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MC 2011 brochua.qxp - ISKF.com

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Greetings!I'd like to wel<strong>com</strong>e all of you to our 45th Anniversary <strong>ISKF</strong> Master Campand International Goodwill Tournament. We have had the good fortune ofhosting this international Shotokan camp for 45 years and every year it is differentand exciting. This is primarily because when we held our first MasterCamp, we had about 30 participants from approximately 8 different countries.Last year was a record year with 500 participants from over 34 countries! Allof these Shotokan practitioners <strong>com</strong>e to our Master Camp with the same goal.To learn and practice traditional Shotokan karate from the best ShotokanMasters in the world. Every year we work very hard to try to assemble the bestgroup of instructors for our campers. This year we are very pleased to havesucceeded in achieving this goal. Joining me to teach at our <strong>ISKF</strong> MasterCamp this year will be Masters Yutaka Yaguchi <strong>ISKF</strong> Vice-Chairman, HideoOchi JKA/Europe, Masaru Miura SKIF/Italy, Shunsuke Takahashi TSKF. Asyou can see, all of these great masters are from various different organizations,all of whom have the same values and the finest quality of instruction andtechniques to share with all of you regardless of your rank and/or affiliation.They have all dedicated their lives to share Shotokan karate to everyone worldwide.Our Master Camp is the perfect venue to do just that. Shotokan karatekatravel from all areas of the world to train with these masters as well asmeet other karate-ka to <strong>com</strong>municate with them and share cultures, opinionsand friendships. I hope all of you take advantage of this extraordinary opportunityto train with the best Shotokan Masters. Also this year, assisting theseinstructors will be our high-ranking <strong>ISKF</strong> Technical Committee.Our goal is to follow Master Funakoshi's Dojo Kun and Niju Kun. This is alifelong pursuit to fully understand the concept which is why every MasterCamp I try to explain each one in detail. This year, our theme is Niju Kun #16:Danshi mon o izureba hyakuman no teki ari - As soon as you leave home,think that millions of opponents are waiting for you. This does not mean youshould walk around paranoid, just the opposite. It merely means to be awareat all times. You should not just think about defending yourself in the dojo;you must be ready for any possibility at all times, twenty-four hours a day.This is how a true martial artist thinks and lives. To always be ready andaware. Master Funakoshi was not saying to always expect someone to physicallyattack you, however, what he is saying is to be prepared for anything atall times and that in life you have opponents in many situations. You do notencounter danger every moment of every day, but you should be physicallyand mentally prepared to deal with a threat if confronted with one and youcan only develop this preparedness in training. Our <strong>ISKF</strong> Master Camp providesyou with seven days of training of the highest caliber and a week of themartial art mentality. If you take advantage of this unique opportunity, yourmind and body be<strong>com</strong>e used to this and will improve and change your trainingfor life. I hope all Shotokan practitioners, regardless of rank and/or affiliationappreciate and recognize this and join us for our 45th Anniversary <strong>ISKF</strong>Master Camp and International Goodwill Tournament.Sincerely,Teruyuki OkazakiChairman & Chief InstructorInternational Shotokan Karate Federation1


DATE:45th Anniversary <strong>ISKF</strong> Master Camp <strong>2011</strong> is in session fromJune 10 - 17. For the purpose of calculating payment, eachcamp day begins at 4:00 p.m.FACILITIES:Master Camp is held at Camp Green Lane, a year-roundtraining facility for athletic and youth programs. The clusterof cabins and training facilities includes dojo space, athleticfield, tennis, basketball and beach volleyball courts, boatinglake and swimming pool. The camp store offers specialcamp T-shirts, books and other karate related merchandise.ACCOMMODATIONS & LINEN SERVICE:Room and board are included in tuition. Students room incabins with 10 others. Linens must be reserved and paidfor in advance. Linen service