--------------Entry
Form
When
making Competition entry payment by Cheque. Please follow the 5 simple
stages listed below.
1. Copy and paste the Registration form, and email your details to the
event
Co-ordinator using this email address :
narholden@aol.com
2.
Make Cheques payable to A.K.A. KICKBOXING.
3. Printout a second copy of your entry form, and send it with your
Cheque payment to the following address.
--------------------Event Coordinator -
A.K.A. Kickboxing
--------------------C/O.
Neil Holden,
--------------------Warrington Kickboxing
Studio,
--------------------Top
Floor - Unit 8,
--------------------Bridgefoot
Business Centre,
--------------------Old
Road,
--------------------Warrington,
--------------------Cheshire,
--------------------WA4
- 1AY.
(Note : Only send by 1st class post)
4. After you have posted your cheque and entry form , please send a
text
to 07973-43-18-18, saying A.K.A. REGISTRATION
- NAME, SCHOOL, WEIGHT.
we will text you back with a confirmation of arrival when we recieve
your post.
5. IMPORTANT - Regularly check the Current
Entries Page, to ensure that your details have been received
by the A.K.A. If your details are not on the Current
Entries Page
then they have not been received by the A.K.A. We reccomend that you
immediately text the event co-ordinator, Neil Holden if there are any
problems.
-----------------------------------------------------------------------------------------------------------------------
Copy and paste the Registration form,
from below the dotted line, thankyou.
-----------------------------------------------------------------------------------------------------------------------
--------------Registration Form:
Name : __________
Name
of - School / Gym / Camp / Academy :
__________
Representing - Region / Town / Area :
__________
Trainer : __________
Trainers Mobile Telephone Number
: __________
Trainers Email Address :
__________
Personal Telephone Number :
__________
Personal Email Address :
__________
Age : __________
Sex ( male / female ) :
__________
Height ( cms ) :
__________
How many years have you been training Martial Arts:
__________
Weight ( kgs ) :
__________
A.K.A. Weight Division :
__________
A.K.A. Competition Class you wish to compete at for this event :-
1. Just Novice Level ( Controlled-Contact ) :
__________
2. Just Senior Level ( Full-Contact ) :
__________
3. Either - Subject to matching ( Just looking to compete ):
__________
Title Contest ( If opportunity arises to be matched at this event -
Yes / No ): _____
Previous Competion
record:
A.K.A. RULE 34. AMATEUR STATUS:
In line with A.B.A. Boxing, the A.K.A. recognises a "Professional
contest" as a bout between people two persons without any
Head Guards and allowing full-contact strikes to the
head with fists.
Total Number of Martial Arts Competitions
you have participated in :
__________
(Please
Give a breakdown of your Amateur
record)
Record Breakdown: 'N' Class
( No Decision / Interclub Bouts ) : ____
Record Breakdown: 'C' Class
( With Decision Controlled / Semi Contact Bouts ):
____
Record Breakdown: 'B' Class
( Full-Contact Am. Bouts - Non Title contests ):
____
Record Breakdown: 'A' Class
( Full-Contact Am. Bouts - Title Contests ):
____
Date of last contest :
__________
Your
Competition Class ( N/C/B/A
) :
__________
(Competition Class - is the highest level has
been competed at, following the A.K.A. criteria above ).
Championship Titles Held/Holding :
__________
(Relevant only for 'A' class entries ).
______________________________________________________________________
(Please
Give a breakdown of your Professional
record)
Record Breakdown: 'N' Class
( 3 x 1.5 Mins rounds) : ____
Record Breakdown: 'C' Class
( 3 x 2 Mins rounds) :
____
Record Breakdown: 'B' Class
( 5 x 2 Mins rounds) : ____
Record Breakdown: 'A' Class
( 5x 3 Mins rounds) : ____
Date of last contest :
__________
Your
Competition Class ( N/C/B/A
) :
__________
(Competition Class - is the highest level has
been competed at, following the criteria above ).
Championship Titles Held/Holding :
__________
-----------------------------------------------------------------------------------------------------------------------
FORM ENDS - at the above line, thankyou.
We reccomend that you now print a complete copy of the rules, from the
A.K.A. Website. Anything that you are unsure of, please speak to an
A.K.A. representative before competing. Please bring your copy of the
rules to the event, thankyou.
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