Treasure Valley Judo Club Tournament USJF Sanction # Saturday April 15, 2017 Capital High School 8055 Goddard Rd. Boise, Id.

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Treasure Valley Judo Club Tournament USJF Sanction #17-04-01 Saturday April 15, 2017 Capital High School 8055 Goddard Rd. Boise, Id. 83704 ELIGIBILITY: Current registration and insurance with USJF, USJA, or USJI. Proof of USJF, USJA, or USJI registration is required. USJF registration forms will be available at the registration table. All waivers and entry forms must be properly completed to be accepted. ENTRY FEES: $25.00 for your primary division. $10.00 for additional divisions (Separate Entry form required for each division). $20.00 per team Nage No Kata (Separate Entry form & Waiver) REGISTRATION / WEIGH IN Schedule: Friday Night - April 14 from 6:00pm-7:30pm, all divisions Saturday Morning - April 15 from 8:00am-11:00am o Juniors ages 8 & under must be registered before 8:30am o All other Juniors must be registered before 9:30am o Seniors registration 9:30am to 11:00am EVENT SCHEDULE: Saturday, April 15 8:00 a.m. 11:00 a.m. Registration & Weigh-in 8:30 a.m. - 9:20 a.m. Referee & Judges Meeting, Black Belt Room 9:45 a.m. 10:00 a.m. Opening Ceremonies 10:00 a.m. Nage No Kata & Shiai Competition begins 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: A white polo shirt with dark gray slacks & black socks will be required.

METHOD OF ELIMINATION: A true 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 will 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 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. TOURNAMENT HEAD REFEREE Sam Suyehira TOURNAMENT DIRECTOR Rocky K. Lima MEMORIAL TROPHIES: Trina Castillo & Eddie Ho (Most Inspirational & Most Courageous) awards to two outstanding male/female Juniors. ACCOMODATIONS: La Quinta Suite & Inn ~ BoiseTowne Square 7965 Ash Park Lane Boise, ID, 83704 (Rooms are limited) THE TOURNAMENT DIRECTOR RESERVES THE RIGHT TO MAKE ANY CHANGES THAT WILL BE IN THE BEST INTEREST AND SAFETY OF THE COMPETITORS. QUESTIONS? Contact: Rocky Lima Cell: 371-3768 limaohana@live.com

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. Novice Divisions (yellow and lower) will be formed if enough contestants qualify to form a bracket. (Junior/Intermediate divisions) 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 4-minute matches 15-16 years old 4-minute matches Seniors: (17+ years old) M / F White Belt 4-minute matches *Brown Belt 5-minute matches *Black Belt 5-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.

TREASURE VALLEY JUDO TOURNAMENT OFFICIAL ENTRY FORM 1 st Event 2 nd Event USJF Sanction #17-04-01 Age APRIL 15, 2017 Rank Capital High School Time in Judo 8055 Goddard Rd. Gender Boise, Idaho 83704 Division Official Weight Name Address Telephone ( ) Date of Birth / / E-Mail Address Dojo Sensei Name Certificate Regarding Non-Black belt contestants I,, a Judo Instructor, who has been awarded the rank of Shodan or higher, under the auspices of the USJF, USJI, or USJA, hereby certify that,, although not having been awarded the rank of Shodan or higher, is of sufficient aptitude and skill in Judo to compete in these Championships. Copy of rank certificate is attached. Contestant s signature Date Sensei s signature Date Parent or Guardian s signature Date Check if assistance/accommodation is needed: Vision loss/blindness Hearing loss/deafness Type of assistance/accommodation requested or name of person assisting: This application must be accompanied by a Tournament Waiver / Consent Form >>>>>>>>TOURNAMENT OFFICIAL USE ONLY<<<<<< USJF USJI USJA # Exp. Date / / Tournament Waiver / Consent Form Signed yes / no Payment: $ Cash / Check / Club

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., Intermountain Judo Yudanshakai, Inc., Boise School District, Treasure Valley Judo Club, Ltd., and the Capital High School, 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., Intermountain Judo Yudanshakai, Inc., Boise School District, Treasure Valley Judo Club, Ltd., and the Capital High School, 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