includes: 2 bath towels, 1 facetowel, 1 washcloth, 2 bed sheets, 1 blanket, 1 pillow and pillowcase. The linen fee is $15.RESERVATIONS:Return an application with $50.00 (US) deposit before April16, <strong>2011</strong> and receive a $30.00 (US) discount from the fulltuition.CANCELLATIONS:If you are unable to attend camp for any reason, a refund ofyour deposit is available minus a $15.00 (US) clerical fee.Absolutely No Refunds Will Be Given After May 4, <strong>2011</strong>.LOCATION:Camp Green Lane is 45 miles northwest of Philadelphia and8 miles north of the Pennsylvania Turnpike. All routes tocamp are marked with the <strong>ISKF</strong> logo sign. See directionson page 10.EMERGENCY CONTACT NUMBER:Our telephone number at Master Camp is (215) 234-6820.This number is to be used for emergencies ONLY.VEGETARIAN MEALS:Ovo/Lacto vegetarian meals are available. There will besome vegan meals and we will do our best to ac<strong>com</strong>modate.INTERNATIONAL GOODWILL TOURNAMENT (RULED BY <strong>ISKF</strong>):45th Anniversary Master Camp <strong>2011</strong> will feature anInternational Goodwill Tournament. The individual portion ofthe tournament is open to all adult ranks 18 years of ageand above (beginners to black belt). Color belts will performippon kumite; brown & black belts will free spar. A mouthpieceand <strong>ISKF</strong> certified sparring gloves are mandatoryfor all participants.ONLY CAMPERS REGISTERED FOR THE FULL WEEKMAY PARTICIPATE IN THE MASTER CAMP GOODWILLTOURNAMENT.MEETING:The <strong>ISKF</strong> International Board of Directors meeting will beheld Monday, June 13th at 10:00 AM. All country directors /representatives are expected to attend. As this has been ayear of many changes and growth, it is extremely importantthat all <strong>ISKF</strong> member countries are represented at thismeeting.2TUITION:US Canada Others7 days $495 (US) $475 (US) $430 (US)6 $490 $470 $4255 $470 $450 $4104 $435 $415 $3753 $375 $365 $3402 $285 $270 $250Deduct $30.00 (US) for registration before April 16, <strong>2011</strong> Allfees are due in US currency. Please make check or moneyorder payable to "IKA" or make payment by credit card(VISA, MASTERCARD, DISCOVER). However, we do notaccept American Express.TYPICAL SCHEDULE:6:00 AM Wake-up6:30 AM Training (All Levels)8:45 AM Breakfast11:00 AM Optional Training12:45 PM Lunch1:45 PM Lecture3:00 PM Training-Trainees (Officially registered by <strong>ISKF</strong>)-Beginners4:30 PM Training-Black Belt - Advanced - Intermediate6:45 PM Dinner8:00 PM Bonfire & Talent Show10:00 PM Lights OutSPECIAL ACTIVITY:Friday4:30 PM First TrainingSaturday9:45 AM Youth Shiai - All Ranks(A mouthpiece and <strong>ISKF</strong> certified sparringgloves are mandatory for all participants).8:00 PM LectureSunday10:00 AM Examinations(Dan/Judge/Instructor/Examiner)8:00 PM LectureMonday11:00 AM Special Activities1:00 PM Dan Examination (Godan and above)8:00 PM Bonfire & Talent ShowThursday10:00 AM International Goodwill Tournament(Adult All Ranks and Teams)Judge's Practical Examination8:00 PM Goodwill Celebration


DAN EXAMINATION AND REGISTRATION FEES:Dan Examination Fees are as follows:US/Others CaribbeanShodan $80.00 (US) $60.00 (US)Nidan $100.00 $70.00Sandan $120.00 $80.00Yondan $150.00 $100.00Godan $200.00 $150.00Rokudan $250.00 $200.00Shichidan $300.00 $250.00Dan Registration Fees are as follows:USAll OthersShodan $80.00 (US) $60.00 (US)Nidan $110.00 $70.00Sandan $155.00 $100.00Yondan $210.00 $150.00Godan $260.00 $200.00Rokudan $550.00 $500.00Shichidan $850.00 $800.00Dan (ranks shodan - yondan), judge's written, examiner& instructor exams will take place on Sunday, June 12th.Dan (ranks godan and higher) exams will take place onMonday, June 13th. The judge's practical will be held duringthe <strong>ISKF</strong> International Goodwill Tournament onThursday, June 16th.Those who wish to take any of these exams must pre-registerby <strong>com</strong>pleting the registration form and sending it,along with the exam fee, to <strong>ISKF</strong> Headquarters no laterthan April 16, <strong>2011</strong>. No applications or fees will beaccepted at The Master Camp site.Dan Examinees must have the permission from theircountry or regional Chief Instructor. Examinees must be<strong>ISKF</strong> members. A <strong>com</strong>pleted dan registration form signedby the examinee's chief instructor along