Big "D" 2008 on-line Registration Form

• Please provide the following contact information:

  Competitor's First Name
  Competitor's Last Name
  Name on Paypal Account
  Paypal Email

• Please describe yourself:

  Date of Birth
  Sex	Male	Female
  Height
  Weight

            Rank  White Belt Yellow Belt Gold Belt Orange Belt Green Belt Blue Belt Purple Belt Brown Belt Red Belt Black Belt   

            Online Pre-registration Prices are as follows:  1 or 2 divisions = $40  Additional events @ $5

                                                                                        $5 Discount to AKBBA members to above price only. (card number required)

                                                                                         Team Forms Divisions $30

                                                                                         Beginner "Demo" Division $30

                                                                                         Beginner "Demo" Division (in addition to Forms/Sparring) $5

Standard AOK Divisions

          Kata divisions :                None DEMO Physically Challenged 5 & Under (All Ranks) Beg. 6-7 Int. 6-7 Adv. & Black Belt 6-7 Beg. 8-9 Int. 8-9 Adv. & Black Belt 8-9 Beg. 10-11 Int. 10-11 Adv. 10-11 Black Belt 10-11 Beg. 12-13 Int. 12-13 Adv. 12-13 Black Belt 12-13 Beg. 14-15 Int. 14-15 Adv. 14-15 Black Belt 14-15 Beg. 16-17 Int. 16-17 Adv. 16-17 Black Belt 16-17 Beg. Women 18-31 Int. Women 18-31 Adv. Women 18-31 Beg. Exec Women 32+ Int. Exec Women 32+ Adv. Exec Women 32+ Beg. Men 18-34 Int. Men 18-34 Adv. Men 18-34 Beg. Exec Men 35+ Int. Exec Men 35+ Adv. Exec Men 35+ Black Belt Women 18-31 Black Belt Women Exec 32+ Black Belt Men 18-34 Black Belt Men Exec 35-44 Black Belt Men/Women Sr. Exec 45+ Black Belt Soft Style 18+ Black Belt Self Defense 18+ Beg. Specialty Forms 11 & Under Int. Specialty Forms 11 & Under Adv. Specialty Forms 11 & Under Black Belt Specialty Forms 11 & Under Beg. Specialty Forms 12-17 Int. Specialty Forms 12-17 Adv. Specialty Forms 12-17 Black Belt Specialty Forms 12-17 Adult Under Black Belt Spec. Forms 18+ Black Belt Musical Forms 18+ (Weapons Optional) Black Belt Weapons (No Music) Forms 18+ Black Belt Exec Spec Forms Men 35+/Women 32+ Junior Team Forms 17- (All Belts) Adult Team Forms 18+ (All Belts)

          Kata divisions continued:   None DEMO Physically Challenged 5 & Under (All Ranks) Beg. 6-7 Int. 6-7 Adv. & Black Belt 6-7 Beg. 8-9 Int. 8-9 Adv. & Black Belt 8-9 Beg. 10-11 Int. 10-11 Adv. 10-11 Black Belt 10-11 Beg. 12-13 Int. 12-13 Adv. 12-13 Black Belt 12-13 Beg. 14-15 Int. 14-15 Adv. 14-15 Black Belt 14-15 Beg. 16-17 Int. 16-17 Adv. 16-17 Black Belt 16-17 Beg. Women 18-31 Int. Women 18-31 Adv. Women 18-31 Beg. Exec Women 32+ Int. Exec Women 32+ Adv. Exec Women 32+ Beg. Men 18-34 Int. Men 18-34 Adv. Men 18-34 Beg. Exec Men 35+ Int. Exec Men 35+ Adv. Exec Men 35+ Black Belt Women 18-31 Black Belt Women Exec 32+ Black Belt Men 18-34 Black Belt Men Exec 35-44 Black Belt Men/Women Sr. Exec 45+ Black Belt Soft Style 18+ Black Belt Self Defense 18+ Beg. Specialty Forms 11 & Under Int. Specialty Forms 11 & Under Adv. Specialty Forms 11 & Under Black Belt Specialty Forms 11 & Under Beg. Specialty Forms 12-17 Int. Specialty Forms 12-17 Adv. Specialty Forms 12-17 Black Belt Specialty Forms 12-17 Adult Under Black Belt Spec. Forms 18+ Black Belt Musical Forms 18+ (Weapons Optional) Black Belt Weapons (No Music) Forms 18+ Black Belt Exec Spec Forms Men 35+/Women 32+ Junior Team Forms 17- (All Belts) Adult Team Forms 18+ (All Belts)   $5 extra pre-registration price (DEMO division, see above pricing)

