Idaho State University Judo Club 50th Anniversary Taikai
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Saturday, November 11, 2017
Idaho State
University Reed Gymnasium
1291
Martin Luther King, Jr. Way, Pocatello, Idaho 83209
Requirements
·5 years of age or older
on the date of the tournament
·Current registration and
insurance with either USJI, USJF, USJA
·All competitors must
show proof of registration and insurance (NO EXCEPTIONS)
· USJI and USJF
membership will be available at the tournament site.
Entry Fees
·$25.00 for one weight
category in one skill division
·$10.00 for an additional
skill division (senior categories).
Pre-Registration
·You
can pre-register by
email
Send can send a team list to Clark Geslin at clark.geslin@me.com until
November 6th, 2017. Please include name, age, rank division, and
weight.
Multiple Entries
Competitors may only
enter one weight category per skill division.
Registration/Weigh
In
·Junior: 8:30 a.m. – 9:30 a.m.
·Senior: 9:30 a.m. – 11:00 a.m.
Competition
·Juniors: 10:00 a.m.
·Senior: At the
conclusion of the juniors competition
REFEREE & OFFICIALS:
●
All referees
& table officials are asked to attend the meeting at 8:30 a.m.
●
All referees will
conform to the proper IJF dress code with the following exceptions:
o
A white polo
shirt with dark gray slacks & black socks will be required.
METHOD OF ELIMINATION:
●
A modified double
elimination system will be used.
●
Round-robin &
points may be used in divisions with 4 or less contestants.
CONTEST RULES:
●
All Current IJF
Contest Rules will apply with the following modifications:
o
The CARE system
may not be utilized.
o
Pre 2014 gi
requirements will apply for non-black belt divisions
o
Chokes
(shime-waza) are only allowed for competitors 13 years & older.
o
No
drop knee seoinage/seoiotoshi for competitors under 13 years of age.
o
Competitors who
elect to move up a division are subject to the rules of that division.
o
Arm locks
(kansetsu-waza) are allowed only in the Brown and Black Belt Divisions (Must be
15 years or older).
o
Mat contest area
will be 6m x 6m with a 4m safety area.
●
Footwear is required at all times when not
on the tatami mats!
UNIFORMS:
o
The designated
"Blue" contestant may wear a blue judo gi with their grade belt or a
white judo gi with a blue belt.
o
The
"White" contestant will wear a white judo gi & a white belt. The
white contestant may wear their grade belt if blue contestant wears a blue judo
gi.
o
Blue & white
belts will be provided.
Awards
·
Medals for 1st,
2nd, and 3rd places. Medals only awarded in contested
divisions.
·
Judo gi or team warm ups are required for participation in the formal
award presentation.
NOTICE:
WAIVERS
All waivers, including the
Warning, Waiver and Release of Liability, and Black Belt Waiver (for ALL non-black belts in senior divisions)
must be properly completed and signed and must accompany the entry form to this
tournament in consideration of acceptance to participate in this
tournament. Only parents or legal guardians are authorized to sign for
minors, NOT COACHES. **All
multiple entries must have a multiple entry form and waiver.**
THE TOURNAMENT DIRECTOR RESERVES THE RIGHT TO MAKE ANY
CHANGES THAT WILL BE IN THE BEST INTEREST AND SAFETY OF THE COMPETITORS.
AGE & WEIGHT DIVISIONS:
●
All contestants
will be grouped in divisions according to their age, weight & rank.
●
Excessive weight
players may be moved up an age division with the consent of their coach &
parents.
●
All contestant
must compete in their own age/weight division prior to competing in another
higher division.
●
Senior
Divisions: Brown belt division players
must be 3 kyu rank or higher.
●
Black belt
division players must be 2 kyu rank or higher.
INDIVIDUAL EVENTS:
Juniors:
M / F
5-6 years old 2-minute
matches
7-8
years old 3-minute
matches
9-10 years old 3-minute matches
11-12
years old 3-minute
matches
Intermediates: M / F
13-14 years old 3-minute
matches
15-16 years old 3-minute
matches
Seniors: (17+ years old) M
/ F
White Belt 3-minute
matches
*Brown Belt 4-minute
matches
*Black
Belt 4-minute
matches
Masters (30+
years old) 3-minute matches
(if we have enough entries we will have an
over 30 male division)
*May be combined depending on # of entries.
Directions
·Take I-15 Exit 69 (Clark Street Exit) and head
west. Turn left onto 15th
street at the stoplight. Reed Gymnasium
is at the T-intersection of 15th and Terry Street.
Internet Access to Forms
Co Tournament Director(s)
For questions about local accommodations please
contact Clark Geslin.