with one (1) photomust be sent with the exam fee and registration fee fordan rank for which you are testing. The dan registrationform is included in this brochure. ALL EXAMINEES FORALL EXAMS MUST HAVE A CURRENT <strong>ISKF</strong> MEMBER-SHIP CARD. You will be charged $40.00 (US) for areplacement card at camp. A mouthpiece & <strong>ISKF</strong> certifiedsparring gloves are required for all Dan Examinees.EXMAINEES:The Dan examinees for Godan and above testing forthe first time must submit their technical researchpaper to <strong>ISKF</strong> Headquarters no later than April 16,<strong>2011</strong>.JUDGE, INSTRUCTOR AND EXAMINER FEES:$40.00 eachJudge's Examination is open to registered <strong>ISKF</strong>Instructor Trainees. Since the exam is given in two (2)parts, weeklong attendance is necessary to be able totake this exam.Examiner and Instructor Examinations are open to thoseregistered <strong>ISKF</strong> Instructor Trainees who have <strong>com</strong>pletedall other requirements as stated in the <strong>ISKF</strong> InstructorTrainee Manual. If you are registering to take theInstructors exam, all <strong>com</strong>pleted trainee reports alongwith a copy of the <strong>com</strong>pleted technical subject sheet withsignatures must be sent to <strong>ISKF</strong> Headquarters no laterthan April 16, <strong>2011</strong>.All Dan, Examiner & Instructor examinees must attendMaster Camp for a minimum of 3 days or more to bepermitted to take these exams.IMPORTANT NOTICE!All individuals with Instructor, Examiner, and/or JudgesCertification are required to obtain the <strong>ISKF</strong> QualificationCard. This card lists the individual's certification in eacharea and is accepted as proof of such when the servicesare required in an official capacity during any <strong>ISKF</strong>event. The <strong>ISKF</strong> Qualification Card is mandatory andwill be required in order to officiate and/or test for a higherlevel.The fee for each item of certification is $40 (US), $20(US) for International Instructors/Trainees. Each certificationat the highest level achieved will be listed on thecard. The fee only applies to the highest level obtainedand is not required for each prior level. Listing of allthree areas of certification (instructor, examiner, judge)requires a fee of $120, two areas (instructor, examiner)is $80, and judging credentials is $40. The card is validfor three (3) years. If a higher level of certification in anyarea is obtained within the valid 3-year period of thecard, a replacement card reflecting the new rank will beissued with the original expiration date at no additionalcharge.Please note: <strong>ISKF</strong> Qualification Card is for those whohave already tested and passed the judge, instructorand/or examiner exams. New examinees should applyfor this card only after certification has been obtained. Ifyou do not apply for this card within 2 months ofpassing your qualification exam, your new qualificationwill not be registered and you will have to retestfor that rank.3


INTERNATIONAL SHOTOKAN KARATE FEDERATIONAND <strong>ISKF</strong> INSTRUCTOR TRAINING INSTITUTE:RECORD OF QUALIFICATION: INSTRUCTOR/EXAMINER/JUDGEPlease type or print clearly.Name ________________________________________________________________________ Date of Birth______/______/______Gender M / F Present Rank (dan)_____Address____________________________________________________________________________________________________City_____________________________ State___________ Zip_______________ Country__________________________________Telephone ( )______________ Fax ( )________________ E-mail_______________________________________________Dojo_________________________________________ Region___________________________________Judge Qualifications Instructor Qualifications Examiner QualificationsDate of Exam Registration Number Date of Exam Registration Number Date of Exam Registration NumberD ___/___/___ ________________ D ___/___/___ ________________ D ___/___/___ ________________C ___/___/___ ________________ C ___/___/___ ________________ C ___/___/___ ________________B ___/___/___ ________________ B ___/___/___ ________________ B ___/___/___ ________________A ___/___/___ ________________ A ___/___/___ ________________ A ___/___/___ ________________I PROMISE THAT THE ABOVE INFORMATION IS COMPLETE AND ACCURATE AND I WILL