The Dena ina Convention Center

Transcription

1 Alaska Judo, Inc. host to the 55th ANNUAL May 24th th, 2014 The Dena ina Convention Center 600 W. Seventh Avenue Anchorage, Alaska (907) This tournament is sponsored by: Alaska Judo, Inc. This tournament is sanctioned by: USA Judo USA Judo Sanction: Tournament Director - Sensei Howdice Brown Head Referee - Sensei David Cheverie Tournament Coordinator: Bruce Neeno (907) bruce@allergyalaska.com

2 2 P a g e Only through the generous support of Sponsors and Donors is it possible for A.J.I. to host our State Tournament at the Dena'ina Center. Platinum Sponsor ($5,000) DHI Consulting Engineering Gold Sponsor ($2,000) Dr. Teresa Neeno Silver Sponsor ($1,000) Bronze Sponsor ($250 - $500) Friends of Alaska Judo ( <$250) A.J.I. is accepting 2014 State Brochure Ads & Personal Tributes (to your little fighter) and Sponsorships until mid April!! Contact Coordinator at for details. (Sample Tribute Ad) "Good Luck" Dimond Center LLC

3 3 P a g e Competitors Entry Package Table of Contents GENERAL INFORMATION... 4 SPECIAL AWARDS... 5 NOTICE TO ALL CLUBS... 6 RULES... 6 WEIGHT DIVISIONS... 8 SCHEDULE OF EVENTS... 9 COMPETITION LOCATION INFORMATION ENTRY FORM WAIVER FOR CONTESTANTS UNDER 17 COMPETING AS A SENIOR PAYMENT FORM & CHECK LIST... 15

4 4 P a g e GENERAL INFORMATION: Competition Date: May 24th th, :00AM Place: The Dena ina Convention Center, downtown Anchorage. Entry Fee $5, includes brochure (while supplies last). 600 W. Seventh Avenue Anchorage, Alaska (907) * Food may not be carried into the convention center facility but can be purchased onsite. Awards/Dinner Banquet after completion of Tournament (see below for details). Weigh-ins: 6-8:30PM on Friday May 23 th in Anchorage, Dimond Center Mall, 2nd Floor Room 235 * A Photo ID is required for Seniors: State ID, Driver's License or photocopy of Passport. * You must be at least 5 years old on the day of competition in order to compete. * You must be at least 7 years old to compete in the Fukuda/Saito Team Competitions. *All contestants MUST be able to show proof of current membership with USJF, USA Judo, USJA, Judo Yukon or Judo Canada (present membership card or photocopy of card). All memberships must be active on the day of competition. * The Registration packet requires an estimated weight. If weigh-ins are missed and AJI determines the judoka's official weight to be outside the designated weight bracket on the day of the tournament, the contestant will not be allowed to compete! Coaches & Referee Meeting: 7:00-8:30PM on Friday May 23 th, in Anchorage, Dimond Center Mall, 2nd Floor Room 235 Bracketing: 8:30-9PM on Friday May 23 th, in Anchorage, Dimond Center Mall, 2nd Floor Room 235. Entry Packet & Fee: $35.00 (USD) per entry (Maximum $70 per Family). Entry Packet and Payment must be postal dated at least 1 week in advance, Saturday May 17, Mail to: AJI, PO Box 90737, Anchorage, AK *** There is NO Late or In-person Registration *** No Exceptions Sanctioned By: USA Judo. Sanction # Tournament Directors: Sensei Howdice Brown. Tournament Coordinator: Bruce Neeno. Contact at: (907) ; bruce@allergyalaska.com Head Referee: David Cheverie, USA Judo National level Referee Awards/Dinner Banquet: Shiai and kata division Winners, Fukuda Cup and Saito Cup Team trophies and all Special Awards will be presented immediately after catered dinner. Dinner will be hosted at Crosspoint Community Church in Anchorage at 1920 W Dimond Blvd (between JoAnn Fabrics and the Burlington Coat Factory); hosted under the supervision of Liz Harvey of Fireweed Judo. More details T.B.A.