ISU Judo Club 50th Anniversary Taikai
November 11, 2017
Official Entry Form
USA Judo Sanction 2017-139-11
Name_________________________________________Phone
(_____)___________________
Address_____________________________________________________________________
City/State/Zip__________________________________Date
of Birth____________________
Dojo_________________________Rank_______Weight_________
Age________M/F _____
Insurance Provider/Proof of
Registration USJI/USJF/USJA #___________________________
THIS APPLICATION MUST BE
ACCOMPANIED BY A RELEASE FORM
CERTIFICATE REGARDING
NON-BLACK BELT PARTICIPANTS
(non-black belts in senior
divisions)
I,
_____________________________, a Judo Instructor who has been awarded the rank
of Shodan or higher under the auspices of US Judo, Inc., US Judo Federation or
US Judo Association, hereby certify that
_______________________________________________,
although not having been
awarded the rank of Shodan or higher, is of sufficient aptitude and skill in
Judo to participate in the above named Judo event. I also certify that this
participant has successfully achieved his/her rank in a USJI, USJF, or USJA
affiliated Judo Dojo.
PLEASE
ATTACH A COPY OF INSTRUCTOR’S RANK CERTIFICATE.
____________________________________
_______________________
Participant Signature Date
____________________________________
_______________________
Instructor Signature Date
____________________________________
_______________________
Parent or Guardian
Signature Date
if under 18 years of age
Check if
assistance/accommodation is needed: _____Vision loss/Blindness ______Hearing
loss/Deafness
Type of
assistance/accommodation requested or name of person assisting:
_________________________
>>>>>> FOR TOURNAMENT OFFICIAL USE ONLY <<<<<<
Insurance Verified
by_____________________Entry Fee Verified by_____________________
Completed Forms Verified
by____________________ Sr./Jr.____________________________
M/F________ Age__________
Weight____________Division___________________________
Multiple Entry?______________ Cash / Check / Club Payment $_______________________
WARNING! WAIVER AND RELEASE OF LIABILITY AND AGREEMENT TO PARTICIPATE
In consideration of being
permitted to participate in any way, including travel to and from, the Idaho
State University 50th Anniversary Taikai, and related events and activities of
United States Judo, Inc., United States Judo Federation, United States Judo
Association, Idaho State University, Idaho Judo, Inc., Idaho State University
Judo Club, Blackrock Judo Club, Pocatello Judo Club, Southeastern Idaho Judo
Institute, I hereby:
1. Acknowledge that I am
familiar with the sport of Judo and understand the rules governing the sport of
Judo.
2. Agree that prior to participating, I will inspect
the mats, equipment, facilities, competition pools or divisions and the
elimination or scoring system to be used, and if I believe anything is unsafe
or beyond my capability, I will immediately advise my coach, supervisor, and/or
a tournament official of such conditions and refuse to participate.
3. Acknowledge and fully understand that I will be
engaging in a contact sport that might result in serious injury, including
permanent disability or death, and severe social and economic losses due to not
only my own actions, inactions, or negligence, but also to the actions,
inactions, or negligence of others, the rules of the sport of Judo, or
conditions of the premises or of any equipment used. Further, I acknowledge
that there may be other risks not known to me or not reasonably foreseeable at
this time.
4. Knowing the risks involved in the sport of Judo, I
assume all such risks and accept personal responsibility for the damages
following such injury, permanent disability, or death.
5. Release, waive, discharge and covenant not to sue
the United States Judo, Inc. United States Judo Federation, United States Judo
Association, Idaho Judo, Inc., Idaho State University, Idaho State University
Judo Club, Blackrock Judo Club, together with their affiliated clubs, their
respective administrators, directors, agents, coaches and other employees or
volunteers of the organization, event officials, medical personnel, other
participants, their parents, guardians, supervisors and coaches, sponsoring
agencies, sponsors, advertisers, and if applicable, owners, lessors, and lessees
of premises used to conduct the event, all of whom are hereinafter referred to
as "releasee", from any and all claims, demands, losses, or damages
on account of injury, including permanent disability and death and damage to
property, caused or alleged to be caused in whole or in part by the negligence
of the releasee or otherwise to the fullest extent permitted by law.
I HAVE READ THE ABOVE
WARNING, WAIVER AND RELEASE, UNDERSTAND THAT I GIVE UP SUBSTANTIAL RIGHTS BY
SIGNING IT, AND KNOWING THIS, SIGN IT VOLUNTARILY. I AGREE TO PARTICIPATE
KNOWING THE RISK AND CONDITIONS INVOLVED AND DO SO ENTIRELY OF MY OWN FREE
WILL. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS
OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENT/GUARDIAN AS EVIDENCED
BY THEIR SIGNATURE BELOW.
_________________________________________________________________________________
Participant's Printed Name Participant's
Signature Date
FOR PARENTS/GUARDIANS OF
PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION)
This is to certify that I, as
parent/guardian with legal responsibility for this participant, do consent and
agree to his/her release, as provided above, of all the Releasees, and, for
myself, my heirs, assigns, and next of kin, I release and agree to indemnify
and hold harmless the Releasees from any and all liabilities incident to my
minor child's involvement or participation in these programs as provided above,
even if arising from their negligence, to the fullest extent permitted by law.
I have instructed the minor participant as to the above warnings and conditions
and their ramifications.
_____________________________________________________________________________________
Parent/Guardian's Printed
Name Parent/Guardian's
Signature Date
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