CONTINUE TO UPHOLD THESTANDARDS AND HONOR OF THE <strong>ISKF</strong>.Signature_____________________________________________________Date____________________I plan to take the following examination(s):Examination 1st Time? Current Rank (if any) Date of Last ExamDanY/N* Judge Y/N* Instructor Y/N* Examiner Y/N* If you are planning to take the next level exam and already have qualification in any of theseareas, you must present your <strong>ISKF</strong> qualification card at registration. If you do not have aqualification card, you must order one before camp.If you are taking the Dan examination please list previous Dan registration numbers (if applicable):Rank Registration Number Date of Exam Chief Instructor/Examiner’s nameShoNiSanYonGoRokuShichiIf you are an <strong>ISKF</strong> member, you must have a current <strong>ISKF</strong> membership card. You will be charged $40.00 (US) fora replacement card at camp.Dan Examinees must include a <strong>com</strong>pleted Dan Exam Registration Form signed by their chief instructor withtheir Camp Registration.4


REQUEST FOR DAN REGISTRATIONFor purposes of clarity all information must be typewritten. Handwritten forms will be returned.**All registration forms must be signed by the Chief Instructor of the examinee's club to be accepted.**Name _________________________________________________________Address _______________________________________________________photo_______________________________________________________Telephone (_____) _________________________Registering for ____________ DanExaminer _________________________________E-mail_____________________________Date of Examination _________________Instructor __________________________**Instructor's Signature_________________________________________________________**Club Name _________________________________________ Country ____________ Region ________________PERSONAL INFORMATIONDate of Birth _____/_____/_____ Sex M_____ F_____ Height _____ft-_____in-_____cm Weight ________lbs/kgOccupation ___________________________________________________________________________________Last School or College __________________________________Degree _________________________________KARATE HISTORYWhen did you begin karate practice? Year _______________ Month ______________Previous Dan Registrations:Date of Exam Reg. No. Date of Exam Reg. No.Sho (1) Dan ____________ __________________ Go (5) Dan ____________ ___________________Ni (2) Dan ____________ __________________ Roku (6) Dan ____________ ___________________San (3) Dan ____________ __________________ Shichi (7) Dan ____________ ___________________Yon (4) Dan____________ __________________I REQUEST THAT MY RANK BE LISTED IN THE REGISTER OF THE INTERNATIONAL SHOTOKAN KARATE FED-ERATION. I PROMISE TO UPHOLD THE STANDARDS AND HONOR OF THE <strong>ISKF</strong>.Student's Signature __________________________________________________________________________FOR EXAMINER'S USE ONLYRank Awarded ____________Examiner's Signature ____________________________________________________Promotion by: (circle one) EXAMINATION RECOMMENDATION HONORARYRemarks:5


REGISTRATION FORM:Name_________________________________________________________ DOB_______ Sex_____ Rank_______Address______________________________________________ City_______________ State______ Zip_________Region_________________________________ Country_______________________________Dojo______________________________Tel__________________________Fax__________________________Email_____________________________Are you a <strong>ISKF</strong> member? Yes / No Are you a vegetarian? Yes / No Are you planning on using the shuttle bus? Yes / NoI plan to attend on the following circled days:June 10 11 12 13 14 15 16 17 Total _____________daysCabin preference (see camp map on page 9): Cabin Number______45TH Anniversary <strong>ISKF</strong> Master Camp <strong>2011</strong> T-shirt Order Form:In order to guarantee your T-shirt, you must pre-order, and include payment with pre-registration. We cannot guarantee availabilityor size at Master Camp. Pre-order postmarked deadline: April 16, <strong>2011</strong>. No shirts will be pre-ordered without paymentin advance.Price per shirt: Pre-ordered $18.00 (US) / At Camp $25.00 (US) - subject to availabilityT-shirt sizes: Adult S, M, L, XL and XXLDojo name:________________________________________________________ Country ________________________1. Name_______________________________________________Size ____Qty ____Amount Enclosed $___________2. Name_______________________________________________Size ____Qty ____Amount Enclosed $___________3. Name_______________________________________________Size ____Qty ____Amount Enclosed $___________4. Name_______________________________________________Size ____Qty ____Amount Enclosed $___________5. Name_______________________________________________Size ____Qty ____Amount Enclosed $___________Important: We are expecting a large group again this year at our Master Camp. Pleasepre-register as soon as possible. If you are not registered by May 25th, please check with <strong>ISKF</strong>Headquarters before making your travel arrangements to assure that there is still space available.PAYMENT FORM:Mail with $50.00 (US) deposit to: <strong>ISKF</strong> 222 South 45th Street Philadelphia, PA 19104 USACamp Deposit/Tuition (from page 2)$__________Linen Service ($15)$__________T-shirt (total amount)$__________Dan Exam/Registration (from page 3)$__________Exam Fee ($40 each category, US and International)Judge $__________Instructor $__________Examiner $__________Qualification Card Fee ($40 US each US category)Qualification Card Fee ($20 US each International category)Judge $__________Instructor $__________Examiner $__________Total Amount Enclosed$__________All fees are due in US currency. Please make check or money order payable to “IKA” or make payment by credit card (VISA,MASTER, DISCOVER). We do not accept American Express.Card # ______________________________________________________Exp. Date:_____ /_____ /_____Signature____________________________________________________6


PARTICIPANT’S MEDICAL QUESTIONNAIRE:To be <strong>com</strong>pleted by all adults and guardians of minors attending 45th Anniversary <strong>ISKF</strong> Master Camp <strong>2011</strong>Name___________________________________________________ Date of Birth__________________ Sex_______ Rank_______Address______________________________________________________________ City _____________ State_____ Zip________Region___________________________ Country ____________________________ Dojo _________________________________Do you have a history of any of the following conditions? Please check either yes or no for each one.If you answer yes to any, please explain:Yes No___ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ___Heart murmurHypertensionRecent infectionBone fracture in the past six monthsConcussion or severe head injury in the past six monthsSeizuresEye injurySevere bone bruises requiring paddingKidney injuryAllergy to medication (list all):Are you currently taking any medications? If yes please specify _____________________________Other:____________________________________________________________________________________________________________________________________ Date _______________________Signature of Participant (Parent or Guardian if under 18 years of age)WAIVER/RELEASE AGREEMENT:Event: 45th Anniversary International Shotokan Karate Federation Master Camp <strong>2011</strong>, International Goodwill TournamentI understand that there are risks and dangers inherent in martial arts training and in participating in and/or receiving instruction at the EVENT. I understandand agree that by signing this Waiver/Release, I am assuming full responsibility for any and all risk of personal injury or death or for property damagesuffered by me while participating in and/or receiving instruction at the EVENT. I expressly acknowledge that my participation in the EVENT maysubject me to personal injury or bodily harm and I assume any and all risks of that participation. I also understand that in order to be allowed to participatein and/or receive instruction at the EVENT, I must give up my rights to hold the International Shotokan Karate Federation and its affiliates, EastCoast Shotokan Karate Association, Camp Green Lane, and any and all other clubs, schools, instructors, members, judges, officials, representatives andall other participants (collectively the “Releasees”) liable for any injury or damage which I may suffer while participating in and/or receiving instruction atthe EVENT.I also understand and agree that by signing the Waiver/Release, I acknowledge that I am solely responsible for having or obtaining