          Kata divisions continued:   None DEMO Physically Challenged 5 & Under (All Ranks) Beg. 6-7 Int. 6-7 Adv. & Black Belt 6-7 Beg. 8-9 Int. 8-9 Adv. & Black Belt 8-9 Beg. 10-11 Int. 10-11 Adv. 10-11 Black Belt 10-11 Beg. 12-13 Int. 12-13 Adv. 12-13 Black Belt 12-13 Beg. 14-15 Int. 14-15 Adv. 14-15 Black Belt 14-15 Beg. 16-17 Int. 16-17 Adv. 16-17 Black Belt 16-17 Beg. Women 18-31 Int. Women 18-31 Adv. Women 18-31 Beg. Exec Women 32+ Int. Exec Women 32+ Adv. Exec Women 32+ Beg. Men 18-34 Int. Men 18-34 Adv. Men 18-34 Beg. Exec Men 35+ Int. Exec Men 35+ Adv. Exec Men 35+ Black Belt Women 18-31 Black Belt Women Exec 32+ Black Belt Men 18-34 Black Belt Men Exec 35-44 Black Belt Men/Women Sr. Exec 45+ Black Belt Soft Style 18+ Black Belt Self Defense 18+ Beg. Specialty Forms 11 & Under Int. Specialty Forms 11 & Under Adv. Specialty Forms 11 & Under Black Belt Specialty Forms 11 & Under Beg. Specialty Forms 12-17 Int. Specialty Forms 12-17 Adv. Specialty Forms 12-17 Black Belt Specialty Forms 12-17 Adult Under Black Belt Spec. Forms 18+ Black Belt Musical Forms 18+ (Weapons Optional) Black Belt Weapons (No Music) Forms 18+ Black Belt Exec Spec Forms Men 35+/Women 32+ Junior Team Forms 17- (All Belts) Adult Team Forms 18+ (All Belts)   $5 extra pre-registration price

          Kata divisions continued:   None DEMO Physically Challenged 5 & Under (All Ranks) Beg. 6-7 Int. 6-7 Adv. & Black Belt 6-7 Beg. 8-9 Int. 8-9 Adv. & Black Belt 8-9 Beg. 10-11 Int. 10-11 Adv. 10-11 Black Belt 10-11 Beg. 12-13 Int. 12-13 Adv. 12-13 Black Belt 12-13 Beg. 14-15 Int. 14-15 Adv. 14-15 Black Belt 14-15 Beg. 16-17 Int. 16-17 Adv. 16-17 Black Belt 16-17 Beg. Women 18-31 Int. Women 18-31 Adv. Women 18-31 Beg. Exec Women 32+ Int. Exec Women 32+ Adv. Exec Women 32+ Beg. Men 18-34 Int. Men 18-34 Adv. Men 18-34 Beg. Exec Men 35+ Int. Exec Men 35+ Adv. Exec Men 35+ Black Belt Women 18-31 Black Belt Women Exec 32+ Black Belt Men 18-34 Black Belt Men Exec 35-44 Black Belt Men/Women Sr. Exec 45+ Black Belt Soft Style 18+ Black Belt Self Defense 18+ Beg. Specialty Forms 11 & Under Int. Specialty Forms 11 & Under Adv. Specialty Forms 11 & Under Black Belt Specialty Forms 11 & Under Beg. Specialty Forms 12-17 Int. Specialty Forms 12-17 Adv. Specialty Forms 12-17 Black Belt Specialty Forms 12-17 Adult Under Black Belt Spec. Forms 18+ Black Belt Musical Forms 18+ (Weapons Optional) Black Belt Weapons (No Music) Forms 18+ Black Belt Exec Spec Forms Men 35+/Women 32+ Junior Team Forms 17- (All Belts) Adult Team Forms 18+ (All Belts)   $5 extra pre-registration price

