United States Naval Academy Judo Team Senior Invitational USA Judo Sanction # Saturday, March 2, 2019

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1 Tournament Site: United States Naval Academy Judo Team Senior Invitational USA Judo Sanction # Saturday, March 2, 2019 Note: This tournament will be 3 Man Teams and Individual Women Dahlgren Hall United States Naval Academy Annapolis, Maryland Pre-registration is highly recommended! Our campus is a military base and is closed to cars and trucks that do not have prior authorization to be on-site. Everyone must show a government issued picture ID that conforms to the REAL ID ACT to enter the campus. Parking is also available on King George Street just before arriving at Gate 1 and you can walk on. Eligibility: You must be a member of USA Judo, USJF, USJA, ATJA, or AJJF to participate. Senior Competition only! Competitors must present a current, valid membership card at registration. Entry Fee: $120 per 3 Person Team $40 Entry Fee for Women Shiai Individuals Only Late Fee (after February 22): $160 per Team and $60 for Women Shiai Schedule: 8:30-9:30 am Registration and Weigh-in 9:45 am Opening Ceremonies 10:00 am Team Competition Begins Individuals Competition to begin when Teams are done Contest Rules: IJF current contest rules will apply with the following exceptions: competition areas will be reduced and safety zones will be 3 meters around the edges and 4 meters between areas. Competition will be Modified Double Elimination or Round Robin, depending on the numbers in the division. The tournament director reserves the right to add, delete and/or modify any division.. The Novice Divisions will be Yonkyu and below, the Advanced Divisions will be Sankyu and above. No Chokes or Arm Bars Allowed In Any Novice Division! Team Awards: Trophies will be awarded for first, second, and third places in each division with each member of a winning team receiving an appropriate medal. Individual Awards: Gold medal for first place, Silver for second place, and Bronze for third place in each division. Tournament Director: MIDN. Richard Tapia, Pres. U.S. Naval Academy Judo Team Head Referee:, Class A International Referee For Additional Inform. Contact: Tom Tedesso, or (831)

2 Team Competition Rules: 1. Teams may be made up of representatives from any community club or school. Team members are encouraged to be from the same school or club, but do not have to be. 2. Clubs or schools may sponsor no more than 4 teams (2 Novice and 2 Advanced) per weight category. 3. Light Weight Teams will have one player from 116lbs to 145lbs, one from 130lbs to 159lbs, and one from 145lbs to 174lbs and with a total weight of no more than 435 (3 X 145) lbs. 4. Medium Weight Teams will have one player from 142lbs to 178lbs, one from 160lbs to 196lbs, and one from 178lbs to 214lbs and with a total weight of no more than 534 (3 X 178) lbs. 5. Heavy Weight Teams will have one player from 176lbs to 220lbs, one from 198lbs to 242lbs, and one from 220lbs to 264lbs and with a total weight of no more than 660 (3 X 220) lbs. There will be no Open Weight Class for Teams. 6. All weights determined by official scale on day of Tournament. 7. Incomplete teams may compete with a minimum of 2 players at Registration. However, the team will forfeit the match corresponding to heaviest team member. Missing player will be accorded 145lbs in the Light category, 178lbs in the Middle category, and 220lbs in the Heavy category for total weight calculations. 8. Pick-up teams may be formed on site. 9. Line up for competition will be lightest to heaviest weight. 10. Once a team line-up is set, only one substitution will be allowed for injury and placed in appropriate spot by weight. 11. Injured players who do not finish a match or are withdrawn may not return to compete in any capacity. 12. Individual matches that end tied will be declared Hiki Waki. No Golden Score or Flags. Note: Each team member will compete with the corresponding member from the opposing team. The team that obtains the most wins will advance. In the event of an equal number of wins a tie breaker match will occur with Team selecting a member to represent Team for final match. Alternates cannot be used for tie breaker matches unless they had been previously substituted in. Individual Competition Rules: 1. Brackets will be Light, Medium, and Heavy with Novice, for Yonkyu and below, and Advanced, for Sankyu and above. 2. Brackets may be modified for safety and for greater playability. Individuals who cannot be fit into a bracket safely will be given the choice of a medal for an uncontested bracket or return of entry fee.

3 United States Naval Academy Judo Team Senior Invitational Non-Black Belt Competitor s Waiver USA Judo Sanction# Certificate regarding Non-Black Belt Contestants: If contestant is under the age of 17 and holds a Senior rank, this document must be completed by the contestant s parent or legal guardian AND Judo Instructor to be able to compete in this event. No junior under the age of 14 will be allowed to compete in this event. I,, a Judo Instructor, who has been (Name of Judo Instructor) awarded the judo rank of Shodan or higher, recognized by USA Judo, USJF, USJA, ATJA, or AJJF hereby certify that, although (Name of Player) not being of Senior age in judo, is of sufficient aptitude and skill in Judo to compete in this Invitational. (Signature of Judo Instructor) (Date) A copy of my proof of rank (rank certificate or my national membership card having the verification symbol of (V) printed following my rank) is attached. MUST BE INCLUDED WITH ENTRY FORM. I,, do hereby give my (Parent s Name) permission for my child,, who holds (Name of Junior Player) a Senior Rank, to compete in the United States Naval Academy Judo Team Senior Invitational. (Signature of Parent) (Date)