all insurance coveragewhich may be necessary or desirable in connection with my participation in and/or receipt of instruction at the EVENT and for any travel to and fromthe EVENT and in all lodging or any other activities which may be related directly, indirectly or incidentally to the foregoing. I further understand andagree that any fees or costs required for necessary or requested medical attention shall be my sole responsibility and that I shall not seek indemnificationor contribution from any Releasee in connection therewith. I also understand that the Releasees shall not be responsible for any incidental, consequentialor exemplary damages of any kind even if they are notified of the possibility of such in advance. I also understand and agree that any damageto any lodging sites or the tournament site that I cause is my full responsibility. In no case are said damages the responsibility of any of theReleasees. I further understand and agree that as consideration for my participation in the EVENT, the International Shotokan Karate Federation and/or its designees shall have the right to use my name, image or likeness in the promotion of the EVENT or in any publication relating to the EVENT (orsimilar Events) and in any broadcast or rebroadcast transmission of the EVENT without any additional consideration to me for the use of my said name,image or likeness.I understand and agree that this Waiver/Release will have the effect of releasing, discharging, waiving and forever relinquishing any and all actions orcauses of action that I may have or have had, whether past, present or future, whether known or unknown, and whether anticipated or unanticipated byme, arising out of my participation in and/or receipt of instruction at the EVENT.Knowing this, and in consideration of being permitted to participate in and/or receive instruction at the EVENT, I hereby release and agree to indemnifyand hold harmless the above-named Releasees individually and their entities, and their officers, agents, principals, partners, shareholders, directors andemployees from any and all liability or costs, including attorney fees, associated with or arising from my participation in and/or receipt of instruction atthe EVENT. I further understand and agree that this Waiver/Release will be binding on me, my spouse, my heirs, my personal representative, myassigns, my children and any guardian ad litem for said children.I understand that if I am signing this Waiver/Release on behalf of my minor child, that I will be giving up the same rights for said minor as I would begiving up if I signed this document on my own behalf.I acknowledge that I have read this Waiver/Release Agreement and that I understand the words and language in it.Print Name___________________________________________________ Date____________________Sign Name_______________________________________________Witness________________________________________________WE STRONGLY ADVISE ALL PARTICIPANTS TO HAVE THEIR OWN MEDICAL INSURANCE.7


THIS FORM IS FOR MINOR PARTICIPANTS AND MUST BE FILLED OUT BY PARENT OR LEGALGUARDIAN. PLEASE PRINT CLEARLY. ALL INFORMATION MUST BE SUPPLIED.EMERGENCY CONTACT AND MEDICAL INFORMATION:Name of Parent/Legal Guardian: ________________________________________________________________________________Address:______________________________________________________ City_________________ State______ Zip___________Telephone ___________________(day) __________________(night)Child’s Name:_____________________________________Any recent or present condition or injury: __________________________________________________________________________My child is allergic to the following medications: ____________________________________________________________________My child routinely takes the following medication: ___________________________________________________________________Her/his last tetanus immunization was: ___________________________________________________________________________GRAND VIEW HOSPITAL, SELLERSVILLE, PA. PARENTAL CONSENT FOR EMERGENCY TREATMENT:Date: _____/_____ /_____I hereby give permission to the Emergency Department at Grand View Hospital to treat my son/daughter (name of minor):Last Name ___________________________________________ First Name ____________________________________________while we are away. I understand this permission covers