UNIÓN PANAMERICANA DE JUDO

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2006 Pan American Masters Championship
4th Annual Pan-American Masters Judo Championships
October 27th, 28th, 29th, 2006

 

HOTEL HEADQUARTERS:  Hotel Headquarters will be J.W. Marriott, Mesa, AZ

200 North Centennial Way. Mesa, AZ 85201

Phone: 480-898-8300

ALTERNATE HOTEL:                   Best Western - Mezona I

250 West Main Street, Mesa, Arizona, 85201

 Toll-Free Reservations: 1-800-528-8299  Hotel Direct: 480-834-9233

COMPETITION SITE:    Kata & Shiai Competition (Individual Age/Weight, Open, and Team):

BROADWAY RECREATION CENTER

[BRC: 59 East Broadway Rd. Mesa, AZ 85210 (Phoenix Suburb)]

Tournament Co-Directors: Walter VanHelder & Steve Owen

TOURNAMENT FEATURES

  • Two contest areas.  Two (2) full-size tatami areas.  Depending on early registrations, a third contest area may be added.

  • Registration/Check-in and

² Registration/Check-in and Weigh-in ²

On Friday, October 27th ONLY.

At the SHIAI SITE: Broadway Recreation Center, 59 E. Broadway Rd. Mesa, AZ.

All athletes must appear in-person to verify participation.  Refer to the schedule for times.

Ø      Draw: The draw will be conducted on Friday evening. Each division will be assigned to a mat.

Ø      Time of Kata Competition to be determined; Age/Weight Shiai competition will be on Saturday, October 28th (5-year age groups starting at 30-34 years; Olympic weight categories); "Open" Shiai category for each age group (no weight limits) and Team Shiai competition will be held on Sunday, October 29th.

Ø      Eligibility: The event is open to any athlete who is a member in good standing of any National Judo Organization affiliated with the Pan American Judo Union (USA Judo, Judo Canada, Judo Brazil, etc.), is a permanent resident of North, Central or South America, and is 30 years of age or older on October 28th, 2006 for Kata, and October 28th, 2006 for Shiai and Open.

Ø       Referee Clinic Friday evening. It is possible that a member of the Pan American Judo Union will conduct this clinic.

Ø      Judogi and belt Colors: Competitors MUST have a white Judogi. Blue Judogi’s are optional and may only be worn by the competitor who is called first in a pair of contestants (the “blue” side).  In all matches where the both competitors are wearing white gi’s, both competitors will remove their grade belts and wear a blue or white belt to identify the contestant’s designated color for the match.  Contestants are requested to bring their own blue and white belts for use on the “blue” or “white” side.  This will insure that your belt will fit properly.  Mark your belt with your name or your club’s name.

PJU Membership: All contestants must be members of PJU/UPJ directly – that means that they must have a PJU/UPJ Membership card. This Membership can be purchased during the time of registration (cost US$20.00) per year.
 

Schedule of Events
Dates are firm – Times may be adjusted if necessary.

Friday, October 27th
5 - 9 PM - Kata Registration and Check-in – At Broadway Rec. Center (BRC)

5 PM – 9 PM - Registration, Check-in, weigh-in for Shiai; Coach check-in at (BRC)

 

Saturday, October 28th
8:00 AM -
Shiai for ALL age/weight categories at Broadway Rec. Center (BRC)
Social event in the evening – Details to be provided later.

 

Sunday, October 29th
8:00 AM -
Open Categories (1 division per age group; no weight limit)
Team competition following the Open competition at Broadway Rec. Center (BRC

 

TOURNAMENT REGISTRATION/CHECK-IN AND WEIGH-IN

 

KATA: Friday, October 27th, 2006 5 PM – 9 PM at the BRC (Broadway Rec Center). All Kata athletes must appear in-person to verify participation during this time period. Number of competitors may be limited to 5 to 10 couples per Kata. Further limitations may apply (see Kata rules).

AGE/WEIGHT SHIAI, OPEN, and TEAM: Friday, October 27th, 2006 5 PM - 9 PM at the BRC.    All athletes must appear in-person to verify participation and weigh-in during this time period.  Coaches must appear at this time to register and receive their floor pass credential.

LATE OPEN: During the Age/Weight Shiai competition on Saturday, October 28th, at the Tournament Site, time and location will be announced during the tournament.  Individuals may enter into, or withdraw from the Open Categories at this time.

