open PDF - 2012 Origins International Martial Arts Festival

KUNG FU & WUSHU

Welcome to the 2011 Origins International Martial Arts Festival !
Welcome Martial Arts Enthusiasts, Family and Friends!
On behalf of the Happiest Place on Earth, Disney and Origins Events invite you to the 2011
Origins International Martial Arts Festival at Disneyland® Resort! This year kicks off a 10-
year celebration that will recognize the outstanding contributions to the martial arts from
countries across the globe. In this inaugural year, the 2011 Festival recognizes Japan and
Okinawa for their rich cultural heritage that they have shared with the world!
Our staff is committed to creating an atmosphere of sportsmanship and integrity, a
competition that is fair and exciting, and a festival for all to enjoy and experience. We also
recognize the dedication and passion of all the martial arts teachers that join us in support of
their students. Lastly, we thank the families that continue to believe in the life-changing
benefits of the martial arts.
Sincerely,
Anthony Marquez, Sr. Jarret Cooper
Executive Director, O.I.M.A.F. Senior Director, O.I.M.A.F.
CEO, Origins Events President, Origins Events
More than a Tournament … a Destination!
v20110624
Experience the magic of two enchanting theme parks – Disneyland® Park and Disney
California Adventure Park – only at the Disneyland® Resort in California. Fill your days and
nights with the wonder and excitement of two distinct Southern California theme parks.
Origins International Martial Arts Festival is excited to announce Specially Priced Disney
Packages and Park Tickets for participants and their families & friends attending the
tournament. A range of options are available from one-day to four-day tickets, single park or
Park Hopper® admission to Disneyland® Park and/or Disney California Adventure Park
Specially priced packages and theme park tickets are offered only through GET Travel
Events. To order your specially priced packages and/or theme park tickets, please visit the
Get Travel website or call GET Travel’s Customer Service Department. Be sure to mention
the 2011 Origins International Martial Arts Festival!
Get Travel Website: http://www.gettravel.com/martialarts/
GET Travel Customer Service: 888.877.4445, option 3 (8:30am to 5:00pm PST)
Visit Walt Disney's original theme park – Disneyland® Park – and celebrate the worlds of
yesterday, fantasy and tomorrow with timeless attractions, dazzling entertainment and
magical moments that last a lifetime. Right next door at Disney California Adventure Park,
Disney stories come to life in new and exciting ways — from incredible shows to amazing
attractions to your favorite Disney Characters — at this one-of-a-kind Disney theme park!
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©Disney. All rights reserved.

Tournament Information
2011 Origins International Martial Arts Festival
TOURNAMENT
at Disneyland® Resort
August 25 – 28, 2011
WHEN: Saturday, August 27, 2011
Tournament Check-in between 8:00am – 9:30am
Opening Ceremonies between 9:00am – 9:30am
Competition begins promptly at 9:30am
WHERE: Anaheim Convention Center
REGISTRATION
800 West Katella Avenue, Anaheim, CA 92802
Online @ www.OriginsEvents.com
Mail-in registration closes on August 15, 2011
SANCTIONS
U.S.A.N.K.F. (USA National Karate Federation)
S.C.K.F. (Southern California Karate Federation)
N.A.S.K.A. (North American Sport Karate Association)
H.G.C. (Hayastan Grappling Challenge)
P.U.I. (Possibilities Unlimited International)
USA JUDO
PRICING
Register early for the best pricing! Competitor fee includes
general admission to the Tournament.
Kung Fu &
Wushu Divisions
(Received By)
Early
Registration
By7/10
Pre
Registration
7/11 – 8/01
Late
Registration
After 8/01
First Division $55 $55 $65
Each Additional
Division
$20 $20 $30
Team Divisions $75 $75 $100
Spectator Pass $10 $12 $15
Pricing as-of July 9, 2011. Pricing subject to change.
CONTACT INFORMATION
Event Promotion by Origins Events (Origins Productions LLC)
Mail To: 1000 East Route 66, Suite H, Glendora, CA 91740
Website: www.OriginsEvents.com
Email: OriginsInternational@OriginsEvents.com
COMPETITIVE DIVISIONS
Over 2,500 Divisions of Competition across multiple Disciplines:
Grappling
Hwa Rang Do
Iaido & Tameshigiri
Judo
Kajukenbo
Kendo
Kenpo
Kung Fu
Lima Lama
Open Karate
Open Forms
COMPETITOR INFORMATION
Open Sparring
Open Weapons
Specially Challenged
Tang Soo Do
Traditional Karate
Traditional Kata
Traditional Kumite
Traditional Kobudo
Wushu
And more!
