5th TWKSF World Tournament Kuoshu (Kung Fu) Championship Tournament Registration Form Competitor Information Last Name: _________________________ First Name: ___________________ Date of Birth (mm/dd/yy): _____________ Gender: Male / Female (Circle one) Email Address: __________________________ Street Address: _____________________________________________ Telephone: _________________________ City: ____________________ State: ____________________ Zip Code: _____________ Country: _________________ Competitor Total Years (Internal & External) Training Chinese Martial Arts: ________ School Information School Name: ___________________________________________________ Style: _______________________ Street Address: _____________________________________________ Telephone: _________________________ City: ____________________ State: ____________________ Zip Code: _____________ Country: _________________ Shih-Fu: ______________________________ School Email Address: _________________________________________ Adult ADVANCED EXTERNAL Competition (Competitor age > 18) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 Formas Adulto Masculino Gong Fu Norte (Adult Form – Kung Fu Northern Men) Formas Adulto Femenino Gong Fu Norte (Adult Form – Kung Fu Northern Women) Formas Adulto Masculino Gong Fu Sur (Adult Form – Kung Fu Southern Men) Formas Adulto Femenino Gong Fu Sur (Adult Form – Kung Fu Southern Women) Adulto Masculino Armas - Bastón Largo (Adult Weapon – Long Staff Men) Adulto Femenino Armas – Bastón Largo (Adult Weapon – Long Staff Women) Adulto Masculino Armas – Lanza (Adult Weapon – Spear Men) Adulto Femenino Armas - Lanza (Adult Weapon – Spear Women) Adulto Masculino Armas – Sable (Adult Weapon – Broadsword Men) Adulto Femenino Armas – Sable (Adult Weapon – Broadsword Women) Adulto Masculino Armas – Espada (Adult Weapon – Straightsword Men) Adulto Femenino Armas - Espada (Adult Weapon – Straightsword Women) Adulto Masculino Otras Armas (Adult Other Weapons Men) Adulto Femenino Otras Armas (Adult Other Weapons Women) Adultos en Pareja con Manos Vacías (Adult Two Men Set Empty Hands) Adultos en Pareja con Armas (Adult Two Men Set Weapons) Formas Adulto Masculino – Shuai Jiao (Adult Shuai Jiao Men) Formas Adulto Femenino – Shuai Jiao (Adult Shuai Jiao Women) Formas Adulto Masculino – Kenpo (Adult Kenpo Form Men) Formas Adulto Femenino – Kenpo (Adult Kenpo Form Women) Adulto Masculino Armas – Kenpo (Adult Kenpo Weapon Men) Adulto Femenino Armas – Kenpo (Adult Kenpo Weapon Women) Adulto Masculino Mass Attack - Kenpo (Adult Kenpo Mass Attack Men) Adulto Femenino Mass Attack - Kenpo (Adult Kenpo Mass Attack Women) Combate Adulto Contacto Suave Masculino – Pesado (Adult Light Contact Sparring – Men Heavy) Combate Adulto Contacto Suave Masculino – Mediano (Adult Light Contact Sparring – Men Middle) Combate Adulto Contacto Suave Masculino – Liviano (Adult Light Contact Sparring – Men Light) Combate Adulto Contacto Suave Femenino – Pesado (Adult Light Contact Sparring – Women Heavy) Combate Adulto Contacto Suave Femenino – Mediano (Adult Light Contact Sparring – Women Middle) Combate Adulto Contacto Suave Femenino – Liviano (Adult Light Contact Sparring – Women Light) Formas Senior Masculino – 36 a 45 años (Adult Senior Form – Men 36 to 45 yrs.) Formas Senior Femenino – 36 a 45 años (Adult