5 5 P a g e SPECIAL AWARDS: Over the years, Alaska Judo, Inc. has developed a set of special awards designed to recognize a variety of contributions to Kodokan Judo in Alaska. The leadership of AJI member clubs nominate and select people each year as recipients. Best Technique (Male & Female) Awarded to the best judo technique demonstrated (Seniors and juniors; Male and female). The Rookie of the Year Awarded to the outstanding new Judo competitor (having started judo since last State Shiai). The Ricky Casqueira Award Awarded to a teenage contestant in Ricky's honor in recognition of his or her outstanding judo performance. The Lindsay Hurst Award This award is given to the outstanding female Judoka of the year in Lindsey's honor. Traits exhibited should reflect the "spunk and desire" to excel in the sport of judo, along with the good sportsmanship. Lindsay was the 1993 State Judo Champion for 9 year olds and was killed in an automobile accident in 1994 at the age of ten. John C. Gregory Sportsman of the year: Candidate can be either a junior or senior who you feel exemplifies the most sportsman like attitude The Inspirational Judoka Award Candidate may be a junior or senior who has not always won, but whose judo spirit is exemplary. The Volunteer of the Year Award Awarded to the person who has sacrificed a tremendous amount of their time and personal energies and efforts to further the development of Judo or to your club. The Ron Hildebrand Award Presented in recognition of the outstanding person who for many years has contributed their lifetime, energy and instruction above and beyond the call of duty, often at a great personal sacrifice for judo development in the State of Alaska. Athlete Scholar Award: Applications, criteria, and specific information will be collected separately. (Sponsored by Anchorage Dojo with a separate, independent Selection Committee.)

6 6 P a g e NOTICE TO ALL CLUBS: This will be an OPEN TOURNAMENT conducted in accordance with the OPEN TOURNAMENT AGREEMENT between USJI, USJF, & USJA. Dated 2/27/03. ALASKA TEAM CUP COMPETITION: Overall club standing will be computed by adding the shiai points received by its students in the individual competition. Scoring for Team Cup competition will be as follows: Ten (10) points for each First Place finish by one of its students. Five (5) points for each Second Place finish by one of its students. One (1) point for each Third Place finish by one of its students (an actual match must have been won). SAITO and FUKUDA CUP COMPETITORS: Only shiai competitors may compete in the Saito Cup or the Fukuda Cup team competitions. Saito/Fukuda Cup Entry Fees are to be paid by team Coaches ($50 Total per team) as part of registration. Individual waivers and Team rosters will be submitted on the day of tournament by the Team coaches -- See Tournament Director for additional waiver forms. You must be at least seven(7) years old to compete (for more information, see "Rules for Saito and Fukuda Cup" at KATA: Kata teams may be the same sex or co-ed. Nage-no-kata, Katame-no-kata, and Ju-no-kata competitions only. Kime-no-kata will not be a division in this year s state competition. Minimum age for kata competition is 5 years of age. RULES: TOURNAMENT RULES AS MODIFIED BY AJI Current International Judo Federation Contest Rules as modified by the Alaska Judo, Inc. will be used for this tournament. A summary of the AJI rule modifications in effect are: 1. Pure Double Elimination will be used. Winner may lose once, everyone else loses twice. 2. Junior Competitors under 13 years old will not be allowed to use chokes or armbars. 3. Double-knee drop seoi nage will be allowed for Juniors and Seniors. 4. Competitors under 17 years old will not be allowed armbars.

7 7 P a g e 5. Junior competitors receiving permission to compete in a senior division will compete with the rules applicable to the senior division (includes use of armbars). 6. Match lengths: All Junior divisions and Master divisions: 3 minutes. Seniors: 5 minutes 7. Pre-2003 IJF medical rule will be implemented for junior divisions; current IJF medical rules will be used for senior divisions. 8. A Blue judo gi and a White judo gi are not required for juniors. Only a White gi is required. However, you may wear a blue gi in a match if you're not designated the "white" competitor. White and Blue belts will be provided if both junior competitors have white gis. 9. Blue and white judo-gis are required for seniors. New 2014 IJF Gi Sizing regulations will not be enforced. *Notice: Male & Female Competitors should wear appropriate shorts under their gi's for gi changes at mat side, if necessary--there will not be adjacent changing rooms. 10. A contestant that does not fit in the age/weight class may be dropped from competition or moved up to the next higher group: first by weight, then by age, with the appropriate waiver forms signed. 11. Only Students 5 years old and older on May 24th th, 2014 will be allowed to participate as contestants. 12. Except when a competitor is competing in more than one division, a 3 minute rest period will be required between back to back matches. When competing in more than one division, back to back matches not in the same division will not require a rest period. 13. When scoring is by pure double elimination, the Winner may have lost once; all other competitors will have lost two matches. 14. Co-ed competition will be allowed in this tournament for age 8 and under only if there are not enough participants to fill a division. 15. A coaches chair will be provide at the mat side for each competitor. Coaching will be allowed by a single coach who must remain seated. 16. This will be a "Texas Match Tournament": It is mandatory for all competitors to pick up their Texas match card at the competitor check-in on Saturday at 9:00 am. This card will tell players what their first match number will be. This card will be used throughout the day to inform all players when their next matches are. Don't lose it!

