NORTH YORK JUDO CLUB

NORTH YORK JUDO CLUB North York Judo Presents: CANADA WINTER GAMES QUALIFIER Four Fighting Areas Saturday, October 18, 2014 TIME: TOURNAMENT LOCATION: ELIGIBILITY: TOURNAMENT DIRECTOR: CHIEF OFFICIAL: CHIEF REFEREE: MEDIC: RULES: SYSTEM: AWARDS: NOTES: 10:00am (first match) The Hanger @ Downsview Park 75 Carl Hall Rd. North York, Ontario, M3K 2B9 This shiai is open to all paid up members of Judo Ontario and other provincial associations, Judo Canada and all IJF recognized associations. Competitors must present proof of membership, and provide proof of age upon request. There will be no Judo Ontario registration at the tournament venue. You must have registered with Judo Ontario prior to the tournament date. Senko Mehmedovic Dave Robb Mohamad Resa Hassani David McKinty NSO and PSO Rules, for more info please see www.judoontario.ca Fair play + Round Robin will be used for U10 & U12. True double elimination will be used for U14, U16, U18, U21, Senior and Masters divisions with 6 or more competitors. Round robin will be used for divisions with 5 or less. **Senior (16+) division male and female 1st, 2nd and 3rd place medals. Competitors must have one of the following: A white judogi, plus one white and one blue, properly fitted belt. One white and one blue judogi secured with a belt of their appropriate rank colour. One white/blue reversible judogi secured with a belt of their appropriate rank colour. Two blue judogis will not be allowed to fight. For further information, contact Senko Mehmedovic Tel: (647) 988-2212 Email: senkomehmedovic@gmail.com Website: www.northyorkjudo.com

ENTRY FEES: Up to and including October 10, 2014 $38.50 ($35.00 + $3.50 referee fee) for U10, U12 and U14 $49.50 ($45.00 + $4.50 referee fee) for U16, U18, U21, Seniors & Masters & Canada Winter Games qualifying competitors $27.50 ($25.00 + $2.50 referee fee) for each extra division. Special Family Rate: $110.00 ($100.00 + $10.00 referee fee) for 3 or more competitors competing in one division each Late registration (Does not include Canada Winter Games Qualifier): after October 10,2014 $49.50 ($45.00 + $4.50 referee fee) for U10, U12 and U14 $60.50 ($55.00 + $5.50 referee fee) for U16, U18, U21, Seniors and Masters $27.50 ($25.00 + $2.50 referee fee) for each extra division. **There will be no family rate for late registration** CANADA WINTER GAMES QUALIFIER IS PRE REGISTRATION ONLY **For Canada Winter Games Qualifier standard pre registration fees apply** * A Judo Ontario board approved referee development fee of 10% is added to the entry fee. This fee will go directly to the referee committee. **All prices are quoted in Canadian funds. **Faxed forms will not be accepted. Please mail the completed forms and cheq ues, payable to North York Judo Club. MAILING ADDRESS: DIVISION DETAILS: U10: Born 2006-2007 Belts: Yellow & Orange belts Weights Male: -23kg, -26kg, -29kg,-32kg, -35kg, -38kg, -41kg, -44kg, -48kg, +48kg Weights Female: -23kg, -26kg, -29kg, -32kg, -35kg, -38kg, -41kg, -44kg, -48kg, +48kg U14: Born 2002-2003 Belts: (Yellow, Orange, Green) (Blue & up) Weights Male: -34kg, -38kg, -42kg, -46kg, -50kg, -55kg, -60kg, -66kg,+66kg Weights Female: -36kg, -40kg, -44kg, -48kg, -52kg, -57kg, -63kg,+63kg North York Judo Club (attn: Senko Mehmedovic) 331-4005 Don Mills Road North York, Ontario, M2H 3J9 WEIGH-IN: JUNIORS Saturday Oct 18, 2014 7:30 am to 9:00 am at Tournament site JUVENILE, SENIORS & MASTERS Saturday Oct 18, 2014 9:00 am to 10:00 am at Tournament site U12: Born 2004-2005 Belts: (Yellow & Orange Belts) (Green & up) Weights Male: -25kg -28kg -32kg, -36kg, -41kg, -47kg,-54kg, -62kg, +62kg, Weights Female: -25kg -28kg, -32kg, -36kg, -41kg, -47kg, -54kg, -62kg, +62kg U16: Born 2000-2001 Belts: ( Yellow, Orange, Green) (Blue & up) Weights Male: -38kg, -42kg, -46kg, -50kg, -55kg, -60kg, -66kg, -73kg +73kg Weights Female: -36kg, -40kg, -44kg, -48kg, -52kg, -57kg, -63kg, -70kg +70kg U18 Born in: 1998-1999 Male weights: -46kg, -50kg, -55kg, -60kg, -66kg, -73kg, -81kg, - 90kg, +90kg Female : -40kg, -44kg, -48kg, -52kg, -57kg, -63kg, -70kg,+70kg U21 - Born in: 1995-1997 Male weights: -55kg, -60kg, -66kg, -73kg, -81kg, -90kg, -100kg, +100kg Female: -44kg, -48kg, -52kg, -57kg, -63kg, -70kg, -78kg, +78kg Senior Born in: 1998 or earlier Male weights: -55kg, -60kg, -66kg, -73kg, -81kg, -90kg, -100kg,+100kg Female: -44kg, -48kg, -52kg, -57kg, -63kg, -70kg, -78kg, +78kg Masters (Male and Female) - 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-65 Male : -60kg, -66kg, -73kg, -81kg, -90kg, -100kg, +100kg Female: -48kg, -52kg, -57kg, -63kg, -70kg, -78kg, +78kg Current NSO/PSO rules and standards will apply. Available at www.judoontario.ca. Canada winter Games Qualifier : 1996, 1997, 1998, 1999 Male : -60kg, -66kg, -73kg, -81kg, -90kg, -100kg, +100kg Female: -48kg, -52kg, -57kg, -63kg, -70kg, -78kg, +78kg There will be no Judo Ontario registration at the tournament venue. You must have registered with Judo Ontario prior to the tournament date. Tournament starts at 10:00 am sharp. **The Tournament Director reserves the right to alter any category or division if necessary for the safe and successful running of the tournament. The Judo Ontario recommended Fair Play scoring system will be used for U10 & U12. Round Robin draws will be used for U10 & U12. True double elimination will be used for U14, U16, U18, U21, Senior and Masters divisions with 6 or more competitors. Round robin will be used for divisions with 5 or less. For a complete list of tournament rule modifications, procedures and weight divisions please refer to the "Judo Ontario Tournament Standards 2014-2015.

