKA reserves the right to include males and females in the same age division, or merge divisions if necessary.
  • All competitors must report to their designated ring when advised and stay on that ring until medals are presented.  ​
  • The tournament will use a repechage system so competitors must lose twice before being eliminated
  • 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 Non Contact & Kata Event, 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 acknowledge that I have read and understood the conditions of entry and declaration
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YOU HAVE NOT COMPLETED ALL THE REQUIRED FIELDS - Form NOT Submitted

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