All competitors are encouraged to compete in as many Divisions
and Disciplines as possible. Every effort will be made to facilitate
as much participation as possible, particularly within Disciplines.
Please check the competition schedule upon check-in and continue
to check throughout the day. Competitors who do not show when
their name is announced will be disqualified. No refunds for
missed division due to competitor tardiness or conflicting
competition schedules. Competitors must wear clean uniforms.
Ring assignments will be announced during tournament check-in.
Competition order will be determined during tournament check-in.
DIVISION INFORMATION
Division details are provided for each Category within each
Discipline. Please register based on your age, rank/experience, and
gender. Competitors must register based on their age as-of August
27, 2011 and will be confirmed during tournament check-in.
Divisions are subject to change and/or reassignment. Divisions
may be split or combined at the discretion of the Origins
International Martial Arts Festival to provide fair, safe, and
exciting competition.
COMPETION RULES
Official rules and equipment requirements are identified for each
Discipline in the registration information and available on the event
website. Decisions and/or rule modifications by the Officials are
final and to be followed by all competitors. To foster a positive and
safe environment, individuals deemed unruly, disruptive, or “un-
sportsman-like” will be disqualified and potentially removed.
SPONSORS AND VENDORS
Sponsorship and vendor space at the Origins International Martial
Arts Festival at Disneyland® Resort are available. Please contact
at Vendors@OriginsEvents.com.
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Travel & Hotel Information
GET Travel Sports & Events
is the
Official Travel Partner
of the
2011 Origins International
Martial Arts Festival
at Disneyland® Resort
www.gettravel.com/martialarts/
Make the most of your stay at the Origins International Martial Arts Festival at
Disneyland® Resort with GET Travel Sports & Events – the exclusive travel provider for
Disney® for selected events at Disney Wide World of Sports® and the Origins
International Martial Arts Festival!
Enjoy a weekend of special benefits and the GET Travel signature of quality and service
that always surround you. As part of the Festival, we have contracted the following
hotels for your review and selection. These great hotels are competitively priced and
centrally located near the Anaheim Convention Center and the Disneyland® Resort.
OFFICIAL HOST HOTEL
Anaheim Marriott Hotel
PROGRAM HOTELS
Clarion
Holiday Inn Hotel & Suites
Doubletree Guest Suites
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Anaheim Marriott Hotel
Host of the Origins International Martial
Arts Festival Participant Registration
and Seminars
Next to the Anaheim Convention Center
Walking distance to Disneyland®
Indoor/Outdoor pool & patio, Fitness
Center, and Restaurant
Special pricing is available only through GET Travel exclusively. For more information
and to reservations, please visit the Get Travel website or call GET Travel’s Customer
Service Department and mention the 2011 Origins International Martial Arts Festival!
Get Travel Website: http://www.gettravel.com/martialarts/
GET Travel Customer Service: 888.877.4445, option 3 (8:30am to 5:00pm PST)
©2011 Origins Productions LLC (dba Origins Events). All Rights Reserved.

Official Host
PARTICIPANTS
KUNG FU & WUSHU
2011 Origins International Kung-Fu Championship
Senior Officials Sifu Sal Redner
Rules Kung-Fu – 2011 OIMAF Kung-Fu (below)
Sifu Philip Sahagun
Wushu – International Wushu Federation
Key Points Competitors must register based on their age as-of August 27, 2011.
Divisions are subject to change and/or reassignment.
Divisions may be split or combined at the discretion of the 2011 Origins
International Martial Arts Festival and/or the Division Officials in order to
provide fair, safe, and exciting competition.
All weapons are subject to inspection by Officials at any time.
Loss of control shall result in immediate disqualification.
Level Level is the competitor’s experience determined by years of training
and/or rank – Please check with your instructor for guidance
REGULATIONS FOR KUNG-FU DIVISIONS
1) Member federations of the International Wushu Federation (IWUF)
2) Member federations of the United States of America Kungfu & Wushu Federation (USAKWF)
3) Members of National & International Shaolin Temple Cultural Centers Non members of the International Wushu
4) Federation including collegiate clubs, Individual schools etc.
