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1 NATIONAL REFEREE TESTING EVENT $3500 IN PRIZE MONEY OFFICIAL MAT SPONSOR PRESENTED BY: Jimmy Pedr s Jud Center Sanctined by USA Jud: PENDING WHEN: Cmpetitin: Saturday, February 13th, 2016 WHERE: Cmpetitin: Wakefield Memrial High Schl, 60 Farm Street, Wakefield, MA Htel: Fur Pints Sheratn One Audubn Rad, Wakefield, MA, WHO IS ELIGIBLE: US Cmpetitrs: Must be a current member f USJI, USJA, r USJF. Freign Cmpetitrs: Must prvide a written apprval frm their Natinal Federatin r present a current Federatin Card f their wn cuntry. Membership cards must be shwn at weigh-in time, r a cpy f the card shuld be included with pre-registratin. Applicatin frms t USJI/USJF/USJA will be available at registratin. WHAT RULES: Mdified IJF rules, True Duble Eliminatin. N chkes OR armbars in 5 12 year ld divisins. Armbars & chkes Allwed in year lds divisins, Senir Nvice, Elite & Veterans Divisins. MATCH TIME: Ages 5 12 years ld + Veterans 3 minutes / 2 minutes glden scre Ages years ld + Senir Nvice 3 minutes / n glden scre limit Ages years ld + Senir Elite Wmen 4 minutes / n glden scre limit Senir Elite Men 5 minutes / n glden scre limit REGISTRATION AND WEIGH IN: All Cmpetitrs: 4:00pm - 8:00pm, Friday, February 12th at the turnament htel. Senir and Veteran Divisins: 11:00am -12:00pm, Saturday, February 13th at the turnament site. NOTE: ALL JUNIOR COMPETITORS MUST WEIGH-IN ON FRIDAY!! (THERE WILL BE NO WEIGH-INS FOR JUNIORS ON SUNDAY) COMPETITION SCHEDULE: 5 12 year lds: Will start at 9:00am sharp year lds: Will nt start befre 11:00am Senirs & Veterans: Will nt start befre 1:00pm HOW MUCH (NO REFUNDS): ON-LINE Registratin: Cmpetitr Registratin fr first weight divisin is $60 up until 11:59 PM, Thursday, February 11th Cmpetitr Registratin fr secnd divisin is $20 up until 11:59 PM, Thursday, February 11th MAIL-IN Registratin: $70 fr ne divisin if pstmarked by February 4th and payment is included. Late entry fee $85. $30 fr a secnd divisin Dnatin/Spectatr Fee: Adult (Ages 12 and ver): $5.00. Children 12 & under: free. - Athletes & Caches enter fr FREE. Caches must present fficial State/Reginal/Natinal Caching Badge. - Dnatin/Spectatr fee supprts Pedr s Jud Bster Club nn-prfit rganizatin. DIVISIONS (weight in Kilgrams, multiply by 2.2 fr weight in punds): C-ed 5-6 years ld: Light, Medium, Heavy All ranks Bys 7-8 years ld: 20, 23, 27, 32, 37, 37+ All ranks Bys 9-10 years ld: 27, 32, 37, 42, 47, 47+ All ranks Bys years ld: 32, 37, 42, 47, 52, 58, 58+ All ranks Bys years ld: 42, 47, 52, 58, 65, 65+ All ranks Bys years ld: 55, 60, 66, 73, 81, 90, 90+ All ranks SAVE $$ & REGISTER ONLINE at $250 Prize Mney fr Winners f Senir Elite Divisins! Bys years ld: 55, 60, 66, 73, 81, 90, 90+ All ranks Girls 7-8 years ld: 23, 27, 32, 32+ All ranks Girls 9-10 years ld: 27, 32, 37, 42, 42+ All ranks Girls years ld: 32, 37, 42, 47, 52, 52+ All ranks Girls years ld: 44, 48, 52, 57, 63, 70, 70+ All ranks Senir Nvice Men: 60, 66, 73, 81, 90, 100, 100+ White - Green Belt Senir Men Elite 55, 60, 66, 73, 81, 90, 100, 100+ Brwn and Black Belt Senir Nvice Wmen: Light & Heavy White - Green Belt Senir Wmen Elite 48, 52, 57, 63, 70, 78, 78+ All ranks Veterans Men Age kg -81kg -94kg +94kg Age kg -81kg -94kg +94kg Age kg -81kg -94kg +94kg Veterans Wmen Age 30+ Light & Heavy The Turnament Directr reserves the right t make any changes they deem necessary t insure the safety and fairness t all cmpetitrs