the average emergency such as strain, sprain, cut, bruise, scrape, bump, skin rash such asimpetigo, poison oak or ivy, bites such as bee stings and snake bites, allergic reactions, foreign bodies in the eye or skin, upset stomach, diarrhea,pink eye, minor burns, sunburn, suspected minor fractures, minor concussions, fevers, diagnostic x-rays, suturing, and the like. I give permission formy child to receive a tetanus booster (if needed). This permission is valid for 6 months only. I also understand that in cases of major significancesuch as a fracture, appendicitis, or any illness or injury requiring admission that additional consents will be necessary for treatment and that the hospitalwill make every attempt to reach me. I can be reached at the above address.Authorization is hereby given to release to:_____________________________________________________ ____________________________________________________(insurance <strong>com</strong>pany)(policy number)any information needed to <strong>com</strong>plete hospitalization claims.Finally, I understand in cases of acute emergency when hospital personnel have attempted to notify me and are unable to reach me, that this permissionform will suffice for treatment until such time as I am able to be reached. While we are away, (name of minor):Last Name ___________________________________________ First Name ____________________________________________is under care of: East Coast Shotokan Karate Federation.This form is for minor participants and must be filled out by Parent or Legal Guardian. Please print clearly.All information must be supplied.INTERNATIONAL SHOTOKAN KARATE FEDERATION/EAST COAST SHOTOKAN KARATE ASSOCIATION PARENTAL CONSENT FORM:First AidI hereby give permission for the International Shotokan Karate Federation/East Coast Shotokan Karate Association (hereinafter “<strong>ISKF</strong>/ECSKA”) doctoror nurse to administer minor first aid and/or seek emergency medical care for my son/daughter (name of minor):Last Name ___________________________________________ First Name ____________________________________________during his/her stay at the 45th Anniversary <strong>ISKF</strong> Master Camp <strong>2011</strong> and International Goodwill Tournament being held at Camp Green Lane June 10-17, <strong>2011</strong>. I understand that this permission covers the average emergency such as, but not limited to, strains, sprains, cuts, bruises, scrapes, bumps,skin rashes, minor bites, allergic reactions, upset stomach, diarrhea, minor burns, suspected minor fractures, fevers, and other similar occurrences.This permission is valid only for the duration of the <strong>ISKF</strong>/ECSKA event or activity described above.Emergency CareIn the event that my child needs emergency medical care, as determined by the <strong>ISKF</strong>/ECSKA doctor/nurse, supervisory staff or administrators, I herebygive permission for said child to be treated in the emergency room and by the medical professionals of the hospital or medical center nearest to ormost easily accessible to the <strong>ISKF</strong>/ECSKA event or activity described above. This permission includes, but is not limited to, fractures, snake bites,allergic reactions, minor concussions, contusions, lacerations, foreign bodies in the eyes or skin, fevers, diagnostic x-rays, suturing, minor burns, etc.I also give permission for my child to receive a tetanus booster (if needed).I understand that in cases of major significance, such as a fracture, appendicitis, or any illness or injury which would require admission to a hospital,more consents will be necessary for treatment. If such a situation should arise, I further understand that the <strong>ISKF</strong>/ECSKA doctor/nurse, supervisorystaff and/or administrators, and the hospital will make every attempt to reach me.I hereby release THE CAMP (45th Anniversary <strong>ISKF</strong> Master Camp <strong>2011</strong> and International Goodwill Tournament, <strong>ISKF</strong>/ECSKA and Camp Green Lane)from any and all liabilities due to personal injury, bodily harm, or lost or stolen articles.___________________________________Signature of Parent/Legal Guardian8


14CAMP MAP:P51312151617611 10 9 8 7 5 4 3 2 1DP4GP1P3CP2H18 19 20 21 22 23 2425 26FB32AI27 28 29 30 31EA - OKAZAKI DOMEB - CAMP STOREC - MEDICALD - MESS HALLE - LAKE SIDEF - TELEPHONEG - REGISTRATIONH - NAKAYAMA DOMEI - SHOTO DOMEP1,2,3,4,5 - PARKING9