LATE TEAM:  During the Age/Weight Shiai competition on Saturday, October 28th at the Tournament Site, time and location will be announced during the tournament. Teams may enter into, or withdraw from the Team Competition at this time.

COACHES:  Friday, October 27th, 2006 5 PM - 9 PM at the BRC. ALL COACHES must check-in with tournament officials on Friday, October 27th, 2006 between 5 PM and 9 PM to receive credentials and floor passes.  International Coaches and USA/Canadian nationally certified coaches ONLY will be provided credentials. Only coaches with such credentials will be allowed to coach matside (one coach per athlete in the appropriate coaches chair.)  Coaches should submit the Coach Credentials/Floor Pass Application Form located elsewhere in this packet.

ENTRY FEES, AND ADDITIONAL INFORMATION

EARLY REGISTRATION: US$75.00 postmarked by September 15th, 2006

LATE REGISTRATION: US$90.00 postmarked between Sep. 16th and Oct. 10th, 2006 inclusively.

WALK-UP REGISTRATION: US$110.00

Make All Checks payable to “TAG”

DO NOT MAIL ANYTHING AFTER October 10th, 2006. AFTER THAT DATE,
CARRY YOUR MATERIALS WITH YOU AND REGISTER AS A “WALK-UP”

 

For Shiai, one entry fee authorizes an athlete to compete in one Age/Weight division, the Open division for his/her age group, and one team.

For Kata, one entry fee authorizes an athlete to compete in a maximum of three (3) katas (combination of single and/or mixed gender).  Both Tori and Uke must pay separate registration fees.

Mail completed entry forms and fees to

TAG

3048 N 24th Street, Phoenix, AZ 85016 USA

 

Incomplete entry forms or forms without entry fees enclosed will be considered late entries and those contestants will be expected to pay the US$110.00 walk-up entry fee.

Regardless of when an athlete registers (Early, Late, or Walk-up), all athletes must still check-in with tournament officials to verify participation during the times listed above.

Registration Questions - Call (602) 819-8158

All other Questions – Contact Wayne Miller at: opossumed@hotmail.com

AWARDS

One (1) Gold, one (1) Silver, and two (2) Bronze medals will be awarded in each division.
Exceptions:  In Kata and Round Robin divisions, only one (1) bronze medal will be awarded.
Both Kata competitors in a pair will receive medals.  All team members, including the alternate, will receive medals.

AGE/WEIGHT CATEGORIES OF COMPETITION:

Age:

M1/F1
30-34

M2/F2
35-39

M3/F3
40-44

M4/F4
45-49

M5/F5
50-54

M6/F6
55-59

M7/F7
60-64

M8/F8
65-69

M9F9
70-74

M10/F10
75-79

M11/F11
+80 yrs.

 

Female:

48 Kg.

52 Kg.

57 Kg.

63 Kg.

70 Kg.

78 Kg.

+78 Kg.

Open

Male:

60 Kg.

66 Kg.

73 Kg.

81 Kg.

90 Kg.

100 Kg.

+100 Kg.

Open


KATA CATEGORIES:

Separate categories of competition will be conducted as follows:
1) both partners Female, 2) both partners Male, 3) mixed partners (one male, one female)
An athlete may compete in a maximum of three (3) different Katas. Same person cannot be both Uke and Tori in the same Kata (either with same or with a different partner) and cannot enter same Kata more than once (even with different partners).

KATA DISCIPLINES:

Nage-no-kata

Katame-no-kata

Ju-no-kata

Goshin-jutsu

Koshiki-no-kata

Kime-no-kata

 

Shiai Rules:

General: The Masters Championships will be conducted in accordance with the Contest Rules, Organization Code and Sporting Code of the International Judo Federation with the following modifications.

Match Lengths:  Under 60 years old: 3 minutes for men and women; 60 years old or older:  2 1/2  minutes for men and women.

Golden Score: Under 40 years old: Golden Score will be in effect; 40 years old or older: No Golden Score.


Uniforms:
White Judogi is mandatory; Blue Judogi is optional and may only be worn by the competitor on the "blue" side.  In all matches where the both competitors are wearing white gi’s, both competitors will remove their grade belts and wear a blue or white belt to identify the contestant’s designated color for the match.  Contestants are requested to bring their own blue and white belts for use on the “blue” or “white” side.  This will insure that your belt will fit properly.  Mark your belt with your name or your club’s name.


