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2022 U.S. InternationalKuo Shu (Kung Fu) Championship TournamentRegistration FormCompetitor InformationLast Name: First Name: Date of Birth (mm/dd/yy):Sex assigned at birth:Male / Female (Circle one)Email Address:Street Address: Telephone:City: State: Zip Code: Country:Approximate Date Training in Chinese Martial Arts (internal and External) Began: (mm/dd/yyyy)School InformationSchool Name: Style:Street Address: Telephone:City: State: Zip Code: Country:Shih-Fu: School Email Address:Early Registration (Prior to July 1, 2022) 95 for the first event; 25 for each additional event.Registration (July 1, 2022 to July 27, 2022): 110 for the first event; 30 for each individual event.At-The-Door Registration (July 29, 2022 to July 31, 2022): 125 for the first event; 35 for each individual event.Current USKSF members receive 20 discount on first event. Discount does not apply to Lei Tai Events.Paper registration forms must be received with payment by July 27, 2022 to be accepted.THIS REGISTRATION FORM IS NOT COMPLETE UNLESS SIGNED ANDACCOMPANIED BY FULL PAYMENT FOR THE REQUESTED EVENTS.THANK YOU!WaiverI, the undersigned, knowingly, without duress, do voluntarily submit my entry into the 2022 U.S. International Kuo Shu (KungFu) Championship Tournament (Tournament) sponsored by the United States Kuo Shu Federation and being held on July 29through July 31, 2022, in Hunt Valley, Maryland. I assume all risk of personal, physical, and mental disabilities, injuries,illness, death, or losses, which may result from participating in this Tournament. Acting for myself, my heirs, personalrepresentatives, and assignees, I do hereby release the United States Kuo Shu Federation, its officers, its officials, agents,representatives, employees, and all other related members from liability due to any injuries, illnesses or death incurred andany resulting legal claims, actions, suits, or controversies. I also understand that there is a great risk of injury, illness, or evendeath involved in all the competitive divisions, particularly fighting in a light contact or full contact events, and I assume fullresponsibility for all my actions, activities, or omissions during and in connection with the Tournament. I have read,understood, and agreed to abide by the rules of this event, and accept all responsibility and associated liability forinfringement of such rules. Additionally, I am fully aware of my personal medical condition and hereby certify that I am free ofany contagious diseases, and mentally and physically fit to compete. I choose to compete in every event for which I amregistered, and I have not been compelled to compete by anyone (including my instructor and/or martial arts school). Iconsent to the use of photography/video tapes of my participation in this event for promotional purposes, and hereby waivemy rights to any form of compensation or claim.Parent’s or Guardian’s signature required if contestant is less than 18 years of age.Signature of Contestant: Date:Signature of Parent/Guardian:

2022 U.S. InternationalKuo Shu (Kung Fu) Championship TournamentImportant Notes for ALL Events Competition Levels are defined as follows:BEGINNER - Years of training are 2 yearsINTERMEDIATE - Years of training are 2 years and 4 yearsADVANCED - Years of training are 4 yearsYears of training are based on the TOTAL years of external and internal training combined. Competitor Age is based on the age at the time of competition. To compete in Lei Tai events the competitor must be aminimum of 18 years of age and less than 41 years of age at the time of competition. Competitors MUST be entered in the same age/experience level for ALL events entered. Competitors MUST compete with a different form in each event entered. All Short Weapon events are limited to single hand straightsword or broadsword. NO EXCEPTIONS All Long Weapon events are limited to long staff and spear. NO EXCEPTIONS All Weapons EXCEPT Broadword, Straightsword, Long Staff and Spear MUST compete in "Other” Weapon events. All Weapon events, including 2 person sets, are intended for traditional spring steel weapons unless the event name specificallyindicates that it is a Wushu event. If in the Chief Judge’s opinion the weapon being used does not meet the criteria of a traditionalweapon, the Chief Judge will make a 0.05 point deduction to the final score. Examples of Southern Short Hand Systems include: Southern Praying Mantis, Bak Mei, Wu Mei, and Dragon Style. Competition isNOT limited to the styles mentioned. If in the individual judge’s opinion the competitor is not exhibiting a Southern Short Hand formthe judge will make a 0.05 point deduction to the score. Examples of Southern Long Fist Systems include: Choy Li Fut, Hung Ga, Hung Mei, Lee Ga, Southern Shaolin, Fu Jow Pai, HungFut, Tiger Crane Style, & White Crane. Competition is NOT limited to the styles mentioned. If in the individual judge’s opinion thecompetitor is not exhibiting a Southern Long Fist form the judge will make a 0.05 point deduction to the score. Group Tai Ji Quan divisions must contain between 5 to 10 members per team. Forms learned in China containing characteristics not consistent with traditional kung fu forms should enter the Traditional WushuDivisions available. There are NO refunds for ANY reasons. The Tournament Committee Reserves the right to combine categories within the same division.

