WORLD ASSOCIATION KICK-BOXING ORGANIZATION

WORLD ASSOCIATION KICK-BOXING ORGANIZATION
CONFEDERATION AFRICAINE DE KICK-BOXING WAKO
Libreville, December 18th 2010
To Presidents of Kick-Boxing
Please find here attached :
1)
The Rules
2)
Registration Form
Of the AFRICAN CHAMPIONSHIP OF KICK-BOXING, to be held
Date : 02 March 2010
Venue : Libreville – Gabon
The Organizer of this event is Mr Eric Richard ELLA BEKALE, National
President of the Gabonese Federation of Kick-Boxing. You will have to be in
contact with him for modalities concerning your stay in Gabon.
The latest date of registration for kickers is November 10th at midnight to
Mr Eric Richard ELLA BEKALE, President of the Gabonese Federation.
While waiting to meet you in Gabon and to honor our African Champions,
receive our sincere greetings and cordial souvenir.
Eric Richard ELLA BEKALE
President of the Federation
B.P. 1804 Douala
Tél. : 00237 33.42.70.20
Email : [email protected]
WORLD ASSOCIATION KICK-BOXING ORGANIZATION
CONFEDERATION AFRICAINE DE KICK-BOXING WAKO
AFRICAN CHAMPIONSHIP OF NATIONS
«
SENIORS »
KICK-BOXING WAKO 2011
RULES
I – Date: 02 March 2011
Venue : Libreville
Nation : Gabon
II – ORGANIZER :
Fédération Gabonaise de Kick-Boxing & Disciplines Affinitaires
Mr Eric Richard ELLA BEKALE
P.O Box 1685 Libreville - Gabon
Tél. : (241) 07.44.72.83 / (241) 06.07.32.83
Email : [email protected] / [email protected] / [email protected]
III – The competition is reserved to SENIOR athletes (18 – 35 years of age)
The encounters will be done in the form of “Combat” of 2 rounds, 2 minutes
Gloves, Head guards, boots and others are obliged
IV – Every participating nation will take charge of:
1)
International Airlift from their country to Gabon and vice-versa
2)
Every chief of delegation will have to
a) Cover all risk incurred by his kickers
b) Make sure that all kickers go through medical control
c) Assure himself that all kickers present their medical passport to the Doctor
the day of the combat.
V – Obligations of the organizing nation (Gabon)
1) Interior Transport in Libreville
2) Restoration and accommodation during their stay in Libreville
Arrival : 2nd March 2011
Departure : 07th March 2011
3) Trophy
The Organizing Nation (Gabon) will also provide the Doctor
N.B : This African Championship will be one of the selection criteria for the World
Championship.
B.P. 1804 Douala
Tél. : 00237 33.42.70.20
Email : [email protected]
WORLD ASSOCIATION KICK-BOXING ORGANIZATION
CONFEDERATION AFRICAINE DE KICK-BOXING WAKO
AFRICAN CHAMPIONSHIP OF NATIONS
«
SENIORS »
KICK-BOXING WAKO 2011
ENGAGEMENT FORM
To be returned before February 15th 2011 at midnight :
Email Adress: [email protected] / [email protected] / [email protected]
NATION :
1.
The President of the Federation, after reading the rules :
a) Of the International Code of the World Kick-Boxing Organization (WAKO)
b) And régulations of the competition from the organizing nation (attached),
promise :
2.
DESCRIPTIONS :
Category in
weight kg
3.
Names & Surnames of Kickers
Palmarès
Date of Birth
Insurance : Every chief of delegation will have to :
a) Cover all risk incurred by his kickers
b) Make sure that all kickers go through medical control
c) Assure himself that all kickers present their medical passport to the Doctor the day of
the combat.
Engagements : All engagements must be done on this official sheet. No other engagement
written on a different paper will be accepted nor taken into consideration.
I promise to respect and conform myself to all rules and regulations of the competition
which I have read.
The Chief of Delegation : Signature
B.P. 1804 Douala
Tél. : 00237 33.42.70.20
Email : [email protected]
PASSEPORT MEDICAL
FEDERATION GABONAISE DE KICK-BOXING & D.A.
SURVEILLANCE MEDICAL DES COMBATS
N:
(Name)
AGE:
(Age)
PRÉNOM
(First Name)
POIDS
(Weight)
(Médical observations of Combats)
(A remplir par le Médecin responsable de chaque compétition)
To be completed by the Doctor responsible at each competition)
Observation médicales
(Medical Observations)
TAILLE
(Height)
Date, Lieu et Désignation de
la rencontre
(Date & Place of Meeting)
CERTIFICAT PREALABLE A LA COMPETITION
DE KICK-BOXING EN “COMBAT”
Date, signature et Cachet
Identifiant le Praticien
Date, Signature, Stamp of Doctor
Examen Ophtalmologique
(Eye Test)
Apte (Fit
Inapte (Unfit)
Examen Cardiaque, E.C.G
(Heart Test)
Apte (Fit)
Inapte (Unfit)
Examen Général et
Conclusions
(General Examination &
Conclusions)
Apte (Fit)
Inapte (Unfit)
……………………………………………………………………………………
CERTIFICAT DE REPRISE DU KICK-BOXING EN COMBAT
APRES INAPTITUDE TEMPORAIRE :
(Certicate of Recovery after temporary unaptitude for Kick-Boxing in Combat)
(A rédiger ci-dessous par le Médecin qui a constaté la guérison)
(Certified below by the Doctor named above)
B.P. 1804 Douala
Tél. : 00237 33.42.70.20
Email : [email protected]
Décisions d’inaptitude
(Decisions of Inaptitude)
Orientation vers spécialistes ou
groupe hospitalier
(Advice for specialists,
hospitalizations, etc)
Nom lisible et signature du médecin
(legible name and signature of Dr