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West Australian Karate Federation State Squad Registration 2022

2020 Registered State Squad Members – NO Fee is required to be paid as your fees from 2020 will be rolled over to 2021.

The West Australian Karate Federation (WAKF) invites 2021 State Squad members to renew their membership and new athletes to register as a member of the State Squad for 2022. Your registration will be current for this year and expire on 31 December.

Registration opens 25 January 2022 and closes 9 March 2022.

Squad Registration for 2022 for those athletes seeking State Team selection includes Registration, Training, Training Camp and the Annual Awards & State Team Presentation Dinner. All you need to do is complete this Registration Form, together with payment. Membership fee for the first family member is $275.00 (Inc. GST) and subsequent family members is $250.00 (Inc. GST). Payment is required to be made prior to completing registration & no later than 9 March, 2021. Note, athletes not selected into the State Team for 2022 may be entitled to a partial refund of the membership fee. Fees are non–fundable once team is selected. Late registration will attract an additional late fee of $50.00 (Inc. GST).

Only registered members of the State Squad for 2022 will be eligible for consideration for selection into the State Team. In addition, membership will entitle you to the full benefits of the Training, Development and Coaching program as communicated by Head State Coaches.

For State Squad members nominating for selection consideration to the 2022 State Team, the minimum requirements are outlined in the State Team Policy & Guidelines and Code of Behaviour available from the WAKF website www.karetewestaustralia.com. It is a condition of registration that you familiarise yourselves with these documents.

The AKF National Championships will be held in Perth 20 – 22 August, 2021. In order to assist with financial planning of this event, a cost breakdown will be forwarded to you once the registration process is finalised.

We look forward to a successful 2022 and the opportunity to deliver a comprehensive Training, Development and Coaching program which consolidates the work of the State Coaching Panel and achievements of you, the athletes, last year.

The year ahead is filled with many opportunities as well as great excitement and expectations as Olympic qualification events are held around the world. It is with the same excitement, we encourage you to complete this Registration Form at your earliest convenience. Should you have any queries regarding the above, please do not hesitate to contact Christine Smith, State Administrator, via e-mail at info@karatewestaustralia.com.

Exemptions to Christine Smith, State Administrator, via e-mail at info@karatewestaustralia.com.

Yours sincerely,

Kelly Boar
Board Director
______________________________________________________________________________________________________

Payment can be made via Paypal after completing the registration form.

Please be advised all documentation needs to be completed with the relevant

membership fee by no later than 9 March, 2022:

West Australian Karate Federation
Christine Smith
State Administrator
5 Stirling Waters Avenue
STIRLING WA 6021

The WAKF reserves the right to allow late registration at its sole discretion.

State Squad Registration Form

I acknowledge the information provided below is true and accurate and hereby apply to the West Australian Karate Federation (WAKF) for selection to the State Squad for 2022.

    Membership Status *

    First Name *

    Last Name *

    Address *

    Apt, suite, etc.

    Country *

    Town or Suburb:

    Postal Code: *

    Gender

    Date of Birth *

    Mobile Phone *

    Email

    What age will you be as of the athlete age cut-off date for the National Championships 25/8/23

    Parent / Guardian Name *

    Parent / Guardian Mobile Phone Number *

    Parent / Guardian E-mail

    Club / Organisation Name

    Head of Style Name

    Personal Coach Name

    You must be insured to compete in AKF competitions. I am insured through my Club / Organisation.

    AKF Membership Number

    AKF National Championships.

    Please nominate your category(s) for State Team Selection.

    Kata

    Female Kumite

    Male Kumite

    Weight

    If you suffer from any recurring injury physical disabilities or disorders, please provide details.

    If you have suffered any recent illness or injuries, please provide details.

    Further Medical Details: If you have any further details which may assist us in taking care of you during the training and/or event please document them here. You may also wish to discuss any concerns with the WAKF personally.

    Nomination as a Volunteer (WAKL Events)*

    State Team/Squad Members are required to Volunteer at Minimum 3 WAKL / State Tournaments. If you are not able to help then a family member is required to volunteer.

    State Events available to Volunteer at:-*

    As above states that it is a requirement as a State Team member to volunteer at 3 events. If you are not able to help then a family member is required to help. If a parent is helping at the Nationals you will be able to take time out to watch your child/children compete.

    Consent

    By completing this form you consent for an WAKF representative to authorise emergency medical treatment on the advice of a qualified medical practitioner. In addition, consent is also authorised for a qualified WAKF representative to administer first aid in the case of an accident or minor ailment occurring in related Squad/Team activities and/or event with the State Team.

    Full Name

    Declaration

    I, the undersigned, in consideration of, and as a condition of acceptance of my membership to the WAKF State Squad for 2023 for myself, heirs, executors and administrators, hereby waive all and any claims, which I or they might otherwise have, arising out of any loss of life, injury or loss of any description whatsoever, which I may sustain in the course of or as a consequence of my training with the said Organisation. The waiver, release and discharge shall be in favour of all persons, joint or severally involved in the instruction or management of the said Organisation.
    I have read and understood, and as a condition of acceptance of my membership to the WAKF State Squad for 2023, hereby agree to the conditions set out in the State Team Policy & Guideline and Code of Behavior provided on the WAKF website.

    Date

    Parent / Guardian Name

    If under the age of 18

    Date


    State squad registration

    WAKF invites members to register for the State Squad.

    To register you will need to pay via PayPal first and then you will be redirected to registration page.

    *NOTE in case you are submitting at once for 2 or 3 members please repeat the submission form for each member separate on following link.

    Select Payment Option
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