COMPETITION EVENTS
1) Individual Bare hand Events
A. First Timers Forms: Division exclusively for students in their first tournament.
B. Shaolin Temple Kungfu: Xiao Hong Quan, Da Hong Quan, Luohan Quan, Lian Huan Quan etc.
C. Nothern Shaolin Forms: Tan Tui, Xiao Yuan, Ling Po, Northern Sets 1-10
D. Southern Kungfu: Forms from Fujian or Southern China
E. Other Category: Imitation Styles, Animal Styles, Drunken Styles, Ground boxing, Wudang Kungfu or any other style of
Kungfu that is not categorized in other divisions
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2) Individual Weapon Events
A. First Timers Weapons: Division exclusively for students in their first tournament.
B. Long Weapons: Staff, Spear
C. Short Weapons: Broadsword, Sword
D. Other Weapons: Includes Soft Weapons & Dual Weapons, Pudao, Da Dao, Monk Spade, Tiger Fork, Fan, Dagger, Whip,
Chain Whip, Hooksword, Emei Dagger etc.
PARTICIPATION METHODS
1) There is no limitation on the number of teams sent by a participating association. There is no limitation on the number of
athletes. Competitors may enter as an individual or together with an association.
2) Each participating athlete may enter for multiple barehanded and weapon routines but may not compete twice in the same
division. i.e. if one has already been scored for broadsword in the short weapons category they may not switch to sword in the same
event.
3) Time Limits:
A. Shall begin at the first move of the form.
B. Beginning Level: 30 sec minimum
C. Intermediate Level: 45 sec minimum
D. Advanced level: 1 minute
E. 2 min maximum.
GENERAL RULES
Dress Code:
All competitors are required to dress appropriately. Competitors may wear traditional Chinese martial arts uniforms (preferred), or
pants appropriate for the Chinese martial arts plus a school T-shirt or an event T-shirt. The competition committee reserves the right
to make the final judgments on appropriate attire. Shoes are mandatory for all events. All shoes should be regular athletic type
shoes. No regular street-type shoes are permitted.
Procedures:
All competitors will be called to the ring at least 10 minutes before the beginning of the event. If a competitor should have an
obligation in another ring, he or she must at this time tell ring official/chief judge so they can readjust the competing order to
accommodate the competing obligations.
Competing:
When the official sees that all is ready, he or she will call the first competitor and announce for the next 2 competitors to prepare.
When the competitors name is called to compete, he/she will approach the ring and salute to the main official and wait for
permission/signal from the ring official/chief judge to begin. Judges will be observing as soon as the competitor’s name is called.
Upon receiving the signal to begin from the ring-official/chief judge, the competitor will walk to the starting position within the ring.
At no point should the competitor speak with any judge or official. This should be done before the event begins. Once the beginning
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position is found, the competitor will stand perfectly still at attention, showing judges and timekeepers that the form is ready to
begin. The time clock will begin at the first sign of movement from this attention position. The time clock will stop when the form is
finished and the competitor returns to a stationary and relaxed position. Upon completion, the competitor will again walk to the
same place he/she entered the ring and face the judges and officials once again at attention. At this time, the score for the
competitor will be given. After receiving his/her final score, the competitor will acknowledge the score by saluting the ring
official/chief judge. Only now is the competitor finished with his/her form and may leave the ring area.
Scoring of Open Hand Divisions:
Scoring will be based on performance & level by individual judges. The ranges for levels are as follows:
Beginner: 7.0 - 7.9
Intermediate: 8.0 - 8.9
Advanced: 9.0 - 9.9
Scoring should start from the top and deductions taken for mistakes. All scores count towards the final total unless there are 5
judges. With 5 judges the high & low scores are dropped. In the event of a tie, the low score is added back. If a tie still exists, the
high score is added back. In the event that a tie still exists, all judges will be asked to point at the winner simultaneously and
whoever receives the most judges will win. In the case of ties within intermediate and advanced divisions for 1st thru 3rd place
competitors must perform an alternate routine.
Each judge will be using the following guidelines in determining a competitor’s score:
1. Correctness of Form Correctness of Form
2. Strength of Stance/Stability Strength of Stance/Stability
3. Speed - Ultimately, the form must be of actual fighting speed
4. Power - (Not Muscle Tightness) Power - (Not Muscle Tightness)
5. Spirit - Martial Spirit with sense of opponent Spirit - Martial Spirit with sense of opponent
6. Overall Impression
DIVISION DESCRIPTION: KUNG-FU FORMS
The intent of a Traditional Division is to help perpetuate and preserve the original essence and strength of the art. Even though
many individuals may study the same style, there may be minor differences in the way they perform a form/set due to different
lineage or philosophy, but the majority will agree that each system has a core principle it follows (example: Hung Gar - Strong low
stances, powerful connection to Earth, Wing Chun – Trapping hands, inside fighting). All traditional forms must descend from a
specific lineage to distinguish them from modified Wushu changquan and Wushu animal styles (ie. Wudang changquan, Hung Gar
Tiger, Seven Star Praying Mantis) All competition in a Traditional Division will maintain and reinforce the core principles and
signature move(s) that are recognized as the trademark of the system. Competitors with any movement in a form that breaks the
core principle of the style it is intended to represent will be subject to reduction in their score and possible disqualification.
