WORLD ASSOCIATION KICK-BOXING ORGANIZATION
Transcription
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