HERE - SouthEastern US Kendo Federation

SEUSKF members:
The Charlotte Kendo Club, the Columbia Kendo Club, and the Winthrop
University Kendo Club are working together to host the Fourth Annual All-Carolina
Kendo Tournament and Promotional on Saturday, February 28, 2015 and March 1,
2015, at Saint Andrews Recreation Center, 920 Beaty Road, Columbia, SC 29210. The
promotional will be for ranks from 6-kyu to 1-dan. Doors will open at 9:00 am and we will
try to get started by 9:30. Promotional (shinsa) will be on Sunday, March 1, 2015.
There will be seven divisions: Youth (15 yrs & under), Youth Teams (15 & under),
Mudansha (16 yrs and above), Women (15 yrs & older but no rank restrictions), Seniors
(50 years & up but no rank restrictions), yudansha and teams (five person teams).
Please do not put Youth under 16 years of age in the adult team division where
they would have to match up with adults. Not only is this dangerous to the children, it is
unfair to the adult who has to fight them. We will have a separate Youth Team division
for our young Kenshi. The Youth individual and team divisions will be held later in the
day to accommodate the youth attending Japanese Language School.
Send entry and promotional forms to Taylor Raffield, 8105 Granduer Drive,
Salisbury, NC 28146. Must be mailed by February 11, 2015. Make out all checks to
Charlotte Kendo Club.
Rooms are available at the Extended Stay America-Columbia-Harbison, 1170
Kinley Road, Irmo SC 29063, at a special rate. Their number is 803-781-8590. To get
the special rate, ask for the “Komatsu” rate. Each room has a sofa bed as well as the
regular bed (s). Lunch on Saturday will be Bentos from a local resturant. Please pay at the same
time as you pay entry fees. Shimpan Bento lunch will be supplied by the host dojos at
no charge.
Entry fee will be thirty dollars for adults (18 years and older) and ten dollars for
children (17 years and under). Fill out the entry form that is attached and send it to the
address on the form. Include your order for lunch.
The promotional fee will be $20 for 2-kyu and below and $30 for 1-kyu and 1dan. Send two checks, one for the entry fee and one for the menjo (rank certificate). If
you test for 1-kyu or 1-dan and do not pass, the second check will be returned to you.
A dinner party is planned for Saturday night. Details will be announced at the
tournament.
Commemorative T-shirts and official SEUSKF tenugui will be sold.
We look forward to your attendance.
Sincerely,
Ken Strawn
Fourth All-Carolina Tournament Entry Form.
Name ____________________________________ Age________
Rank _________ Dojo___________________________________
DIVISIONS: (check ones you wish to enter).
Youth (15 years & Under)
Youth Teams (15 years & under)
______________
______________
Mudansha (unranked to 1-kyu, 16 years & older) ______________
Women (15 years & up, no rank restrictions)
______________
Seniors (50 years & up, no rank restrictions)
________________
Yudansha (1-dan & up)
Teams (5 person teams, no youth on team)
Entry fee
________________
________________
30.00 for adults (18 years and older).
10.00 for youth (17 years and under).
Send check made out to Charlotte Kendo Club, Inc. Mail to Taylor Raffield,
8105 Granduer Drive, Salisbury NC 28146.
Deadline: Saturday, February 14, 2015.
Bento Order Form.
Cost is $10.00.
How many?
Costs
Bento
__________
_________
Shimpan ____________
__FREE____
Totals
__________
____________
Drinks will be supplied by the Columbia Kendo Club on site.
Shimpan lunch will be supplied by the host dojos.
Interested in attending Saturday night dinner--Total number __________.
2012 Menjo (Promotion Certificate) Fee
Kyu 17 and Under $ 10.00
18 and Over $ 20.00
1st Dan
$ 30.00
2nd Dan
$ 40.00
3rd Dan
$ 60.00
4th Dan
$ 80.00
5th Dan
$ 100.00
6th Dan
$ 150.00
7th Dan
$ 200.00
Shogo: $100.00
Renshi
$ 200.00
Kyoshi
$ 300.00
* Cost to reprint
$ 20.00
A menjo that has been lost.