For all division except Other Forms and Other Weapons:
No aerial movements beyond flying kicks in, No flying kicks beyond 360 degrees.
Only two steps are permitted before any flying kick.
No movements that include inversion of the body, back tucks, back handsprings, headsprings etc.
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DIVISION DESCRIPTION: KUNG-FU WEAPONS
Weapon Specifications
Traditional Kung Fu weapons adhere to the same characteristic description as standard Wushu implements however they must be
combat weight & not light weight, flexible wushu style weapons. Although our competition allows for students to use Wushu
implements in competition, practitioners who handle traditional Kung Fu weapons with skill and proficiency will be awarded an
additional point .02 on their overall score.
Spear (Qiang)
The spear shall have a metal tip and shall be fitted with a horsehair tassel.
The whole length shall be no shorter than the height of the performer’s wrist when he stands erect with his arm raised
straight overhead.
Staff and Southern Staff (Gun and Nangun)
Sword (Jian)
Staffs may have one end tapered or have both ends untapered.
The whole length of the staff/southern staff shall not be shorter than the performer's height.
The weapon shall be a single-handed, double-edged straight sword.
The point of the sword shall not be below the base of a performer's ear when the sword is held by the guard.
A tassel can be attached to the pommel of the weapon but is not mandatory.
Broadsword (Dao)
Weapon shall be a singled-edged blade with slight convex curvature on the cutting edge.
The point of the broadsword shall not be below the top of a performer's shoulder when held by the guard.
A flag shall be attached to the pommel of the broadsword.
Standard weapons of other specifications may be allowed at the discretion of the Chief Judge.
Specifications for Other Weapons
All Other Weapons must be Chinese in origin. Chinese variations of kobudo weapons are permissible, ie. Er jie gun,
miaodao, liandao, bian, however these must adhere to principles of traditional Chinese execution.
Double Weapons are those that are rely on using the same weapon in both hands, Double sword, Double Chain Whip,
Double Daggers are examples.
Soft Weapons are jointed or tethered weapons linked together by chain or rope. This includes Three-section staff, Chain
Whip, Rope Dart, Bullwhip etc.
Scoring of Weapons Divisions:
1. Same fundamental guidelines as open hand events plus…
2. Body movement & coordination with the weapon
3. Correct application of the weapon
4. Familiarity of the weapon
5. Competitors who use Traditional Kung Fu weapons will be awarded .02 on their overall score.
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In the case of ties for 1st thru 3rd place within intermediate and advanced divisions competitors must be able to switch weapons
and perform an alternate routine. For Instance if two competitors tie in the Long Weapons division and one handles a staff while the
other handles a spear the two must switch implements and perform another form. The competitor who is seen to hold a higher
proficiency will then be awarded the place.
PLACING AND AWARDS
Medals for first thru third will be awarded in events for both men and women according to age groups.
In the first timers category, everyone 12 and under will receive a medal.
At the end of the competition day Run-offs will be held for Grand Champion between the 1st place winners of all advanced divisions.
©2011 Origins Productions LLC (dba Origins Events). All Rights Reserved.
2 0 1 1 O r i g i n s I n t e r n a t i o n a l M a r t i a l A r t s F e s t i v a l | 8

Senior Officials
Rules
Sifu Sal Redner
Sifu Philip Sahagun
Kung Fu - 2011 Origins International Kung Fu Regulations
Wushu - 2011 International Wushu Federation
Key Points
2011 ORIGINS INTERNATIONAL MARTIAL ARTS FESTIVAL (TM)
at DISNEYLAND (R) RESORT
CHINESE MARTIAL ARTS
Competitors must register based on their age as-of August 27, 2011.
Divisions are subject to change and/or reassignment.
Divisions may be split or combined at the discretion of the 2011 Origins International Martial Arts Festival
and/or the Division Officials in order to provide fair, safe, and exciting competition.
Kungfu - Empty-Hand Forms
GROUP AGE M/F LEVEL CODE
First Timers Empty Hand Forms:
Division exclusively for students in their first tournament
First Timers Empty Hand Forms 8 and Under M/F Beginner (First Time Competing) KF-F01
First Timers Empty Hand Forms
Shaolin Temple Kungfu Forms:
9 - 12 M/F Beginner (First Time Competing) KF-F02
Forms that are currently practiced at the Songshan Shaolin Temple of China, including Xiao Hong Quan, Da Hong Quan, Luohan Quan, Lian Huan
Quan etc.