8 8 P a g e WEIGHT DIVISIONS: Please note these divisions are guidelines only and may be modified according to number and weight of the entries at the tournament director s discretion. Scoring: Pure Double Elimination will be used. Junior Divisions BANTAM 1 (Born in ) Senior Divisions SENIOR DIVISION (Born 1996, or earlier) -46lbs; -55lbs; +55lbs (55lbs and over) (Female) -121 lbs; -145 lbs; -154 lbs; -172 lbs; +172 lbs BANTAM 2 (Born in ) (Male) -132 lbs; -161 lbs; -198 lbs; -220 lbs; +220 lbs - 55lbs; -66lbs; +66lbs (66lbs and over) INTERMEDIATE 1 (Born in ) -70lbs; -81lbs; -95lbs; +95lbs (95lbs and over) Master Divisions INTERMEDIATE 2 (Born in ) Age MASTERS DIVISIONS -75lbs; -92lbs; -114lbs; +114 lbs (114 lbs and over) 35+ Brackets will be made according to number of entries JUVENILE A (Born in ) -88lbs; -106lbs; -128 lbs; -141 lbs; +141 lbs 50+ Brackets will be made according to number of entries JUVENILE B (Born in ) (Female) (Male) -97lbs; -114 lbs; -139 lbs; -154 lbs; +154 lbs -121lbs; -145 lbs; -178 lbs; -198 lbs; +198 lbs * Note: Divisions are determined by year of birth, not by age at time of tournament. The contestant s actual age on the day of competition is irrelevant, with the exception that you must be at least five (5) years old on the day of the tournament and you must be at least seven (7) to compete in the Fukuda/Saito Cup Team competitions. Tournament directors reserve the right to make changes to divisions if there are insufficient contestants and will notify coaches of any such event prior to competition and also to reject any registrations that contain false information.

9 9 P a g e SCHEDULE OF EVENTS: Friday, May 23 th, 2014 Weigh-ins: (mandatory for competition! See "General Information") 6 to 8:30 p.m. Mountain View Judo Dojo - Dimond Mall, 2nd Floor Room 235 Coaches & Referee Meeting: 7:00-8:30PM - Dimond Mall, 2nd Floor Room 235 Bracketing Meeting: 8:30-9:00PM Dimond Mall, 2nd Floor Room 235 Saturday, May 24th th, 2014 Officials Meeting: 8:00a.m. - venue Pick up your Texas Match Cards (determines your 1st match number): 8:00a.m. - venue Kata Competition begins: 8:00-9:00 Opening Ceremonies: 9:00-9:25 venue Shiai Competition Begins: 9:30 a.m. (Juniors going first) o o o Junior Individual Shiai Fukuda & Saito Team Competitions (juniors only) (Coaches must have Waivers for each Team Member signed on day of Competition - See Tournament Director if additional forms needed) Senior Individual Shiai Ends: 4:00p.m. (approximate) Awards/Dinner Banquet: Crosspoint Church. (Details T.B.A.) Sunday, May 19 th, W Dimond Blvd Anchorage, AK AJI Board of Directors 11:00 AMC Engineers; 701 E. Tudor Road, Suite 250

10 10 P a g e COMPETITION LOCATION INFORMATION: The Dena ina Convention Center - Downtown Anchorage 600 W. Seventh Avenue Anchorage, Alaska (907) For General Information regarding the Dena'ina Convention Center or Parking see: Some HOTELs starting at around $100 (This does not imply endorsement by A.J.I.) Close to Referring/Coaching Clinics Convenient Mid-Town Location Downtown, near Dena'ina Center Dimond Center Hotel 700 E Dimond Blvd Anchorage, Alaska (toll free) Fairfield Inn & Suites by Marriott 5060 A Street Anchorage, AK Clarion Suites Anchorage 1110 West 8th Avenue, Anchorage, AK (907) It is the responsibility of the individual to research hotels. The above are a courtesy to those traveling to Anchorage. Alaska Judo Inc. makes no endorsement of these businesses or accuracy of current rates.