Senior Form – Women 36 to 45 yrs.) Formas Senior Masculino – Más de 45 años (Adult Senior Form – Men Over 45 yrs.) Formas Senior Femenino – Más de 45 años (Adult Senior Form – Women Over 45 yrs.) Senior Masculino Armas – 36 a 45 años (Adult Senior Weapon – Men 36 to 45 yrs.) Senior Femenino Armas – 36 a 45 años (Adult Senior Weapon – Women 36 to 45 yrs.) Senior Masculino Armas – Más de 45 años (Adult Senior Weapon – Men Over 45 yrs.) Senior Femenino Armas – Más de 45 años (Adult Senior Weapon – Women Over 45 yrs.) Combate Adulto Arma Larga Masculino (Adult Long Weapon Fighting Men) Combate Adulto Arma Larga Femenino (Adult Long Weapon Fighting Women) Combate Adulto Arma Corta Masculino (Adult Short Weapon Fighting Men) Combate Adulto Arma Corta Femenino (Adult Short Weapon Fighting Women) Adulto Shuai Jiao Weight: ___________lbs. ** Print Two Man Set Partner Name Empty Hand: Weapon: Adult ADVANCED INTERNAL Competition (Competitor age > 18) 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 Adulto Masculino Tai Ji Quan – Yang (Adult Tai Ji Quan – Yang Style – Men) Adulto Femenino Tai Ji Quan – Yang (Adult Tai Ji Quan – Yang Style – Women) Adulto Masculino Tai Ji Quan - Chen (Adult Tai Ji Quan – Chen Style – Men) Adulto Femenino Tai Ji Quan – Chen (Adult Tai Ji Quan – Chen Style – Women) Adulto Masculino Tai Ji Quan – Otros Estilos (Adult Tai Ji Quan – Other Style – Men) Adulto Femenino Tai Ji Quan – Otros Estilos (Adult Tai Ji Quan – Other Style – Women) Adulto Masculino Tai Ji Espada (Adult Tai Ji Straightsword – Men) Adulto Femenino Tai Ji Espada (Adult Tai Ji Straightsword – Women) Adulto Masculino Tai Ji Otras Armas (Adult Tai Ji Other Weapons – Men) Adulto Femenino Tai Ji Otras Armas (Adult Tai Ji other Weapons – Women) Senior Masculino Tai Ji Quan – 36 a 45 años (Senior Tai Ji Quan – Men 36 to 45 yrs.) Senior Femenino Tai Ji Quan – 36 a 45 años (Senior Tai Ji Quan – Women 36 to 45 yrs.) Senior Masculino Tai Ji Quan – Más de 45 años (Senior Tai Ji Quan – Men Over 45 yrs.) Senior Femenino Tai Ji Quan – Más de 45 años (Senior Tai Ji Quan – Women Over 45 yrs.) Senior Masculino Tai Ji Armas – 36 a 45 años (Senior Tai Ji Weapon – Men 36 to 45 yrs.) Senior Femenino Tai Ji Armas – 36 a 45 años (Senior Tai Ji Weapon – Women 36 to 45 yrs.) Senior Masculino Tai Ji Armas – Más de 45 años (Senior Tai Ji Weapon – Men Over 45 yrs.) Senior Femenino Tai Ji Armas – Más de 45 años (Senior Tai Ji Weapon – Women Over 45 yrs.) Tai Ji Quan en Pareja (Tai Ji Quan Two Men Set) Empuje de Manos Libre Masculino – Más de 90 kg (Pushing Hands Freestyle – Men over 200 lbs) Empuje de Manos Libre Masculino – 80 a 90 kg (Pushing Hands Freestyle – Men 180.1 to 200 lbs) Empuje de Manos Libre Masculino – 72 a 80 kg (Pushing Hands Freestyle – Men 160.1 to 180 lbs) Empuje de Manos Libre Masculino – Hasta 72 kg (Pushing Hands Freestyle – Men under 160 lbs) Empuje de Manos Libre Femenino – Más de 72 kg (Pushing Hands Freestyle – Women Over 160 lbs) Empuje de Manos Libre Femenino – 63.5 a 72 kg (Pushing Hands Freestyle – Women 140.1 to 160 lbs) Empuje de Manos Libre Femenino – 54.5 a 63.5 kg (Pushing Hands Freestyle – Women 120.1 to 140 lbs) Empuje de Manos Libre Femenino – Hasta 54.5 kg (Pushing Hands Freestyle – Women under 120 lbs) Xing Yi Quan Masculino (Xing Yi Quan – Men) Xing Yi Quan Femenino (Xing