          Kata divisions continued:   None DEMO Physically Challenged 5 & Under (All Ranks) Beg. 6-7 Int. 6-7 Adv. & Black Belt 6-7 Beg. 8-9 Int. 8-9 Adv. & Black Belt 8-9 Beg. 10-11 Int. 10-11 Adv. 10-11 Black Belt 10-11 Beg. 12-13 Int. 12-13 Adv. 12-13 Black Belt 12-13 Beg. 14-15 Int. 14-15 Adv. 14-15 Black Belt 14-15 Beg. 16-17 Int. 16-17 Adv. 16-17 Black Belt 16-17 Beg. Women 18-31 Int. Women 18-31 Adv. Women 18-31 Beg. Exec Women 32+ Int. Exec Women 32+ Adv. Exec Women 32+ Beg. Men 18-34 Int. Men 18-34 Adv. Men 18-34 Beg. Exec Men 35+ Int. Exec Men 35+ Adv. Exec Men 35+ Black Belt Women 18-31 Black Belt Women Exec 32+ Black Belt Men 18-34 Black Belt Men Exec 35-44 Black Belt Men/Women Sr. Exec 45+ Black Belt Soft Style 18+ Black Belt Self Defense 18+ Beg. Specialty Forms 11 & Under Int. Specialty Forms 11 & Under Adv. Specialty Forms 11 & Under Black Belt Specialty Forms 11 & Under Beg. Specialty Forms 12-17 Int. Specialty Forms 12-17 Adv. Specialty Forms 12-17 Black Belt Specialty Forms 12-17 Adult Under Black Belt Spec. Forms 18+ Black Belt Musical Forms 18+ (Weapons Optional) Black Belt Weapons (No Music) Forms 18+ Black Belt Exec Spec Forms Men 35+/Women 32+ Junior Team Forms 17- (All Belts) Adult Team Forms 18+ (All Belts)   $5 extra pre-registration price

• Sparring division entered today: None 5 & Under Boys & Girls (All Ranks) Beg. Girls 6-7 Int. Girls 6-7 Adv. & Black Belt Girls 6-7 Beg. Girls 8-9 Int. Girls 8-9 Adv. & Black Belt Girls 8-9 Beg. Girls 10-11 Int. Girls 10-11 Adv. Girls 10-11 Black Belt Girls 10-11 Beg. Girls 12-13 Int. Girls 12-13 Adv. Girls 12-13 Black Belt Girls 12-13 Beg. Girls 14-17 Int. Girls 14-17 Adv. Girls 14-17 Black Belt Girls 14-17 Beg. Boys 6-7 Int. Boys 6-7 Adv. & Black Belt Boys 6-7 Beg. Boys 8-9 Int. Boys 8-9 Adv. & Black Belt Boys 8-9 Beg. Boys 10-11 Int. Boys 10-11 Adv. Boys 10-11 Black Belt Boys 10-11 Beg. Boys 12-13 Int. Boys 12-13 Adv. Boys 12-13 Black Belt Boys 12-13 Beg. Boys 14-15 Int. Boys 14-15 Adv. Boys 14-15 Black Belt Boys 14-15 Beg. Boys 16-17 Int. Boys 16-17 Adv. Boys 16-17 Black Belt Boys 16-17 Beg. Women 18-31 Int. Women 18-31 Adv. Women 18-31 Beg. Exec Women 32+ Int. Exec Women 32+ Adv. Exec Women 32+ Beg. Men 18-34 Light Beg. Men 18-34 Heavy Int. Men 18-34 Light Int. Men 18-34 Heavy Adv. Men 18-34 Light Adv. Men 18-34 Heavy Beg. Exec Men 35+ Int. Exec Men 35+ Adv. Exec Men 35+ Black Belt Women Fly Wt 18-31 Black Belt Women Light Wt 18-31 Black Belt Women Exec 32+ Black Belt Men 18-34 Light Black Belt Men 18-34 Middle Black Belt Men 18-34 Heavy Black Belt Men Exec 35-44 Light Black Belt Men Exec 35-44 Heavy Black Belt Men Senior Exec 45+        NOTE: Only one sparring division is allowed per person.