4 United States Naval Academy Judo Team Senior Invitational Entry Form USA Judo Sanction # Name: Rank: Home Address: Phone Number: (H) (W) address: Gender: M F Age: Club Name: USA Judo/USJF/USJA/ATJA/AJJF Number (circle one): Exp.: (Circle one) Individual or Team Name: If assistance/accommodation is needed (Check off appropriate area); Vision Loss/Blindness Hearing Loss/Deafness Type of assistance/accommodation requested or name of person assisting; Enclosed is $ for participation in the US Naval Academy Judo Team Senior Invitational. Make Check or Money orders payable to: NAAA (Care of U.S. Naval Academy Judo Team) No Fax or registration will be accepted. No Refunds. Registrations should be post marked on or before Friday, February 22, 2019 Mail registrations to: USNA Judo Team Club Sports Office Rickets Hall 556 Brownson Rd Annapolis, Md

5 United States Naval Academy Judo Team Senior Invitational Team Roster You MUST complete an Entry Form for EACH team member Team Name: Club Name: Competing for: The Novice Category The Advanced Category LIGHT (435 lbs.) MEDIUM (534 lbs.) HEAVY (660 lbs.) List your team line up lightest first (#1) and increasing in weight to heaviest player last (#3). The last line (#4) is for an optional alternate in case of injury. Team Member Name RANK AGE WEIGHT 1. lbs. (Lightest male Player) 2. lbs. 3. lbs. (Heaviest male Player) 4. lbs. (Alternate - Optional) Make Checks of Money Orders payable to: "NAAA" (Care of U.S. Naval Academy Judo Team) No Fax or registrations will be accepted and no refunds Mail Registrations, Postmarked by Friday, February 22, 2019 to: USNA Judo Team Club Sports Office Rickets Hall 566 Brownson Rd. Annapolis, Md

6 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, in any Judo tournament, practice, clinic, and related events and activities ( Activity ) of the United States Judo Federation, Inc., USA Judo/United States Judo, Inc., United States Judo Association, Inc., ATJA, AJJF, Shufu Judo Yudanshakai, Inc., Maryland Judo, Inc., United States Naval Academy, Naval Academy Athletic Association, US Naval Academy Judo Team, any Medical & Emergency Services Company, and Individuals, I agree: 1. I understand the nature of Judo activities and believe I am qualified to participate in such Activity. I also understand the rules governing the sport of Judo. 2. I further acknowledge 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. I acknowledge and fully understand that I will be engaging in a contact sport that might result in serious injury, illness or disease, 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, illness, disease, permanent disability, or death. 5. I hereby release, waive, discharge and covenant not to sue the United States Judo Federation, Inc., USA Judo/United States Judo, Inc., United States Judo Association, Inc., ATJA, AJJF, Shufu Judo Yudanshakai, Inc., Maryland Judo, Inc., United States Naval Academy, Naval Academy Athletic Association, US Naval Academy Judo Team, any Medical & Emergency Services Company, and Individuals, together with their affiliated clubs, their respective administrators, directors, officers, agents, coaches, and other employees or volunteers of the organization, event officials, medical personnel, other participants, their parents, legal 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 "Releasees", from any and all litigation expenses, attorney fees, loss, liability, damage or costs on account of injury, illness, disease, including permanent disability and death or damage to property, caused or alleged to be caused in whole or in part by the negligent acts or omissions of the Releasees or otherwise to the fullest extent permitted by law. I HAVE READ THE ABOVE WARNING, WAIVER, AND RELEASE, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND KNOWING THIS, SIGN IT VOLUNTARILY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE. 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/LEGAL GUARDIAN AS EVIDENCED BY THEIR SIGNATURE BELOW. I INTEND THIS TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THAT THE BALANCE, NOTWITHSTANDING SHALL CONTINUE IN FULL FORCE AND EFFECT. Participant Participant s Signature Date FOR PARENTS/LEGAL GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION) This is to certify that I, as 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 including litigation expenses, attorney fees, loss, liability, damage or costs which may incur as the result of the 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/Legal Guardian Parent/Legal Guardian s Signature Date Form USNA W01,

7 Enter the U.S. Naval Academy at Gate 1 (blue star on map) and follow the blue arrows to Dahlgren Hall for the tournament. Entry onto the grounds requires a valid DoD I.D. to drive a vehicle in or a U.S. Government issued picture I.D. (such as a driver s license) that conforms to the REAL ID ACT to walk in. Visitors may choose to park off-base and walk to Dahlgren Hall. For $20/day, parking is available in the Noah Hillman Parking Garage (accessible from Main Street or Duke of Gloucester St). The entrance on Duke of Gloucester St. is on the left, just past Conduit St. Once parked in the garage, look for the stairs in the northeast corner of the garage. At the bottom of the stairs, walk straight down Gorman St. to Main St. The Annapolis City Dock is just a block down the hill on Main St. Alternatively, parking meters are available around Annapolis downtown and City Dock, but meters have a 2 hour maximum time limit.

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