Yi Quan – Women) Xing Yi Armas Masculino (Xing Yi Weapon – Men) Xing Yi Armas Femenino (Xing Yi Weapon – Women) Ba Gua Zhang Masculino (Ba Gua Zhang – Men) Ba Gua Zhang Femenino (Ba Gua Zhang – Women) Ba Gua Zhang Armas Masculino (Ba Gua Zhang Weapon – Men) Ba Gua Zhang Armas Femenino (Ba Gua Zhang Weapon – Women) ** Print Two Man Set Partner Name Empty Hand: Youth ADVANCED Competition (Competitor age < 18) 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 Formas Juvenil Varones – 15 a 17 años (Youth Form – Boy 15 to 17 yrs.) Formas Juvenil Mujeres – 15 a 17 años (Youth Form – Girl 15 to 17 yrs.) Formas Juvenil Varones – 13 a 14 años (Youth Form – Boy 13 to 14 yrs.) Formas Juvenil Mujeres – 13 a 14 años (Youth Form – Girl 13 to 14 yrs.) Formas Juvenil Varones – 11 a 12 años (Youth Form – Boy 11 to 12 yrs.) Formas Juvenil Mujeres – 11 a 12 años (Youth Form – Girl 11 to 12 yrs.) Formas Infantil Varones – 9 a 10 años (Youth Form – Boy 9 to 10 yrs.) Formas Infantil Mujeres – 9 a 10 años (Youth Form – Girl 9 to 10 yrs.) Formas Infantil Varones – Hasta 9 años (Youth Form – Boy Under 9 yrs.) Formas Infantil Mujeres - Hasta 9 años (Youth Form – Girl Under 9 yrs.) Formas Juvenil Masculino Shuai Jiao – 15 a 17 años (Youth Form Shuai Jiao Boy 15 to 17 yrs.) Formas Juvenil Femenino Shuai Jiao – 15 a 17 años (Youth Form Shuai Jiao Girl 15 to 17 yrs.) Formas Juvenil Masculino Shuai Jiao – 13 a 14 años (Youth Form Shuai Jiao Boy 13 to 14 yrs.) Formas Juvenil Femenino Shuai Jiao – 13 a 14 años (Youth Form Shuai Jiao Girl 13 to 14 yrs.) Formas Juvenil Masculino Shuai Jiao – 11 a 12 años (Youth Form Shuai Jiao Boy 11 to 12 yrs.) Formas Juvenil Femenino Shuai Jiao – 11 a 12 años (Youth Form Shuai Jiao Girl 11 to 12 yrs.) Formas Infantil Masculino Shuai Jiao – 9 a 10 años (Youth Form Shuai Jiao Boy 9 to 10 yrs.) Formas Infantil Femenino Shuai Jiao – 9 a 10 años (Youth Form Shuai Jiao Girl 9 to 10 yrs.) Formas Infantil Masculino Shuai Jiao – Hasta 9 años (Youth Form Shuai Jiao Boy Under 9 yrs.) Formas Infantil Femenino Shuai Jiao – Hasta 9 años (Youth Form - Shuai Jiao Girl Under 9 yrs.) Juvenil Masculino Arma larga – 15 a 17 años (Youth Long Weapon – Boy 15 to 17 yrs.) Juvenil Femenino Arma Larga – 15 a 17 años (Youth Long Weapon – Girl 15 to 17 yrs.) Juvenil Masculino Arma Corta – 15 a 17 años (Youth Short Weapon – Boy 15 to 17 yrs.) Juvenil Femenino Arma Corta – 15 a 17 años (Youth Short Weapon – Girl 15 to 17 yrs.) Juvenil Masculino Arma Larga – 13 a 14 años (Youth Long Weapon – Boy 13 to 14 yrs.) Juvenil Femenino Arma Larga – 13 a 14 años (Youth Long Weapon – Girl 13 to 14 yrs.) Juvenil Masculino Arma Corta – 13 a 14 años (Youth Short Weapon – Boy 13 to 14 yrs.) Juvenil Femenino Arma Corta – 13 a 14 años (Youth Short Weapon – Girl 13 to 14 yrs.) Juvenil Masculino Arma Larga – 11 a 12 años (Youth Long Weapon – Boy 11 to 12 yrs. Juvenil Femenino Arma Larga – 11 a 12 años (Youth Long Weapon – Girl 11 to 12 yrs.) Juvenil Masculino Arma Corta – 11 a 12 años (Youth Short Weapon – Boy 11 to 12 yrs. Juvenil Femenino Arma Corta – 11 a 12 años (Youth Short Weapon – Girl 11 to 12 yrs.) Infantil Masculino Armas – Hasta 11 años (Youth Weapon – Boy Under 11 yrs.) Infantil Femenino Armas – Hasta 11 años (Youth Weapon – Girl Under 11 yrs.) Pareja Juvenil Masculino Puño – 15 a 17 años (Youth Empty