11 55th Held May 24th th, 2014 ENTRY FORM Male Female Age: D.O.B. / / Rank: Name: Home Phone: Address: (Entry Required) Weight*: Club: Emergency Phone: 11 P a g e * See "General Information" for more details. USA Judo (USJI) USJF USJA OTHER ID No: Exp. Date Shiai: Division Year Born Division Year Born Division For Office Use Only Official Weight: Initials: Year Born BANTAM 1 ( ) JUVENILE A ( ) MASTERS (+35 age) BANTAM 2 ( ) JUVENILE B ( ) MASTERS (+50 age) INTERMEDIATE 1 ( ) (1996 or SAITO CUP SENIORS earlier) (Male) (7-16) FUKUDA CUP INTERMEDIATE 2 ( ) (Female) (7-16) Kata: Nage-No-Kata (Partner: ) Ju-No-Kata (Partner: ) Katame-No-Kata (Partner: ) * Juniors may compete in Senior Division or the Saito/Fukuda Cup Team Competition with the appropriate signed waivers. NOTICE TO PARENTS & COACHES: CONSENT TO MODIFY DIVISION ENTERED (Shiai Only) An age and/or weight division may be dropped unless there are three (3) or more entries. If you consent to your child/student competing in a heavier or older weight division, please sign below. This decision should be discussed with the instructor. If you do not sign below, your child/student may be excluded from the competition. If this occurs, your entry will be refunded. AJI will not be responsible for transportation expenses to or from the tournament site, even if your child/student does not get to compete. Competitors must attach a photo id, a current registration card or computer printout verification to the Entry Form. Junior divisions are established on the basis of date of birth and weight. Parent/Guardian: Date: I certify that the above named person is a student of Kodokan Judo under my instruction. I further certify that the registration, rank, age, and weight information listed above is accurate to the best of my knowledge. Coach Signature: Rank: Date: Coach Certification No: Organization: Exp. Date: Location: Dena'ina Civic & Convention Center, 600 W. 7th Ave Anchorage, Alaska COMPETITION: May 24th, 2014 Starting at 8:00 a.m. Sanctioning Body: Alaska Judo, Inc. (AJI) Rules: Standard International Judo Federation Contest Rules as modified by AJI & this Document THE RELEASE AND WAIVER FOLLOWING THIS FORM MUST BE CAREFULLY REVIEWED AND SIGNED BY THE PARTICIPANT AND THEIR PARENT(S) OR GUARDIAN(S), IF THE PARTICIPANT IS A MINOR. FAILURE TO SIGN THE WAIVER WILL RESULT IN EXPULSION FROM THE TOURNAMENT. Continued on back.

12 55th 12 P a g e WARNING! WAIVER AND RELEASE OF LIABILITY AND AGREEMENT TO PARTICIPATE (Including Limited Co-Ed Competition for Age 8 and under) In consideration of being permitted to participate in any way, including travel to and from, in any Judo tournament, practice, clinic, and related events and activities of the United States Judo Inc., United States Judo Federation Inc., United States Judo Association Inc., Alaska Judo Inc., SMG of Alaska, Inc., Crosspoint Community Church and DBA Dena'ina Civic and Convention Center, 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 not only to 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, TBI (Traumatic Brain Injury) or death. 5. Release, waive, discharge and covenant not to sue the United States Judo Inc., United States Judo Federation Inc., United States Judo Association Inc. and Alaska Judo Inc. 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 in conducting 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 or 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. THIS TOURNAMENT MAY INCLUDE CO- ED COMPETITION FOR AGES 8 AND BELOW IN COMPARABLE AGE/WEIGHT DIVISIONS WHERE THERE IS AN INSUFFICIENT NUMBER OF GIRLS FOR NON-CO-ED AGE/WEIGHT DIVISIONS. I HAVE READ AND UNDERSTAND THE TOURNAMENT ANNOUNCEMENT CONCERNING THESE SPECIAL DIVISIONS. I AGREE TO PARTICIPATE KNOWING THE RISKS 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 (Please print) 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 a parent/legal 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 (please print) Parent/Guardian s Signature Date

13 55th 13 P a g e Waiver for contestants under 17 competing as a Senior REGARDING JUNIOR AGE CONTESTANT'S ATHLETIC, TECHNICAL KNOWLEDGE AND ABILITY TO COMPETE IN SENIOR DIVISION COMPETITION I certify that I am a Kodokan Judo instructor, or coach, holding the rank of Shodan or higher which has been awarded under the auspices of the United States Judo Inc., United States Judo Federation, United States Judo Association, or a recognized foreign national governing body for Judo. I further certify that the above named junior competitor is currently a student under my instruction, and that this competitor has sufficient athletic skill, technical knowledge, and skill in Judo shiai to SAFELY compete in a Senior Division. I certify that the age reported above is accurate for this judoka on that date of the tournament. Coach Signature: Date: Certification No: Organization: Exp. Date: Name of Competitor: Age: WARNING! WAIVER AND RELEASE OF LIABILITY AND AGREEMENT TO PARTICIPATE AS A JUNIOR CONTESTANT IN A SENIOR DIVISION In consideration of being permitted to participate in any way, including travel to and from, in any Judo tournament, practice, clinic, and related events and activities of the United States Judo Inc., United States Judo Federation Inc., United States Judo Association Inc. and Alaska Judo Inc., SMG of Alaska, Inc., Crosspoint Community Church and DBA Dena'ina Civic and Convention Center, I hereby: 1. Acknowledge that I am familiar with the sport of Judo and understand the rules governing the sport of Judo. 2. Acknowledge that the senior division competition matches students 17 years and older attending the Alaska State Judo Championships, who choose to participate in the Senior division competition, by sex and weight classes, regardless of age or judo rank. Weight classes used are noted in the Rules. The actual weights of the competitors within a division may vary considerably depending on the number of competitors available. 3. 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 or supervisor of such condition(s) and refuse to participate. 4. 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 not only to my own action, inaction or negligence, but also to the action, inaction, 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. 5. 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, TBI (Traumatic Brain Injury) or death. Continued on back.