2 AWARDS: Medals fr 1 st, 2 nd, and 3 rd place $250 Cash prize mney fr winners f the men and wmen elite divisins. A divisin must have at least 5 cmpetitrs t qualify fr prize mney. Cmpetitrs wh desire t win mney and wh d nt have enugh cmpetitrs in their divisin may mve up t the next weight class. SPECIAL AWARDS: Rusty Kanekge Award fr a Female under 20 years ld wh exhibits gd jud, sprtsmanship, and jud spirit Irwin Chen Award fr a Male under 20 years ld exhibits gd jud, sprtsmanship, and jud spirit MAT AREA: The turnament will use six mat areas prvided by FUJI Mats with electrnic screbards alng with the CARE system. FUJI Mats will be available at the cnclusin f the event fr a discunted price! Inf@FujiSprts.cm fr mre infrmatin. SEEDING: There will be NO Seeding at this event. JUDO GI: Blue & White Gis are required fr year lds & Senir Elite Divisins. All athletes and/r clubs must bring their wn BLUE & WHITE Belts/Sashes fr Junirs, Senir Nvice & Veterans. IJF Apprved Gis are nt required. Official IJF Back patches are nt required HEAD REFEREE: Dr. Mel Appelbaum, IJF-A referee, Frmer chairman f USA Jud Referee Cmmissin ATTENTION REFEREES: This cmpetitin will serve as a Natinal Referee Certificatin testing event fr USA Jud. Fr mre infrmatin, check ut page 3 f this dcument. Testing fr Reginal referee level will als be ffered. At least ne A r B level referee will versee all mats. All A Level referees wh attend will be prvided with accmmdatins fr 2 nights (2 per rm). All referees will be cmpensated/reimbursed fr attending as fllws: A Level referee - $100 B level - $75 REFEREE CLINIC: Referee registratin will be held frm 7:30-8:00am n Saturday, February 13 at the cmpetitin venue. A referee clinic hsted by Dr. Mel Appelbaum will take place frm 8:00-9:00am that mrning in the hspitality rm. Cffee, snacks, and refreshments will be prvided. FOOD: Will be available and sld n site. HAVE A QUESTION? r Call Riley McIlwain, turnament crdinatr, at rileymcilwain@gmail.cm r Mre inf abut the event can be fund at TOURNAMENT HOTEL: Fur Pints By Sheratn One Audubn Rad, Wakefield, MA, Phne: Htel Reservatins: The htel features fitness center with in-dr pl, restaurants and ther services. Rms will be available fr the nights f February 12 th & February 13 th. Reservatin shuld be dne by January 22 nd t guarantee a grup price f $119.00/night, per rm (up t 4 guests in the rm fr this price). When yu make yur reservatin please mentin the "Pedr s Jud event. OTHER AREA HOTELS: Lakeside Inn, 595 Nrth Avenue, Wakefield, MA Phne: Reservatins: western r

3 USA JUDO NATIONAL REFEREE CERTIFICATION TEST INFORMATION The 2015 Pedr's Jud Challenge will be a Natinal Referee Certificatin Testing Event fr USA Jud. The referee staff will include Mel Appelbaum, Rick Celtt, and Ry Englert. All candidates must: 1. Attend clinic Saturday mrning and register fr the test at that time. Registratin: 7:30 8:00am. Clinic: 8:00 9:00am. 2. Have prf f the fllwing US citizen r have legal resident alien status, age (18 and ver), rank (shdan r higher), current USJI member, certificate f reginal referee (minimum f ne year) 3. Pay $20.00 examinatin fee and $20.00 certificatin fee if passed 4. Recrds f last three years fficiating and referee clinics attended 5. Tw passprt size phts taken in referee attire All referees must wear fficial referee attire, r Pedr s Challenge Pl shirt. Candidates will have t pass the written examinatin (multiple chice) and will have t referee at the event t the satisfactin f the examiners. Questins shuld be directed t Dr. Mel Appelbaum at MiddieMD@al.cm r Ry Englert at RyEnglert@al.cm