2022 U.S. International Kuo Shu (Kung Fu) Championship TournamentAdult External Forms and Weapon 82930313233343536Adult Adv - Form - Kung Fu Northern MenAdult Adv - Form - Kung Fu Northern WomenAdult Adv - Form - Kung Fu Southern WomenAdult Adv - Form - Kung Fu Southern Short Hand MenAdult Adv - Form - Kung Fu Southern Long Fist MenAdult Int - Form - Kung Fu Northern MenAdult Int - Form - Kung Fu Northern WomenAdult Int - Form - Kung Fu Southern WomenAdult Int - Form - Kung Fu Southern Short Hand MenAdult Int - Form - Kung Fu Southern Long Fist MenAdult Beg - Form Kung Fu Northern - MenAdult Beg - Form - Kung Fu Northern - WomenAdult Beg - Form - Kung Fu Southern - WomenAdult Beg - Form - Kung Fu Southern Short Hand - MenAdult Beg - Form - Kung Fu Southern Long Fist - MenAdult - Senior Form - Men 36 to 45Adult - Senior Form - Men over 45Adult - Senior Form - Women 36 to 45Adult - Senior Form - Women over 45Adult Adv - Praying Mantis Form - MenAdult Adv - Praying Mantis Form - WomenAdult Beg/Int - Praying Mantis Form - MenAdult Beg/Int - Praying Mantis Form - WomenAdult Adv - Wing Chun Form - Men/WomenAdult Beg/Int - Wing Chun Form - Men/WomenAdult Adv - Wing Chun Wooden DummyAdult Beg/Int - Wing Chun Wooden DummyAdult Adv - Kenpo Form - MenAdult Adv - Kenpo Form - WomenAdult Int - Kenpo Form - MenAdult Int - Kenpo Form - WomenAdult Beg - Kenpo Form - Men/WomenAdult Adv - Kenpo Mass Attack - MenAdult Adv - Kenpo Mass Attack - WomenAdult Int - Kenpo Mass Attack - Men/WomenAdult Beg - Kenpo Mass Attack - 758596061Adult Adv - Weapon - Staff MenAdult Adv - Weapon - Spear MenAdult Adv - Weapon - Broadsword MenAdult Adv - Weapon - Straight Sword MenAdult Adv - Other Weapon - MenAdult Adv - Southern Long Weapon - MenAdult Adv - Southern Short Weapon - MenAdult Adv - Long Weapon - WomenAdult Adv - Short Weapon - WomenAdult Adv - Other Weapon - WomenAdult Int - Long/Short Weapon - MenAdult Int - Long/Short Weapon - WomenAdult Beg - Long/Short Weapon - MenAdult Beg - Long/Short Weapon - WomenAdult Beg/Int - Other Weapon - Men/WomenAdult - Senior Weapon - Men 36 to 45Adult - Senior Weapon - Men over 45Adult - Senior Weapon - Women 36 to 45Adult - Senior Weapon - Women over 45Adult Adv - Wing Chun Weapon - Men/WomenAdult Beg/Int - Wing Chun Weapon - Men/WomenAdult Adv - Kenpo Weapon - MenAdult Adv - Kenpo Weapon - WomenAdult Int - Kenpo Weapon - Men/WomenAdult Beg - Kenpo Weapon - Men/WomenAdult 2-Man Sets OnlyEvent # Adult Adv - Two Man Set Empty Hand62Partner Name:Event # Adult Adv - Two Man Set Weapon65Partner Name:Event # Adult Int - Two Man Set Empty Hand63Partner Name:Event # Adult Int - Two Man Set Weapon66Partner Name:Event # Adult Beg - Two Man Set Empty Hand64Partner Name:

2022 U.S. International Kuo Shu (Kung Fu) Championship TournamentAdult Combat Events Only676869707172737475767778798081828384Adult Adv - Light Contact Sparring - Men 200 lbsAdult Adv - Light Contact Sparring - Men 160.1 to 200 lbsAdult Adv - Light Contact Sparring - Men 160 lbsAdult Adv - Light Contact Sparring - WomenAdult Int - Light Contact Sparring - Men 200 lbsAdult Int - Light Contact Sparring - Men 160.1 to 200 lbsAdult Int - Light Contact Sparring - Men 160 lbsAdult Int - Light