THE AKIYA MEMORIAL JUDO TOURNAMENT PRESENTED BY: MIDEAST CUDELL JUDO CLUB MAY 12, 2007 CUDELL RECREATION CENTER CLEVELAND, OHIO USJF Sanction Number 07-05-01 1
THE MIDEAST CUDELL JUDO CLUB'S ANNUAL USJF Sanction Number 07-05-01 AKIYA MEMORIAL TOURNAMENT Saturday, May 12, 2007 HOSTED BY: Mideast Cudell Judo Club SANCTIONED BY: United States Judo Federation LOCATION: Cudell Recreation Center 1910 West Blvd., Cleveland, OH 44102. (216-664-4137) ELIGIBILITY: This is an open tournament Eligibility is open to all male/female, junior/senior contestants who meet the following criteria: Competitors must present a current USJF, USJI, or USJA membership card. This is an open competition for athletes. Entry fee is $25.00 Pre-registration fee is $20.00, each additional divisions $10.00. AWARDS: 1 st, 2 nd and 3rd Place Medals will be awarded in each division. Please note that competitors must be in their uniforms when receiving an award and should wear sandals on feet while around tournament area. USJF Sanction Number 07-05-01 2
RULES: Current IJF contest rules will be used with the following modifications. Chokes allowed for contestants age 13 and older. Arm locks allowed for all contestants in the Senior division (minimum age 13). All matches will be three minutes in length. A Round Robin System will be used for divisions of four or less. For divisions of five or more a True Double Elimination System will be used. WEIGH-INS: Weigh-ins will be conducted on the day of the event from 9:00-10:00 AM (Juniors) and 10:30-12:00 (Seniors) WEIGHT and AGE DIVISIONS: Junior Boys: AGE WT DIV WT DIV WT DIV WT DIV WT DIV 6 0-47 6L 48-63 6H 64-75 7H 76+ 8H 7 0-57 7L 55-67 7H 68-79 8H 80+ 9H 8 0-46 7L 47-61 8L 62-73 8H 74-91 9H 92+ 10 H 9 0-53 8L 54-68 9L 69-82 9H 83-103 10 H 104+ 11 H 10 0-60 9L 61-75 10 L 76-88 10 H 89-111 11 H 112+ 12 H 11 0-65 10 L 66-85 11 L 86-96 11 H 97-129 12 H 130+ 13 H 12 0-75 11 L 76-95 12 L 96-114 12 H 115-143 13 H 144+ 14 H 13 0-85 12 L 86-105 13 L 106-128 13 H 129-158 14 H 159+ 15 H 14 0-100 13 L 101-120 14 L 121-143 14 H 144-171 15 H 172+ 16 H 15 0-115 14 L 116-120 15 L 136-156 15 H 157-182 16 H 183+ 16open 16 0-125 15 L 126-135 16 L 146-167 16 H 168+ 16open Junior Girls: Age 7/8 Light Medium Heavy 9/10 Light Medium Heavy 11/12 Light Medium Heavy 13/14 Light Medium Heavy 13/14 Light Medium Heavy 15/16 Light Medium Heavy USJF Sanction Number 07-05-01 3
SENIOR MEN: White & Green, Brown Belt, Black Belt (Brown Belt may enter Black Belt Div.) LBS -132, -145, -161, -178, -198, -220, +220 SENIOR WOMEN: White & Green, Brown & Black Belts LBS -99, -106, -114, -125, -139, - 154, -172, +172 MASTERS: 30 Years and older Light, Medium, Heavy * Please note the Tournament Director reserves the right to add or delete divisions, or to make any changes he deems necessary for the successful operation of the event. OFFICIALS: Head Referee Tournament Director Assistant Directors To be Named at Event Ken Lowery Steven Nihiser Dave Urban CONCESSION STAND: A concession stand will be operated by the Mid-East Cudell Judo Parent's Club. Food & drink are only permitted in the lobby (not in the mat area). No smoking allowed in the center. PROCEEDS: Net proceeds of this event help support the Mid-East Cudell Judo Club. This event is recommended for those who are officials-in-training. DIRECTIONS: Recommend using MapQuest, or its equivalent at the address noted in Location sections USJF Sanction Number 07-05-01 4
MIDEAST CUDELL JUDO CLUB AKIYA MEMORIAL TOURNAMENT Divisions Junior Male Junior Female Senior Male Senior Female For Official Use Only: Age: Weight: Insurance Checked: Please Print Name: Address: City: State: Zip Code: Phone: Birth Date: Rank: Age on the Day of the Event: National Membership Card No.: Expiration Date: USJI USJA USJF JUDO CANADA Please note judo insurance must be current! Please fill out an entry form for each division in which you plan to compete. Note that a division being contested on one mat will not be held to accommodate a competitor competing in a second division on another mat. The tournament director reserves the right to regroup divisions and make any other changes necessary for the successful operation of the event. This form may be copied. CERTIFICATE REGARDING NON-BLACK BELT CONTESTANTS I,,a Judo instructor, who holds the rank of SHODAN or higher, under the auspices of United States Judo Inc., United States Judo Federation and United States Judo Association do hereby certify that, although not having been awarded Judo Rank of SHODAN or higher, is of sufficient aptitude and abilities to compete in this championship. Instructor's Name Instructor's Signature Date * Please note: Waiver on reverse of this form must be signed. USJF Sanction Number 07-05-01 5
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 of the United States Judo Federation, Inc., United States Judo, Inc., United States Judo Association, Inc., Konan Judo Yudanshakai, Inc., MidEast Cuddell Judo, Ken Lowery, Steven Nihiser, and David Urban, 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, or death. 5. Release, waive, discharge and covenant not to sue the United States Judo Federation, Inc., United States Judo, Inc., United States Judo Association, Inc., Konan Judo Yudanshakai, Inc., MidEast Cuddell Judo, Ken Lowery, Steven Nihiser, and David Urban, 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 "Releasees", 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 Releasees 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 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 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 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 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 Parent/Guardian s Signature Date USJF Sanction Number 07-05-01 6