  Kenpo Divisions--(The Kenpo Divisions are not standard AOK divisions so AOK points will not be awarded to the AOK State Finals)

  Kenpo Katas                None Beg. 9 & under Int. 9 & under Adv./Black 9 & under Beg. 10-13 Int. 10-13 Adv./Black 10-13 Beg. 14-17 Int. 14-17 Adv./Black 14-17 Beg. Adult 18+ Int. Adult 18+ Adv. Adult 18+ Black Belt Adult 18+

Chinese Kung Fu Divisions--(The Chinese Kung Fu Divisions are not standard AOK divisions so AOK points will not be awarded to the AOK State Finals)

          Chinese Kung Fu Sets  None Beg. 9 & under Int. 9 & under Adv./Black 9 & under Beg. 10-13 Int. 10-13 Adv./Black 10-13 Beg. 14-17 Int. 14-17 Adv./Black 14-17 Beg. Adult 18+ Int. Adult 18+ Adv. Adult 18+ Black Belt Adult 18+

• Spectators- adults

   Pre-registration 

  none 1 2 3 4 5 6 7 8 9 10 @ $12

                           
  

• Spectators- children: (5-12 yrs.)  (4 yrs. & under-FREE)

  Pre-registration                              

  none 1 2 3 4 5 6 7 8 9 10 @ $8                           

   

• Special requests, or if the competitor's last name is different from the person that is paying by Paypal:

  By submitting this form, I do hereby voluntarily enter my application for participation in the Big "D" Championships and hereby assume full responsibility for any and all damages, injuries or losses that I may sustain or incur, if any, while attending or participating.   I waive all claims for/or against the promoters, or operators, or sponsors of the Big "D" Championships, individually or otherwise for any claims for injuries that I may sustain.  I fully understand that I am entering such competition at my own risk and that any medical treatment given to me will be of a first aid treatment type only.  I declare that I am free of any physical defects of illness, which might prohibit competition.  I consent that any picture furnished by me or any picture taken of me in connection with the Big "D" Championships can be used for publicity, promotion or television show, and I waive compensation in regards thereto.  If under 18, this release and consent is to be signed by parent or guardian.  I further agree to abide by the rules of the tournament and the final decisions of the officials.  I certify that the above information is correct and accurate to the best of my knowledge.  The Producer (s) of the Big "D" Championships reserve the right to refuse entry to anyone.

  If the competitor is under 18 yrs. of age, a parent or guardian must fill in the box below with his/her name and date.  Note: You may also be asked to sign the form at the Big "D" Championships.

  Name of Parent or Guardian (if under 18 yrs.)

  Please keep track of your totals, BEFORE YOU SUBMIT THIS FORM.  You MUST be able to provide Paypal with the correct totals when paying. For multiple entries in the same household, use your "Back" button on your browser to bring this form back, then re-enter the appropriate information and divisions for competitor #2.  A thank you message will appear saying your entry has been received each time this form is submitted.
  

  After submitting this form, you MUST then pay by PAYPAL by hitting the "PAY NOW" button on the "THANK YOU" page that will come up when this form is submitted.  Failure to do so will negate your entry.

  Paypal will accept credit cards, payments from your bank account, or Paypal balances.  It is secure and easy to do, but you must be registered, or register with Paypal first, which is FREE.  Paypal will then send you a receipt by email, which we suggest you print and bring to the Big "D" for confirmation of payment.

Please click form only ONCE.  Sometimes there is a delay, depending on conditions.

Don't forget to pay by Paypal after submitting your entry!!!!!!!!!!!!!!

It is suggested you print out this form and bring it with you to tournament registration.