AUSKF ID# ______________
(You must have paid this year's dues)
Name: ___________________________________ Kanji: ________________________
(Last)
(First)
(MI)
Address:________________________________________________________________
(Street)
(Apt #)
(City)
(State)
(Zip Code)
Telephone: ______________________ Age: _____ Date of Birth:_________________
(Month, Day, Year)
e-mail address: ___________________________________________________________
Dojo: ____________________________ Height: ___________ Weight: ___________
Present Rank: _________________
Date Received: ___________________
Where Received:__________________________________________________________
(If outside the SEUSKF, you must attach a copy of your menjo)
Rank Requesting: ___________________
Is this exam for kata only? _____________
(yes/no)
If "Yes", did you pass the Kendo portion?______________________________________
(When & Where)
How long have you studied kendo? ___________________________________________
The above statements are true, correct, and complete to the best of my knowledge
__________________________________
Applicant signature
_________________________________
Parent or Guardian signature (if under 18)
Remarks of recommendation by Instructor: ____________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Rank recommended by Instructor: ____________________________________________
Instructors Name: _____________________________________
(Print)
Instructors signature:___________________________________ Date: ______________
(sign)
(M\D\Y)
Test Fees (separate from menjo fee): $20 (2 Kyu and below); $30 (1 Kyu and above)
Please print clearly! Menjo certificate will be taken from this application form.
Attach copy of previous menjo if last rank was received outside the SEUSKF
Kendo Promotion Examination Written Test Questions.
(1 Kyu-1 Dan).
1 Kyu: Explain the benefits of “Kirikaeshi.”
1 Dan: Choose one (1) of the following to answer:
A) Describe the “Ki-Ken-Tai-Ichi.”
B) Describe the four (4) types of kendo footwork. “Ashi-sabaki.”
AGREEMENT AND RELEASE FROM LIABILITY
1.
Voluntary participation. I, ____________________________, acknowledge that I have voluntarily
(print name)
applied, or have voluntarily allowed my child ____________________________ to apply, to participate in
(print child’s name)
kendo instruction and training at a dojo or club which is affiliated with the Southeastern United States
Kendo Federation (hereinafter, any and all affiliated dojo or clubs, and the members and officers of
the Southeastern United States Kendo Federation board of directors, are referred to as “SEUSKF”).
2.
Assumption of Risk. I am aware that participation in kendo, as in any sport or physical
activity, may cause physical injury, damage to property, and, in rare cases, even death. I am
voluntarily participating, or allowing my child to participate, in this activity with knowledge of the
danger involved, hereby agree to accept any and all risks of injury, damage, and/or death, and
verify this statement by placing my initials here. __________.
3.
Release. As consideration for being permitted by SEUSKF to participate in these activities
and use related facilities, I hereby agree that I, my assignees, heirs, distributees, guardians, and legal
representatives will not make a claim against, sue, or attack the property of the SEUSKF on account
of injury, damage, or death resulting from the negligence or other acts, however caused, by any
employee, agent, or contractor of SEUSKF as a result of my, or my child’s participation in kendo. I
hereby release SEUSKF from all actions, claims, or demands that I, my assignees, heirs, distributees,
guardians, and legal representatives now have or may hereinafter have for injury, damage or death
resulting from my, or my child’s, participation in kendo.
4.
Knowing and Voluntary Execution. I have carefully read this release and fully understand its
contents. I am aware that this is a release of liability and a contract between SEUSKF and me and
sign it of my own free will.
Executed on [date] ______________________ at [city] ______________________, [state] _______________.
________________________________________________
____________________________________________
Signature of participant, or if participant is a minor,
signature of participant’s parent or legal guardian
Print name
DECLARATION OF WITNESS
I certify that ___________________________ [above participant/parent/legal guardian of participant]
acknowledged in my presence that he/she read and fully understood the meaning and
consequences of the above release, and signed it in my presence.
Executed on [date] ______________________ at [city] ______________________, [state] _______________.
________________________________________________
____________________________________________
Signature of witness
Print name

Download Report