Contact Sparring - WomenAdult Beg - Light Contact Sparring - MenAdult Beg - Light Contact Sparring - WomenAdult - Light Contact Long Weapon Free Fighting - MenAdult - Light Contact Long Weapon Free Fighting - WomenAdult - Light Contact Short Weapon Free Fighting - MenAdult - Light Contact Short Weapon Free Fighting - WomenAdult - Full Contact Long Weapon Free Fighting - MenAdult - Full Contact Long Weapon Free Fighting - WomenAdult - Full Contact Short Weapon Free Fighting - MenAdult - Full Contact Short Weapon Free Fighting - 105106107108Adult - Limited Step Push Hands - Men 200 lbsAdult - Limited Step Push Hands - Men 180.1 to 200 lbsAdult - Limited Step Push Hands - Men 160.1 to 180 lbsAdult - Limited Step Push Hands - Men 160 lbsAdult - Limited Step Push Hands - Women 160 lbsAdult - Limited Step Push Hands - Women 140.1 to 160 lbsAdult - Limited Step Push Hands - Women 120 to 140 lbsAdult - Limited Step Push Hands - Women 120 lbsAdult - Freestyle Push Hands - Men 200 lbsAdult - Freestyle Push Hands - Men 180.1 to 200 lbsAdult - Freestyle Push Hands - Men 160.1 to 180 lbsAdult - Freestyle Push Hands - Men 160 lbsAdult - Freestyle Push Hands - Women 160 lbsAdult - Freestyle Push Hands - Women 140.1 to 160 lbsAdult - Freestyle Push Hands - Women 120 to 140 lbsAdult - Freestyle Push Hands - Women 120 lbsAdult Adv - Chi Sao - LightAdult Adv - Chi Sao - WelterAdult Adv - Chi Sao - MiddleAdult Adv - Chi Sao - HeavyAdult Beg/Int - Chi Sao - LightAdult Beg/Int - Chi Sao - WelterAdult Beg/Int - Chi Sao - MiddleAdult Beg/Int - Chi Sao - HeavyAdult Internal Events 24125126127128129130131132Adult Adv - Tai Ji - Yang Style Form - MenAdult Adv - Tai Ji - Yang Style Form - WomenAdult Adv - Tai Ji - Chen Style Form - MenAdult Adv - Tai Ji - Chen Style Form - WomenAdult Adv - Tai Ji - Cheng Man Ching Form - Men/WomenAdult Adv - Tai Ji - Other Style Form - MenAdult Adv - Tai Ji - Other Style Form - WomenAdult Int - Tai Ji - Yang Style Form - MenAdult Int - Tai Ji - Yang Style Form - WomenAdult Int - Tai Ji - Chen Style Form - Men/WomenAdult Int - Tai Ji - Cheng Man Ching Form - Men/WomenAdult Int - Tai Ji - Other Style Form - MenAdult Int - Tai Ji - Other Style Form - WomenAdult Beg - Tai Ji - Yang Style Form - Men/WomenAdult Beg - Tai Ji - Other Style Form - Men/WomenAdult - Tai Ji Form (All Styles) - Men/Women 50 yrs & overYouth - Tai Ji Form (All Styles) - Boy 13-17 yrsYouth - Tai Ji Form (All Styles) - Girl 13-17 yrsAdult Adv - Xing Yi Quan Form - MenAdult Adv - Xing Yi Quan Form - WomenAdult Beg/Int - Xing Yi Quan Form - Men/WomenAdult Adv - Ba Qua Zhang Form - MenAdult Adv - Ba Qua Zhang Form - WomenAdult Beg/Int - Ba Qua Zhang Form - Men/Women133134135136137138139140141Adult Adv - Tai Ji Straightsword - MenAdult Adv - Tai Ji Straightsword - WomenAdult Adv - Tai Ji Other Weapon - MenAdult Adv - Tai Ji Other Weapon - WomenAdult Int - Tai Ji Weapon - MenAdult Int - Tai Ji Weapon - WomenAdult Beg - Tai Ji Weapon - Men/WomenAdult - Xing Yi Quan Weapon - Men/WomenAdult - Ba Qua Zhang Weapon - Men/WomenEvent # Adult - Tai Ji Two-Man SetPartner Name:142Event # Adult - Group Tai Ji Form (5-10 members)Team Name:143Event # Adult - Group Tai Ji Weapon (5-10 members)Team Name:144