Hand Two Men Set 15 to 17 yrs.) Pareja Juvenil Femenino Puño – 15 a 17 años (Youth Empty Hand Two Women Set 15 to 17 yrs.) Pareja Juvenil Masculino Puño – Hasta 15 años (Youth Empty hand Two Men Set Under 15 yrs.) Pareja Juvenil Femenino Puño – Hasta 15 años (Youth Empty hand Two Women set Under 15 yrs.) Pareja Juvenil Armas – 15 a 17 años (Youth Weapon Two men set 15 to 17 yrs.) Pareja Juvenil Armas – Hasta 15 años (Youth Weapon Two men Set Under 15 yrs.) Kenpo Juvenil – 15 a 17 años (Youth Kenpo – 15 to 17 yrs.) Kenpo Juvenil – 13 a 14 años (Youth Kenpo – 13 to 14 yrs.) Kenpo Juvenil – 11 a 12 años (Youth Kenpo – 11 to 12 yrs.) Kenpo Infantil – 9 a 10 años (Youth Kenpo – 9 to 10 yrs.) Kenpo Infantil – Hasta 9 años (Youth Kenpo – Under 9 yrs.) Kenpo Juvenil Ataque en masa – 13 a 17 años (Youth Kenpo mass Attack 13 to 17 yrs.) Kenpo Juvenil Ataque en masa – Hasta 12 años (Youth Kenpo Mass Attack 12 and Under) Empuje de Manos Libre Juvenil Masculino – Liviano (Youth Pushing Hands Freestyle – Boys Light) Empuje de Manos Libre Juvenil Masculino – Mediano (Youth Pushing Hands Freestyle – Boys Middle) 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 Empuje de Manos Libre Juvenil Masculino – Pesado (Youth Pushing Hands Freestyle – Boys Heavy) Empuje de Manos Libre Juvenil Femenino – Liviano (Youth Pushing Hands Freestyle – Girls Light) Empuje de Manos Libre Juvenil Femenino – Mediano (Youth Pushing Hands Freestyle – Girls Middle) Empuje de Manos Libre Juvenil Femenino – Pesado (Youth Pushing Hands Freestyle – Gurls Heavy) Empuje de Manos Libre Infantil Masculino – Liviano (Child Pushing Hands Freestyle – Boys Light) Empuje de Manos Libre Infantil Masculino – Mediano (Child Pushing Hands Freestyle – Boys Middle) Empuje de Manos Libre Infantil Masculino – Pesado (Child Pushing Hands Freestyle – Boys Heavy) Empuje de Manos Libre Infantil Femenino – Liviano (Child Pushing Hands Freestyle – Girls Light) Empuje de Manos Libre Infantil Femenino – Mediano (Child Pushing Hands Freestyle – Girls Middle) Empuje de Manos Libre Infantil Femenino – Pesado (Child Pushing Hands Freestyle – Girls Heavy) Shuai Jiao Juvenil Masculino – 45 a 55 kg (Youth Shuai Jiao – Boy 99 to 121 lbs) Shuai Jiao Juvenil Masculino – 55 a 65 kg (Youth Shuai Jiao – Boy 121 to 143 lbs) Shuai Jiao Juvenil Masculino – Más de 65 kg (Youth Shuai Jiao – Boy Over 143 lbs) Shuai Jiao Juvenil Femenino – Hasta 45 kg (Youth Shuai Jiao – Girl Under 99 lbs) Shuai Jiao Juvenil Femenino – 45 a 55 kg (Youth Shuai Jiao – Girl 99 to 121 lbs) Shuai Jiao Juvenil Femenino – Más de 55 kg (Youth Shuai Jiao – Girl Over 121 lbs) Shuai Jiao Infantil Masculino – Pesado ( Child Shuai Jiao – Boy Heavy) Shuai Jiao Infantil Masculino – Mediano (Child Shuai Jiao – Boy Middle) Shuai Jiao Infantil Masculino – Liviano (Child Shuai Jiao – Boy Light) Shuai Jiao Infantil Femenino – Pesado (Child Shuai Jiao – Girl Heavy) Shuai Jiao Infantil Femenino – Mediano (Child Shuai Jiao – Girl Middle) Shuai Jiao Infantil Femenino – Liviano (Child Shuai Jiao – Girl Light) Juvenil Contacto Suave Masculino – 15 a 17 años (Youth Light Contact Sparring Boy 15 to 17 yrs.) Juvenil Contacto Suave Femenino – 15 a 17 años (Youth Light Contact Sparring Girl 15 to17 yrs.) Juvenil Contacto Suave Masculino – 13 a 14 años (Youth Light Contact Sparring Boy 13 to 14 yrs.) Juvenil