14 55th 14 P a g e -Continued - 6. Release, waive, discharge and covenant not to sue the United States Judo Inc., United States Judo Federation Inc, United States Judo Association Inc., Alaska Judo, Inc., SMG of Alaska, Inc., Crosspoint Community Church and DBA Dena'ina Civic and Convention Center, 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 in conducting 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 or 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 of the law. 7. Parents or legal guardians of minor participants (age 17 and below) acknowledge that their legal dependant is, upon the recommendation of his/her Judo instructor (or coach), capable of competing against other judo competitors in the senior division competition regardless of differences in age or Judo rank. I HAVE I READ THE TO ABOVE THE ABOVE WARNING, WARNING, WAIVER, WAIVER, AND AND RELEASE, RELEASE, UNDERSTAND THAT THAT I GIVE I GIVE UP SUBSTANTIAL UP RIGHTS RIGHTS BY SIGNING BY SIGNING IT, AND IT, AND KNOWING KNOWING THIS, THIS, SIGN SIGN IT VOLUNTARILY. IT I AGREE I TO AGREE PARTICIPATE TO PARTICIPATE KNOWING KNOWING TO THE RISKS TO THE AND RISKS CONDITIONS AND CONDITIONS INVOLVED INVOLVED AND DO SO AND ENTIRELY DO SO OF ENTIRELY MY OWN OF FREE MY WILL. OWN FREE WILL. Participant 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 a 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 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 (please print name) Parent/Guardian s Signature Date

15 55th 15 P a g e Payment Form & Check List: This Paper is to be Included with your Registration Your Name: Your Club: DOB: For Office Use Only Date Received: / / Paid: Male Female Division: Weight: lbs Cash Check # PayPal Payment Comments: A Photo ID is required at Weigh-ins: State ID (or equivalent), Driver's License or photocopy of Passport. Valid USA Judo/USJI, USJF, USJA or Canadian/Yukon Judo membership (present membership card or photocopy of card). All memberships must be active on the day of competition. Registration Forms completed and Payment made out to A.J.I.. Shiai and/or Kata (Adult or Parent/Guardian signed waiver) Junior competing in Senior Shiai Division (Adult or Parent/Guardian signed waiver) Saito/Fukuda Cup Payment(s) (Coaches only) - Waivers signed/submitted day of Tournament Primary Entry Fee ($35) - Shiai or Kata; per Person +$10 fee (each additional division--shiai or Kata); per Person Max Fees per Family ($70) $50 per Team Entry (Fukuda or Saito) -- for Coaches only All waivers appropriately signed by Coaches and Participants (including Parents if under 18 years of age at time of registration). Waiver and Release of Liability and Agreement to Participate (required for ALL competitors). Waiver for contestants under 17 competing as a Senior (if under 18 years of age at time of registration). Every Competitor will receive a coupon good for one (1) State Judo T-shirt -or- use the coupon at the venue as a $12 credit towards an upgrade for a Hoodie, etc. (a Vendor will be on-site during the Tournament) Entry Description Cost QTY Total Fees: Entry Fee $35 (Shiai or Kata participant) 1 x $35 = Additional Division (Shiai) $10 (per contestant, not family) x $10 = Additional Division (Kata) $10 (per contestant, not family) x $10 = Saito Cup (coaches only*) $50 (1 team) x $50 = Fukuda Cup (coaches only*) $50 (1 team) x $50 = * Fukuda and Saito Cup fees to be paid by the Coach/Sensei ($50 per cup team). **Note: Payment for banquet will be taken on-site at the Awards Dinner location. SubTotal: $ A.J.I. is now accepting PayPal payments for Registration Fees. Go to the A.J.I. website: for all 2014 State Judo Information and for on-line Payment. Final Total: $