The Las Vegas
2009 International Karate Championships and Seminars

OFFICIALS AND SCOREKEEPERS 
ONLINE REGISTRATION FORM
Name:
Address:
City: State:
Zip: Country: 		Phone:

Email:

I WILL BE COMPETING IN THE TOURNAMENT 

I CAN BE AN OFFICIAL 

I WOULD LIKE TO HELP WITH OFFICIATING 
AT THE 2009 LAS VEGAS INTERNATIONAL KARATE CHAMPIONSHIPS. 
I AM AVAILABLE FOR SATURDAY 

My Rank is:         Style:
Instructor:          School:

I have experience officiating in: 
Weapons:   Sparring:    Forms:

SCOREKEEPER / VOLUNTEER 

I WOULD LIKE TO HELP WITH SCOREKEEPING OR VOLUNTEER HELPER 
AT THE 2009 LAS VEGAS INTERNATIONAL KARATE CHAMPIONSHIPS. 
I am Available: 
Thursday:     Friday:     Saturday:     Sunday: 

I have experience in: 
Scorekeeping:     Registration:     Lineup:     Other:

Comments:

Email Registration Form to: Info@LasVegasIKC.com
Or, print and return to: Gilbert Velez, 1325 West Duval Mine Road #167-2, Green Valley, AZ 85614
Or, submit from here online 

Please make sure that you attend one of the listed judges and score keepers workshops. 
Only certified judges and trained scorekeepers will be used. All judges will be pre- 
assigned ring duties and times that they are needed to work. I would like everyone to 
volunteer and come to the workshops so that we may put on the best tournament possible. 
This is only possible with your hard work and dedication. Scheduled workshops will be listed 
soon. Be sure to attend and become a certified Judge or trained scorekeeper. Please check 
the website for scheduled Judges/Scorekeepers workshops. Please study the Rules link 
on this website to become familiar with the rules and regulations. 

 

 
PDF Registration Option is Available.

 

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For more information, email...  Info@LasVegasIKC.com

www.LasVegasIKC.com      www.InternationalKarateChampionships.com

Kenpo Karate in Tucson, AZ -  www.VelezKenpo.com

Page last updated: March 23, 2010
THE CONTENTS  (except the Kenpo patch), ALL GRAPHICS, AND ARTWORK ARE COPYRIGHT 1999-2009 BY MR. GILBERT VELEZ