Shaolin Temple Kungfu Forms 12 and Under M/F Beginner KF-T01
Shaolin Temple Kungfu Forms 13 - 17 M/F Beginner KF-T02
Shaolin Temple Kungfu Forms 18 and Above M/F Beginner KF-T03
Shaolin Temple Kungfu Forms 12 and Under M/F Intermediate KF-T04
Shaolin Temple Kungfu Forms 13 - 17 M/F Intermediate KF-T05
Shaolin Temple Kungfu Forms 18 and Up M/F Intermediate KF-T06
Shaolin Temple Kungfu Forms 12 and Under M/F Advanced KF-T07
Shaolin Temple Kungfu Forms 13 - 17 M/F Advanced KF-T08
Shaolin Temple Kungfu Forms
Northern Shaolin Forms:
18 and Up M/F Advanced KF-T09
Forms and sets that are from the Northern Shaolin Curriculum Including Tan Tui, Xiao Yuan, Ling Po, Northern Sets 1-10 etc.
Northern Shaolin Forms 12 and Under M/F 0 - 2 years KF-N01
Northern Shaolin Forms 13 - 17 M/F 0 - 2 years KF-N02
Northern Shaolin Forms 18 and Above M/F 0 - 2 years KF-N03
Northern Shaolin Forms 12 and Under M/F 2+ years KF-N04
Northern Shaolin Forms 13 - 17 M/F 2+ years KF-N05
Northern Shaolin Forms 18 and Up M/F 2+ years KF-N06
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Kungfu - Empty-Hand Forms
2011 ORIGINS INTERNATIONAL MARTIAL ARTS FESTIVAL (TM)
at DISNEYLAND (R) RESORT
CHINESE MARTIAL ARTS
GROUP AGE M/F LEVEL CODE
Southern Kungfu Forms:
Forms from Fujian or Southern China
Southern Kungfu Forms 12 and Under M/F 0 - 2 years KF-S01
Southern Kungfu Forms 13 - 17 M/F 0 - 2 years KF-S02
Southern Kungfu Forms 18 and Above M/F 0 - 2 years KF-S03
Southern Kungfu Forms 12 and Under M/F 2+ years KF-S04
Southern Kungfu Forms 13 - 17 M/F 2+ years KF-S05
Southern Kungfu Forms
Other Styles Forms:
18 and Up M/F 2+ years KF-S06
Imitation Styles, Animal Styles, Drunken Styles, Ground boxing, Wudang Kungfu or any other style of Kungfu that is not categorized in other
divisions
Other Styles Forms 12 and Under M/F 0 - 2 years KF-X01
Other Styles Forms 13 - 17 M/F 0 - 2 years KF-X02
Other Styles Forms 18 and Above M/F 0 - 2 years KF-X03
Other Styles Forms 12 and Under M/F 2+ years KF-X04
Other Styles Forms 13 - 17 M/F 2+ years KF-X05
Other Styles Forms 18 and Up M/F 2+ years KF-X06
Kungfu - Weapons Forms
GROUP AGE M/F LEVEL CODE
First Timers Weapons Forms:
Division exclusively for students in their first tournament; all weapon types allowed (Long, Short, Other)
First Timers Weapon Forms 8 and Under M/F Beginner (First Time Competing) KW-F01
First Timers Weapon Forms
Long Weapon Forms:
9 - 12 M/F Beginner (First Time Competing) KW-F02
Individual weapon forms using the Staff or Spear - weapon form must be Chinese in origin
Long Weapon Forms 12 and Under M/F 0 - 2 years KW-L01
Long Weapon Forms 13 - 17 M/F 0 - 2 years KW-L02
Long Weapon Forms 18 and Above M/F 0 - 2 years KW-L03
Long Weapon Forms 12 and Under M/F 2+ years KW-L04
Long Weapon Forms 13 - 17 M/F 2+ years KW-L05
Long Weapon Forms 18 and Up M/F 2+ years KW-L06
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Kungfu - Weapons Forms
2011 ORIGINS INTERNATIONAL MARTIAL ARTS FESTIVAL (TM)
at DISNEYLAND (R) RESORT
CHINESE MARTIAL ARTS
GROUP AGE M/F LEVEL CODE
Short Weapon Forms:
Individual weapon forms using the Broadsword or Sword - weapon form must be Chinese in origin
Short Weapon Forms 12 and Under M/F 0 - 2 years KW-S01
Short Weapon Forms 13 - 17 M/F 0 - 2 years KW-S02
Short Weapon Forms 18 and Above M/F 0 - 2 years KW-S03
Short Weapon Forms 12 and Under M/F 2+ years KW-S04
Short Weapon Forms 13 - 17 M/F 2+ years KW-S05
Short Weapon Forms
Other Weapon Forms:
18 and Up M/F 2+ years KW-S06
Individual weapon forms using All Other Weapons types - weapon form must be Chinese in origin - including double Weapons and soft Weapons
such as Double Chain Whip, Three-section staff, Chain Whip, Rope Dart, Bullwhip etc.