Contacto Suave Femenino – 13 a 14 años (Youth Light Contact Sparring Girl 13 to 14 yrs.) Juvenil Contacto Suave Masculino – 11 a 12 años (Youth Light Contact Sparring Boy 11 to 12 yrs.) Juvenil Contacto Suave Femenino – 11 a 12 años (Youth Light Contact Sparring Girl 11 to 12 yrs.) Infantil Contacto Suave Masculino – 9 a 10 años (Youth Light Contact Sparring Boy 9 to 10 yrs.) Infantil Contacto Suave Femenino – 9 a 10 años (Youth Light Contact Sparring Girl 9 to 10 yrs.) Infantil Contacto Suave Masculino – Hasta 9 años (Youth Light Contact Sparring Boy Under 9 yrs.) Infantil Contacto Suave Femenino – Hasta 9 años (Youth Light Contact Sparring Girl Under 9 yrs.) Juvenil Combate Arma Corta Varones – 15 a 17 años (Youth Short Weapon Fighting Boy 15 to 17 yrs.) Juvenil Combate Arma Corta Mujeres – 15 a 17 años (Youth Short Weapon Fighting Girl 15 to 17 yrs.) Juvenil Combate Arma Corta Varones – 13 a 14 años (Youth Short Weapon Fighting Boy 13 to 14 yrs.) Juvenil Combate Arma Corta Mujeres – 13 a 14 años (Youth Short Weapon Fighting Girl 13 to 14 yrs.) Juvenil Combate Arma Corta Varones – Hasta 13 años (Youth Short Weapon Fighting Boy Under 13 yrs.) Juvenil Combate Arma Corta Mujeres – Hasta 13 años (Youth Short Weapon Fighting Girl Under 13 yrs.) ** Print Two Man Set Partner Name Empty Hand: Weapon: Adult LEI TAI (full contact fighting) Competition (Competitor age > 18 and < 41) 900 901 902 903 904 905 Adulto Femenino Lei Tai - under 55kg (121.3 lbs) Adulto Femenino Lei Tai - 55.1 to 60kg (upper limit 132.3 lbs) Adulto Femenino Lei Tai - 60.1 to 65kg (upper limit 143.3 lbs) Adulto Femenino Lei Tai - 65.1 to 71kg (upper limit 156.5 lbs) Adulto Femenino Lei Tai - 71.1 to 77kg (upper limit 169.8 lbs) Adulto Femenino Lei Tai - over 77.1kg 906 907 908 909 910 911 912 913 914 Adulto Masculino Lei Tai - under 60kg (132.3 lbs) Adulto Masculino Lei Tai - 60.1 to 65kg (upper limit: 143.3 lbs) Adulto Masculino Lei Tai - 65.1 to 70kg (upper limit: 154.3 lbs) Adulto Masculino Lei Tai - 70.1 to 75kg (upper limit: 165.3 lbs) Adulto Masculino Lei Tai - 75.1 to 80kg (upper limit 176.4 lbs) Adulto Masculino Lei Tai - 80.1 to 86kg (upper limit 189.6 lbs) Adulto Masculino Lei Tai - 86.1 to 92kg (upper limit 202.8 lbs) Adulto Masculino Lei Tai - 92.1 to 98kg (upper limit 216.1 lbs) Adulto Masculino Lei Tai - over 98.1 kg Enter Competitor Name: _________________________________________ Fees for Competitors from Country that is ACTIVE TWKSF Member (list event #) Event #1: fee: $50.00 (enter fee) $ $ $ $ $ $ $ $ $ $ fee: $20.00 $ fee: $20.00 $ fee: $20.00 $ fee: $20.00 $ fee: $20.00 $ fee: $20.00 $ Event #11: $ Event #12: fee: $15.00 $ Event #10: Event #11: fee: $15.00 fee: $20.00 Event #9: Event #10: fee: $15.00 $ Event #8: Event #9: fee: $15.00 fee: $20.00 Event #7: Event #8: fee: $15.00 $ Event #6: Event #7: fee: $15.00 fee: $20.00 Event #5: Event #6: fee: $15.00 $ Event #4: Event #5: fee: $15.00 fee: $60.00 Event #3: Event #4: fee: $15.00 (enter fee) Event #2: Event #3: fee: $15.00 (list event #) Event #1: Event #2: fee: $15.00 Fees for Competitors from Country that is NOT ACTIVE TWKSF Member fee: $20.00 $ Event #12: $ Event #13: fee: $20.00 $ Event #13: fee: $15.00 $ fee: $20.00 $ TWKSF Member Registration Fees $ TWKSF NON-Member Registration Fees $ Note: All fees are in US Dollars (USD).