4 Jimmy Pedr's Jud Challenge Mail In Registratin Saturday, February 13th 2016 Last Name: First Name: Date f Birth: / / Age (as f 2/13/15): Rank: Dj Name: Male Female Street: City/Twn: State: Zip: Cuntry: Membership Card: USJI USJA USJF Other: Card #: Divisin (check divisin/s): Fighting Tw Divisins (please circle): YES NO Ced: 5 6 years ld Girls: 7 8 years ld 9 10 years ld years ld years ld Bys: 7 8 years ld 9 10 years ld years ld years ld years ld years ld Senir Men: Nvice (White-Green) Elite (Brwn-Black Belt) Senir Wmen: Nvice (White-Green) Elite (Brwn-Black Belt) Veterans Men: Veterans Wmen: 30+ Declared Weight: kgs. Phne: It is mandatry that all nn-black belts cmpeting in Brwn/Black Belt Divisins, Masters, and Sr. Female divisin s cmplete certificatin belw: I,, a Jud Instructr, wh has been awarded the Jud rank f Shdan r higher, under the auspices f United States Jud Inc, United States Jud Assciatin, and/r United States Jud Federatin, hereby certify that the abve cntestant, althugh nt having been awarded the Jud rank f Shdan r higher, is f sufficient aptitude and skill in Jud t cmpete in the Pedr s Challenge Turnament. A cpy f my rank certificate, r my USJI membership card having the verificatin symbl V printed fllwing my rank, is attached. Signature f Jud Instructr Rank Registratin packet t include: Entry frm with Signed waiver and nn-black belt apprval (if applicable) Cpy f USA Jud/USJF/USJA r freign membership card Cpy f Birth Certificate/Passprt/Verified Birthdate n membership card Check r Mney Order (n cash) payable t Jimmy Pedr, Inc. Send Registratin Packet t: Jimmy Pedr Attn: Pedr s Challenge 12 Camern Way Methuen, MA 01844

5 WARNING! WAIVER AND RELEASE OF LIABILITY AND AGREEMENT TO PARTICIPATE (TOURNAMENT) In cnsideratin f being permitted t participate in any way, including travel t and frm, the Jimmy Pedr s Challenge Jud Turnament, clinic and related events and activities f the Pedr s Challenge, I hereby: 1. Acknwledge that I am familiar with the sprt f Jud and understand the rules gverning the sprt f Jud. 2. Agree that, prir t participating, I will inspect the mats, equipment, facilities, cmpetitin pls r divisins and the eliminatin r scring system t be used, and, if I believe anything is unsafe r beynd my capability, I will immediately advise my cach, supervisr, and/r a turnament fficial f such cnditins and refuse t participate. 3. Acknwledge and fully understand that I will be engaging in a cntact sprt that might result in serius injury, including traumatic brain injury (TBI), permanent disability r death, and severe scial and ecnmic lsses due t nt nly my wn actins, inactins, r negligence, but als t the actins, inactins, r negligence f thers, the rules f the sprt f Jud, r cnditins f the premises r f any equipment used. Further, I acknwledge that there may be ther risks nt knwn t me r nt reasnably freseeable at this time. 4. Knwing the risks invlved in the sprt f Jud, I assume all such risks, and accept persnal respnsibility fr the damages fllwing such injury, permanent disability, r death. 5. Release, waive, discharge, and cvenant nt t sue USA Jud, USJA, USJF, Massachusetts Jud Assciatin, Inc., Pedr s Jud Center, Wakefield High Schl, Wakefield Schl Department and the twn f Wakefield, MA, Jimmy Pedr, tgether with their affiliated clubs, their respective administratrs, directrs, agents, caches and ther emplyees r vlunteers f the rganizatin, event fficials, medical persnnel, ther participants, their parents, guardians, supervisrs and caches, spnsring agencies, spnsrs, advertisers, and, if applicable, wners, lessrs, and lessees f premises used t cnduct the event, all f whm are hereinafter referred t as "releasee", frm any and all claims, demands, lsses, r damages n accunt f injury, including permanent disability and death and damage t prperty, caused r alleged t be caused in whle r in part by the negligence f the releasee, r therwise t 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 t certify that I, as parent/guardian with legal respnsibility fr this participant, d cnsent and agree t his/her release, as prvided abve, f all the Releasees, and, fr myself, my heirs, assigns, and next f kin, I release and agree t indemnify and hld harmless the Releasees frm any and all liabilities incident t my minr child's invlvement r participatin in these prgrams as prvided abve, even if arising frm their negligence, t the fullest extent permitted by law. I have instructed the minr participant as t the abve warnings and cnditins and their ramificatins. Parent/Guardian's Printed Name Parent/Guardian's Signature Date

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