Other Weapon Forms 12 and Under M/F 0 - 2 years KW-X01
Other Weapon Forms 13 - 17 M/F 0 - 2 years KW-X02
Other Weapon Forms 18 and Above M/F 0 - 2 years KW-X03
Other Weapon Forms 12 and Under M/F 2+ years KW-X04
Other Weapon Forms 13 - 17 M/F 2+ years KW-X05
Other Weapon Forms 18 and Up M/F 2+ years KW-X06
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Wushu - Empty-Hand Forms
2011 ORIGINS INTERNATIONAL MARTIAL ARTS FESTIVAL (TM)
at DISNEYLAND (R) RESORT
CHINESE MARTIAL ARTS
GROUP AGE M/F LEVEL CODE
Changquan:
Modern Wushu Event for Long Fist
Wushu Changquan Forms 14 and Under M/F 0 - 2 years WF-C01
Wushu Changquan Forms 15 and Above M/F 0 - 2 years WF-C02
Wushu Changquan Forms 14 and Under M/F 2+ years WF-C03
Wushu Changquan Forms
Nanquan:
Modern Wushu Event for Southern Style
15 and Above M/F 2+ years WF-C04
Wushu Nanquan Forms 14 and Under M/F 0 - 2 years WF-N01
Wushu Nanquan Forms 15 and Above M/F 0 - 2 years WF-N02
Wushu Nanquan Forms 14 and Under M/F 2+ years WF-N03
Wushu Nanquan Forms 15 and Above M/F 2+ years WF-N04
Wushu - Weapons Forms
GROUP AGE M/F LEVEL CODE
Long Weapon:
Modern Wushu Event for Staff or Spear
Wushu Long Weapon Forms 14 and Under M/F 0 - 2 years WW-L01
Wushu Long Weapon Forms 15 and Above M/F 0 - 2 years WW-L02
Wushu Long Weapon Forms 14 and Under M/F 2+ years WW-L03
Wushu Long Weapon Forms
Short Weapon:
15 and Above M/F 2+ years WW-L04
Modern Wushu Event for Broadsword or Straight Sword
Wushu Short Weapon Forms 14 and Under M/F 0 - 2 years WW-S01
Wushu Short Weapon Forms 15 and Above M/F 0 - 2 years WW-S02
Wushu Short Weapon Forms 14 and Under M/F 2+ years WW-S03
Wushu Short Weapon Forms 15 and Above M/F 2+ years WW-S04
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Signature Sponsor
of the
2011 Origins International Martial Arts Festival
at the Disneyland ® Resort
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Register Online at www.OriginsEvents.com
Please complete and sign both sides. All information is required for registration. All sales final, no refunds.
2011 Origins International Martial Arts Festival TM at Disneyland ® Resort
Please print legibly or type below
OFFICIAL REGISTRATION – KUNG FU & WUSHU
Mail Form & Payment To Payment Information Contact Information
Origins Events
1000 East Route 66, Suite H
Glendora, CA 91740
PARTICIPANT / COMPETITOR
Credit Card, Debit Card Complete the Card Payment
information below and sign by the authorized cardholder.
Checks, Money Orders, Cashier Checks Include payment
in full with all payable to: Origins Events
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MARTIAL ARTS PRACTICED – STYLE AND RANK (PLEASE LIST ALL APPLICABLE)
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NAME:___________________________________________ RELATIONSHIP:______________________
PHONE 1:__________________________________ PHONE 2:__________________________________
SCHOOL / DOJO
SCHOOL / DOJO NAME
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REGISTRATION
EVENT PRICES
Kung Fu &
Wushu
Registration
Early
Register
By 7/10
Standard
Register
7/11–8/01
Late
Register
After 8/01
First Division $55 $55 $65
Each Additional
Division
$20 $20 $30
Team Divisions $75 $85 $100
Spectator Pass $10 $12 $15
Pricing as-of July 9, 2011. Prices subject to change. Event
prices are based on the post-mark of mailed registration.
Participant’s fee includes general admission. All sales final upon
receipt - No refund. $25.00 service fee for all returned checks.
