KA Event Sanction Request Form

KA Event Sanction Request Form
Associated Documents:

Sanctioning Policy

Insurance Requset Form

Tatami Mat Rental Request Form
Club Contact Information
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Host Club Information
Legal Club Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Event Information
Event Title*
Event Category*

TournamentTraining Clinic/WorkshopCoaching/Officiating CourseOther
Rules of Tournament

WKF no modificationsWKF with minor modificationsNon WKF - Submit completes Rules
Upload Rules if Non WKF

Non WKF Rules must be APPROVED by the Officials Committees
Cancelof
Location of Event*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Event Start Date*

MonthDayYear
Date
Event Finish Date*

MonthDayYear
Date
Name of Medical Provider (Tournaments only)
Name of Chief Official (Tournaments only)
Estimated Number of KA Members*
Estimated Number of Non-KA Members*
Link for Registration/Results of all participants*
A $5/per Non-KA/KC member will be invoiced at the conclusion of the event
Additional information
I, AS THE OFFICIAL REPRESENTATIVE OF, AND ON BEHALF OF, THE HOST CLUB NAMED ABOVE, UNDERSTAND AND AGREE TO ADHERE TO THE KARATE ALBERTA EVENT GUIDELINES AS PRESENTED IN THE SANTIONING POLICY. AS WELL, I UNDERSTAND AND AGREE THAT IT IS MY RESPONSIBILITY TO PUBLISH AND COMMUNICATE THE SAFETY GUIDELINES AND RULES AND TO ENSURE THEY ARE FOLLOWED BY ALL VOLUNTEERS, REFEREES, MEDICAL STAFF AND PARTICIPANTS.

BY SIGNING THIS DOCUMENT I IRREVOCABLY AGREE TO INDEMNIFY AND HOLD HARMLESS KARATE ALBERTA, IT’S BOARD OF DIRECTORS, AGENTS, EMPLOYEES AND ANYONE CONNECTED WITH KARATE ALBERTA, FOR ANY INJURY OR HARM THAT RESULTS FROM THE EVENT SANCTIONED BY KARATE ALBERTA FOR WHICH I HAVE APPLIED FOR.
AGREE*

YES
To complete transaction submit Request & E-Transfer Sanctioning Fee of $25 to Treasurer@karateab.org Memo: Sanctioning Fee
Should be Empty:

KA Event Sanction Request Form

Club Contact Information

Host Club Information

Event Information