Method of resolving uncontested divisions:
In the event that a competitor is uncontested in his or her division, the following options are available, beginning with the oldest uncontested competitor and progressing to the youngest.

1. Remain uncontested.
2. Move down in age group, same weight until competition is found, OR
3. If an uncontested competitor must move down more than one age group in order to find competition, he or she may choose to move up in weight within their proper age group.

Athletes may compete in only one age/weight division and the Open division.


Method(s) of Elimination:

1. Five (5) or less: Round robin (every competitor in the division fights every other competitor).
2. Six (6) or above: Modified double elimination. 1st and 2nd will be pure knockout (single elimination). All others will compete in a "loser's" pool until there are two left.  Both will receive 3rd place.

Interpretation of all Shiai, Kata and Team Rules and all statements as well as a correction of any ambiguous or incorrect statement in this whole Document is up to the Tournament Co-Directors or a Person designated by the Tournament Co-Directors for that particular purpose.

Note: $10.00 of YOUR tournament registration fee will be used for your Masters Judo Association yearly membership fee. If you have your last year’s membership card send (mail) its copy with your registration package.

Team Rules :

  1. A team shall consist of 5 male, or 3 female players plus one (1) alternate.  All players shall have the same country of citizenship with the exception that one (1) player may be a “guest” from a different country, if desired.
  2. a.)  Male teams shall have a minimum total age of 200 years, i.e. average age of 40 years, including if and when the alternate is used.
    b.)  Female teams shall have no total age restriction.
  3. The alternate may be used at any time, for any reason (injury, tactical, etc.), but if used, the player who is replaced may not return to competition.  After the alternate is utilized, if any team member cannot continue, the team will play “short handed” in that position.
  4. Teams will compete in order of lightest to heaviest.  If an alternate is used, s/he shall be positioned according to his/her actual weight.
  5. All matches, regardless of the age of the players, shall be three (3) minutes in duration with no “golden score”.  A draw (hikiwake) will be awarded if there is no score at the end of 3 minutes.
  6. The winner will be determined by: a) the team which has the most wins; b) if number of wins are equal, then the winner will be the team with the most points according to: ippon = 10, Waza-ari = 7, Yuko = 5, Koka = 3, two Waza-ari’s = 10; c) if points are tied, a pair of contestants will be selected by random draw and will replay their match – if score is tied at the end of 3 minutes, the referees will immediately use flags (best of three decision) to determine the winner in this one match only.


Kata Rules:

Kata Competition will be conducted according to the rules of USA Judo and the Masters Association.  For details contact Mr. Virgil Bowles (PAMA) virgilbowles@juno.com the Masters Kata Head Judge.

Ony white gis and rank belts will be used in Kata.

Only wood or plastic weapons will be allowed in Kata.

There may be a limit imposed on a Maximum number of Kata couples allowed to compete in each Kata. (Such as five, per Tournament Co-Directors’ discretion) after which the Co-Directors could allow an additional couple to participate in that Kata provided that their country has no participants registered in that Kata yet, up to a Global Maximum number of couples (such as ten per Co-Directors’ discretion) in each Kata. Kata participants will be registered on a first come, first registered basis (in the order of received complete Registration Packages). For Example: If there were 3 US and 2 Canadian couples registered in the Nage No Kata, no additional US or Canadian couple would be allowed to register (to exceed the No. 5 limit) while e.g. one Mexican and one Columbian couple may be allowed to register to a total of seven Nage No Kata couples at that time. (Not exceeding No. 10 Global Maximum).

MASTERS – SHIAI - OFFICIAL ENTRY FORM - MASTERS – SHIAI

Mail Entry Forms and US $75.00 entry fee ($90.00 if postmarked after September 15th, 2006) to:

TAG

3048 N 24th Street

Phoenix,AZ 85016 USA

 

 

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DO NOT MAIL ENTRIES AFTER  October 10th, 2006. After October 10th, 2006 you must bring all entry fees to Check-in and register as a "walk up" and pay the US $110.00 walk up entry fee.