CARD PAYMENT
NAME ON CARD (ACTUAL NAME ON PLASTIC)
DIVISIONS
DIVISION CODE DIVISION NAME
1. _____________ _______________________
2. _____________ _______________________
3. _____________ _______________________
4. _____________ _______________________
5. _____________ _______________________
6. _____________ _______________________
7. _____________ _______________________
Please write clearly and verify your Division Codes.
Participant is responsible for any errors in registration.
AGE AS-OF
08/27/2011
YEARS OF
TRAINING
www.OriginsEvents.com
OriginsInternational@OriginsEvents.com
(626) 963-9959
GENDER
MALE FEMALE
WEIGHT (LBS)
v20110624 Page 1 of 2 ©2011 Origins Productions LLC (dba Origins Events). All Rights Reserved.
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MEMBERSHIP | MEMBER ID
U.S.A.N.K.F. ________________________________
N.A.S.K.A. ________________________________
S.C.K.F. ________________________________
U.S.A. JUDO ________________________________
P.U.I. ________________________________
________________________________
SENIOR INSTRUCTOR / SENSEI NAME
SCHOOL / DOJO PHONE
SCHOOL / DOJO EMAIL
TEAM NAME (IF APPLICABLE)
PARTICIPANT FEES
FIRST
DIVISION
EACH
ADDITIONAL
DIVISION
TEAM
DIVISIONS
SPECTATOR
PASSES
QTY x COST = TOTAL
1
_____
_____
_____
x $______
x $______
x $______
x $______
=
=
=
=
$________
$________
$________
$________
TOTAL DUE = $________
CARD TYPE
VISA MASTERCARD AMEX
CARD NUMBER (16 DIGITS) SECURITY CODE (CVV2) CARD EXPIRATION DATE
MM/YYYY ________ / ______________
BILLING ADDRESS
CITY STATE ZIPCODE
AUTHORIZED SIGNATURE
I, the authorized cardholder, agree to pay the above TOTAL DUE as a non-refundable charge to my credit or
debit card. I also understand that I will be charged correct pricing based post-mark of the mailed registration.
Notice: By providing your contact information, you understand, acknowledge and agree that Origins Events shall have the right to share your information with Disney
Destinations, LLC, doing business as “Disney Sports”, and other members of The Walt Disney Family of Companies (“Disney”) for purposes of event administration.
Participant Signature or Authorized Legal Guardian: ___________________________________________ Date: ________________ (MM/DD/YYYY)

Register Online at www.OriginsEvents.com
Please complete and sign both sides. All information is required for registration. All sales final, no refunds.
Disney Sports Waiver and Permission Form (Adult and Minor)
PARTICIPANT INFORMATION
First Name: _______________________________________ M.I.: ____________ Last Name: _________________________________________________
DOB: _______________________ Gender: _____________ Emergency Phone Number: ______________________________________________________
(MM/DD/YYYY) (M/F)
EVENT INFORMATION
Name of Event: 2011 Origins International Martial Arts Festival TM at Disneyland® Resort Event Dates: August 25, 2011 through August 28, 2011
.
Activity(ies): _Martial Arts competition (sparring, forms, and weapons), seminars, demonstrations, and all other activities held at or in conjunction with the Event_
.
TERMS AND CONDITIONS OF PARTICIPATION – READ CAREFULLY BEFORE SIGNING
In consideration of my and/or my child or ward (if under the age of 18) being permitted to participate in the Event and activities referenced above, and all other
activities conducted in conjunction therewith (collectively, the “Event/Activity”), wherever the Event/Activity may occur, I hereby attest that, after reading this
Sports Waiver and Permission Form completely and carefully, I acknowledge that my and/or my child’s or ward’s participation in the Event/Activity is entirely
voluntary, and I further understand and agree as follows:
ASSUMPTION OF RISK/LIABILITY RELEASE AND INDEMNITY: I understand that incidental to my and/or my child’s or ward’s participation in the Event/Activity, I and/or
my child or ward may be engaging in activities that involve the risk of serious personal injury, illness, permanent disability, dismemberment, and death, and that such
participation may also involve the risk of severe economic and property loss and damage. I understand that these risks may result from the actions, negligence
and failure to act of myself, my child or ward (if participating), and others (including but not limited to other individuals in attendance at the Event/Activity and the Released
Parties) and from the condition of any property, facilities or equipment used. I also understand that there may be risks involved which are not known to me, or
my child or ward, as applicable, or to the Released Parties, and may not be foreseen or reasonably foreseeable by any of us at this time or at the time of the
Event/Activity. I agree, on my own behalf, as well as on behalf of my child or ward (if participating), to assume all of the foregoing risks, which risks may include,
among other things, muscle injuries and broken bones, as well as the risk of any negligence by other participants or by the Released Parties, and the risk of injury caused
by the condition of any property, facilities or equipment used during the Event/Activity, and accept personal responsibility for any injury (including, but not limited
to, personal injury, disability, dismemberment and death), illness, damage, loss, claim, liability, or expense, of any kind or nature, that I and/or my child or
