Victorian Kyokushin Karate Association Inc.
Rokon and Kingston Plant Hire presents

2020 Victorian Championships
Sunday May 3rd

The Arena, 110 Victoria St, North Geelong

 

Please ensure that you have read the instructions to correctly complete this form - CLICK HERE FOR INSTRUCTIONS

Entry Cost:  $30 (the competitor will receive a personalised signed participation certificate) 

Spectators: Adults $25, U16 $10, Family $50

Non - Contact Entry Form

First Name
Surname
Address
Suburb
arrow&v
Karate Grade
Telephone Number
Email
Instructor Email
Parent/Guardian Name
arrow&v
Gender
Post Code
Dojo
Date of Birth
Age on day of the tournament
arrow&v
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 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.  ​
  • 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.
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 2020 Victorian 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 acknowledge that I have read and understood the conditions of entry and declaration
arrow&v
Shihancho can be contacted on 03 5229 5229 / 0418 347 088 or shihancho@vic.chariot.net.au