 

Make All Checks payable to “TAG”

Participant’s Name:

Last Name (Family Name, Surname)

 

First Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Street Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

State/Prov:

Zip/

Postal Code:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Country of Citizenship

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone (Voice):

Fax:

 

 

 

 

-

 

 

 

-

 

 

 

 

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USA JUDO (USJI)/ JUDO CANADA Membership Number:

Date of Birth (month/day/year)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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/

 

 

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Judo Rank:

Name of Coach:

 

 

 

 

 

 

 

 

 

 

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Judo Club Name:

 

                                                                                             

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-Mail Address  (optional - if available)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Masters Judo Association Membership Number (if available):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                                   

 

Circle your age group:
 

Age:

M1/F1
30-34

M2/F2
35-39

M3/F3
40-44

M4/F4
45-49

M5/F5
50-54

M6/F6
55-59

M7/F7
60-64

M8/F8
65-69

M9F9
70-74

M10/F10
75-79

M11/F11
+80 yrs.

 

Circle the weight category in which you wish to compete. [This is for planning purposes only.  Your division will be determined by your actual weight at weigh-in.]

 

Female:

48 Kg

52 Kg

57 Kg

63 Kg

70 Kg

78 Kg

+78 Kg

Open**

Male:

60 Kg

66 Kg

73 Kg

81 Kg

90 Kg

100 Kg

+100 Kg

Open**

 

IMPORTANT!  Do not forget to include proof of age = birth certificate or passport (a driver’s license or any other document is NOT acceptable), proof of rank, and all other documents, fully completed and signed, plus all fees.

 

MASTERS – SHIAI - MASTERS – SHIAI - MASTERS – SHIAI - MASTERS – SHIAI
SAME GENDER   -   KATA OFFICIAL ENTRY FORM   -   SAME GENDER

Mail Entry Forms and US $75.00 entry fee ($90.00 if postmarked after September 15th, 2006) to:

TAG
3048 N 24th Street
Phoenix,AZ 85016 USA

 

 

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DO NOT MAIL ENTRIES AFTER  October 10th, 2006. After October 10th, 2006 you must bring all entry fees to Check-in and register as a "walk up" and pay the US $110.00 walk up entry fee.

 

Make All Checks payable to “TAG”

Participant’s Name:

Last Name (Family Name, Surname)

 

First Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Street Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

State/Prov:

Zip/

Postal Code:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Country of Citizenship

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone (Voice):

Fax:

 

 

 

 

-

 

 

 

-

 

 

 

 

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USA JUDO (USJI)/JUDO CANADA Membership Number:

Date of Birth (month/day/year)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Judo Rank:

Name of Coach:

 

 

 

 

 

 

 

 

 

 

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Judo Club Name:

 

                                                                                               

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-Mail Address  (optional - if available)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Masters Judo Association Membership Number (if available):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                                               

 

Circle the category in which you wish to compete.  Tori and Uke must submit separate forms.
If competing in more than one category, submit separate forms for each category (maximum of 3).

 

Nage-no-kata

Katame-no-kata

Ju-no-kata

 

 

 

Goshin-jutsu

Koshiki-no-kata

Kime-no-kata

 

Both partners must be of the Same Gender - Please circle one:     M        F

 

 

TORI’S NAME (LAST, FIRST)

UKE’S NAME (LAST, FIRST)

 

IMPORTANT!  Do not forget to include proof of age = birth certificate or passport (a driver’s license or any other document is NOT acceptable), proof of rank, and all other documents, fully completed and signed, plus all fees.

 

SAME GENDER     KATA     SAME GENDER     KATA     SAME GENDER
MIXED GENDER   -   KATA OFFICIAL ENTRY FORM   -   MIXED GENDER

Mail Entry Forms and US $75.00 entry fee ($90.00 if postmarked after September 15th, 2006) to:

TAG
3048 N 24th Street
Phoenix,AZ 85016 USA

 

 

linea1.gif (4491 bytes)

DO NOT MAIL ENTRIES AFTER October 10th, 2006. After October 10th, 2006 you must bring all entry fees to Check-in and register as a "walk up" and pay the US $110.00 walk up entry fee.