ward, or my property, or my child’s or ward’s property, as applicable, may suffer arising out of or in connection with my, and/or my child’s or ward’s (if
participating), participation in the Event/Activity. On my own behalf and on behalf of my child or ward (if applicable), and on behalf of my, and/or my child or
ward’s, heirs, executors, administrators and next of kin, I hereby release, covenant not to sue, and forever discharge the Released Parties (as defined below) of and
from all liabilities, claims, actions, damages, costs or expenses of any nature (“Claims”) arising out of or in any way connected with my and/or my child’s or ward’s
participation in the Event/Activity, and I further agree to indemnify and hold each of the Released Parties harmless from and against any and all such Claims
including, but not limited to, all attorneys' fees and disbursements up through and including any appeal. I understand that this release and indemnity includes
any Claims based on the negligence, action or inaction of any of the Released Parties and covers bodily injury (including death), property damage, and loss by
theft or otherwise, whether suffered by me and/or my child or ward before, during or after such participation. For the purposes hereof, the “Released Parties” are Disney
Destinations, LLC, Walt Disney Parks and Resorts U.S., Inc., and their respective parent, subsidiary, affiliated or related companies including, without limitation,
ESPN, Inc. and its affiliated and subsidiary companies, and each of their respective parent, subsidiary, affiliated or related companies; Origins Productions LLC, the
City of Anaheim, the Community Center Authority, and the Anaheim Union High School District, and the officers, directors, employees, agents, contractors, sub‐contractors,
representatives, successors, assigns, and volunteers of each of the foregoing entities.
PHYSICAL CONDITION/MEDICAL AUTHORIZATION: I hereby certify that I, and (if participating) my child or ward, are physically fit for participation in the
Event/Activity, have the skill level required in conjunction with the Event/Activity, and have not been advised otherwise. I agree that before I or my child or
ward participates in the Event/Activity, I or my child or ward will inspect all related facilities and equipment. In connection with any injury sustained or illness or
medical conditions experienced during my and/or or my child’s or ward’s attendance in connection with the Event/Activity, I authorize any emergency first aid,
medication, medical treatment or surgery deemed necessary by the attending medical personnel if I am not able to act on my own behalf, or on behalf of my
child or ward, as applicable. Additionally, I authorize medical treatment for me and/or my child or ward, at my cost, if the need arises; however, I acknowledge
that the Released Parties shall have no duty, obligation or liability arising out of the provision of, or failure to provide, medical treatment.
EQUIPMENT AND FACILITIES INSPECTION: I, or my child or ward if I am not in attendance at the Event/Activity, will immediately advise the Event manager
of any unsafe condition that I observe, and will refuse to participate in the Event/Activity until all unsafe conditions observed by me, or my child or ward, have
been remedied.
PUBLICITY RIGHTS: I further grant the Released Parties the right to photograph, record and/or videotape me and/or my child or ward, and further to display, edit, use
and/or otherwise exploit my and/or my child’s or ward’s name, face, likeness, voice, and appearance, in all media, whether now known or hereafter devised,
(including, without limitation, in computer or other device applications, online webcasts, television programming, motion pictures, films, newspapers, and magazines) and in
all forms including, without limitation, digitized images or video, throughout the universe in perpetuity, whether for advertising, publicity, or promotional purposes,
including, without limitation, publication of Event/Activity result, without compensation, residual obligations, reservation or limitation, or further approval, and I agree to
indemnify and hold harmless the Released Parties for any Claims associated with such grant and right to use. The Released Parties are, however, under no obligation to
exercise any rights granted herein.
GOVERNING LAW: This Waiver and Permission Form shall be governed by the laws of the State of California, and any legal action relating to or arising out
of this Waiver and Permission Form shall be commenced exclusively in the Superior Court in and for Orange County, California (or if the Superior Court shall
not have jurisdiction over the subject matter thereof, then to such other court sitting in Orange County, California having subject matter jurisdiction), AND I
SPECIFICALLY WAIVE THE RIGHT TO TRIAL BY JURY.
____________________ ___________________________________________________ ____________________________________________________
Date Signature of Participant (if over 18) Print Name of Participant (if over 18)
or Parent (if Participant is under 18) or Parent (if Participant is under 18)
or Court Appointed Guardian or Court Appointed Guardian
© Disney
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