TRANSPORTATION SHUTTLE:Fee is $20(US Cash) each way- Paid to driverDo not send shuttle fee with camp deposit<strong>ISKF</strong> shuttle buses will provide transportation from <strong>ISKF</strong> HQto Camp Green Lane according to the following schedule:Friday, June 1012 noon, 2pm, approximately every 2 hours till 11pmSaturday, June 119am, 12 noon, approximately every 2 hours till 11pmSunday, June 129am, 12 noon, on-call basis till 11pmMonday, June 13 to Wednesday, June 15On-call basis from10am till 8pmYou will be able to schedule your ride from camp to the airport,train station and bus station when you reach MasterCamp. Limited transportation from camp to local shoppingcenters will be provided. Fee is $5 per person per round trip.Help us schedule your ride to camp!Visit www.iskf.<strong>com</strong>/mastercamp/ and let us know whenyou will be arriving at <strong>ISKF</strong> HQ.CAMP RULES:- Complete Master Camp rules will be distributed at registration.There are a few items below which deserveyour special attention.- The most senior person in each cabin is the designated Cabin Captain and is responsible for the conduct ofthe members of that cabin, especially in regard to theitems below.- Campers are expected to clean their cabins beforeleaving Camp. Necessary equipment will be provided.- Each camper will serve as a waiter. This is not onlypart of your tuition but also part of your training. Noone is excused from his or her assignment.- No one should find it necessary to wander beyond theperimeter of the campgrounds. The camp road is apublic access road, please exercise caution whencrossing.- All Judges participating in the Goodwill Tournamentmust present their <strong>ISKF</strong> Qualification card unless youare taking the Judges Examination for the first time.If you have any questions or concerns, feel free tocontact us by mail, phone, fax or e-mail at:<strong>ISKF</strong> 222 South 45th StreetPhiladelphia, PA 19104 USATel/215.222.9382 Fax/215.222.7813E-mail/iskf@iskf.<strong>com</strong> www.iskf.<strong>com</strong>10DIRECTIONS TO CAMP GREEN LANE:FROM THE NORTHEAST EXTENSION 476 (ROUTE 9) /PA. TURNPIKENortheast Extension 476 (Route 9) North to Lansdale Exit#31. Turn right (from exit) onto Route 63 West. After severalmiles (and about 15 minutes), turn right onto Route 563North. Left on Township Line Road. Stay to the right, and theCamp entrance is approximately 3/4 mile, marked by largesign.To get to the Northeast Extension:FROM PHILADELPHIA AND SOUTH JERSEYTake Route 76/Schuylkill Expressway West to Interstate 476(Route 9) North (Exit 28B). Go through toll booth. Followdirections above.FROM NORTHEAST PHILADELPHIAPennsylvania Turnpike West to Northeast Extension 476(Route 9) North (Exit 25A). Follow directions above.FROM NEW YORK, NORTHERN NEW JERSEY, WESTCHESTER COUNTY, NYNew Jersey Turnpike to PA Turnpike, Exit 6. PA TurnpikeWest to Northeast Extension 476 (Route 9) North (Exit 25A).Follow directions above.FROM BALTIMORE, WASHINGTON, VIRGINIAInterstate 95 North/East to just past Chester, PA. TakeInterstate 476 North (Exit 7).Take to the end (21 miles) and go through toll booth forNortheast Extension. Follow directions above.FROM HARRISBURG, YORK, WESTERN PAPennsylvania Turnpike East to Northeast Extension 476(Route 9) North (Exit 25A). Follow directions above.Address to the Camp Green Lane:249 Camp Green Lane RoadGreen Lane, PA 18054WHAT TO BRING:- At least 2 gis - White only- Casual clothes—expect temperatures in the 80’s byday, in the 60’s by night. Rain is always a possibility- Towels and personal toiletries- Running shoes (you wouldn’t want to miss the morning jog!)- Flashlight- Money—the camp store will be selling gis, booksand - other items. T-shirts should be pre-ordered(see page 6)- Linens, blankets (or sleeping bag) and pillow. Therewill be a limited number of linens available for a$15.00 rental fee, but we strongly suggest bringingyour own. Linens must be pre-ordered, and paid forin advance with registration fees.- If you are taking any kind of medication, be sure tobring an ample supply with you and inform the campphysician upon your arrival.


INTERNATIONAL KARATE ASSOCIATION222 South 45th StreetPhiladelphia, Pa. 19104 U.S.A.NON-PROFIT ORG.U.S. POSTAGEPAIDPHILADELPHIA, PApermit No. 4363

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