 

Make All Checks payable to “TAG”

Participant’s Name:

Last Name (Family Name, Surname)

 

First Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

||

 

 

 

 

 

 

 

 

 

 

Street Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

State/Prov:

Zip/

Postal Code:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

||

 

 

||

 

 

 

 

 

 

Country of Citizenship

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone (Voice):

Fax:

 

 

 

 

-

 

 

 

-

 

 

 

 

||

 

 

 

-

 

 

 

-

 

 

 

 

USA JUDO (USJI)/ JUDO CANADA Membership Number:

Date of Birth (month/day/year)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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/

 

 

/

 

 

 

 

 

Judo Rank:

Name of Coach:

 

 

 

 

 

 

 

 

 

 

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Judo Club Name:

 

                                                                                                 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-Mail Address  (optional - if available)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Masters Judo Association Membership Number (if available):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                                                 

 

Circle the category in which you wish to compete.  Tori and Uke must submit separate forms.
If competing in more than one category, submit separate forms for each category (maximum of 3).

 

Nage-no-kata

Katame-no-kata

Ju-no-kata

 

 

 

Goshin-jutsu

Koshiki-no-kata

Kime-no-kata

 

Partners must be of Mixed Gender, one male, one female – Indicate by circling M/F below

M / F

 

M / F

 

TORI’S NAME (LAST, FIRST)

UKE’S NAME (LAST, FIRST)

 

IMPORTANT!  Do not forget to include proof of age = birth certificate or passport (a driver’s license or any other document is NOT acceptable), proof of rank, and all other documents, fully completed and signed, plus all fees.

 

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MIXED GENDER     KATA     MIXED GENDER     KATA     MIXED GENDER

 

CERTIFICATE OF ABILITY TO COMPETE

BLACK BELT CONTESTANTS:  I hereby certify that I hold the rank of Black Belt or higher: 

_______________________________________
(signature of contestant)

Proof of rank must be attached.  See below for acceptable proof.

 

NON-BLACK BELT CONTESTANTS MUST HAVE HIS/HER

INSTRUCTOR/COACH FILL OUT THIS SECTION

 

I, ______________________________, a Judo Instructor, who has been awarded
     (Name of Judo Instructor/Coach)

 

the Judo rank of Shodan or higher, recognized by any of the rank registration organizations listed below, hereby certify that, ______________________________, although not having been awarded

                                                      (Name of contestant)

the Judo rank of Shodan or higher, is of sufficient aptitude and skill in Judo to compete in this Championship.

 

____________________________________

(Signature of Judo Instructor/Coach)

 

Proof of Instructor’s/Coach’s rank must be attached. See below for acceptable proof.

 

Acceptable proof of black belt rank: A rank certificate issued by the IJF, PJU, a National Judo Federation recognized by the IJF, USA JUDO,JUDO CANADA, USJF, or USJA.  In addition, a USA Judo membership card having the verification symbol “(V)” printed following rank, or rank cards issued by the USJF or USJA National Offices,or by JUDO Canada will be accepted (This is for the rank but NOT for the age).


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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 4th Annual Pan-American Masters Judo Championships and related events and activities of United States Judo, Inc. (dba USA Judo), Masters Judo Association, Judo Canada, 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., Judo Canada, United States Judo Federation, United States Judo Association, Masters Judo Association, 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.

 

 

 

 

Participant (please print name)

Participant’s Signature

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

             

 

Coach Credentials/Floor Pass Application Form

Competition Floor Pass Credentials will be provided to International Coaches and USA/Canadian nationally certified coaches ONLY.  USA coaches must have Minimum E level certification issued by USA Judo, USJA, or USJF.

ALL COACHES must check-in with tournament officials on Friday, October 27th, 2006 between the 5 PM and 9 PM to receive credentials and floor passes.  Only coaches with such credentials will be allowed to coach matside (one coach per athlete in the appropriate coaches chair.)

In order to expedite the registration process, coaches must send this Coach Credential Application form with $5.00 to the address printed below, postmarked by September 15th, 2006.  Coaches who register as “walk-ups” will be charged a US $15.00 processing fee including those with coach certification.

Printed Name:

 

Country of Citizenship:

 

E-mail Address:

 

Name of Competitor to be coached:

 

For US/Canadian coaches only:

Coach Certification Level:

A

B

C

D

E

Certified by (circle one):

USA Judo/

Judo Canada

USJF

USJA

   Number:

                   

Coaches admitted to the floor of the event are expected to dress appropriately for a National Championship:  i.e. no tank tops, cut-off jeans, or the like.

Do not mail anything after October 10th, 2006!!

Coaches who register as “walk-ups” and incomplete applications will be charged a US $15.00 processing fee.

      Mail To:      TAG

      3048 N 24th Street,

      Phoenix, AZ  85016 USA

COMISIÓN DE MEDIOS 

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