A Judo Ontario Sanctioned Tournament Name Date of Birth dd/mm/yyyy Division Please circle one U10 Born 2006-2007 Gender M F U12 Born 2004-2005 Belt Colour U14 Born 2002-2003 U16 Born 2000-2001 U18 Born 1998-1999 U21 Born 1995-1997 Address SENIORS MASTERS Born 1998 or earlier Born 1985 or earlier Please complete a separate entry form for each division. Phone # Weight. To be filled in by weigh-in official only. J.O. # Kgs J.C. # Official division Home Club Dojoshu/ Instructor Signature of weigh-in official Competitors born 1998 or earlier, may compete in two individual divisions per day e.g. (U18 & U21 same weight), or (-66 Kg & -73 Kg same age).

Canada Winter Games Qualifier A Judo Ontario Sanctioned Tournament Name Date of Birth dd/mm/yyyy Division Please circle one Born: 1996, 1997, 1998, 1999 Belts: (blue, brown, black) Gender M F Male : -60kg, -66kg, -73kg, -81kg, -90kg, -100kg, +100kg Female: -48kg, -52kg, -57kg, -63kg, -70kg, -78kg, +78kg Belt Colour Address Please complete a separate entry form for each division. Phone # Weight. To be filled in by weigh-in official only. J.O. # Kgs J.C. # Official division Home Club Dojoshu/ Instructor Signature of weigh-in official Competitors born 1998 or earlier, may compete in two individual divisions per day e.g. (U18 & U21 same weight), or (-66 Kg & -73 Kg same age).

Release form for Adults (Competitors 18 yrs. old and older) NOTICE: This is a legal document which must be properly completed and signed or your entry will not be accepted. PLEASE READ CAREFULLY. It affects your rights. If you do not understand it. obtain legal advice before signing. RELEASE, INDEMNITY, WARRANTY, AND ASSUMPTION OF RISK IN CONSIDERATION OF the acceptance of my entry to compete in and/or my being permitted to participate in... (hereinafter referred to as "this event"), I hereby release, remise and forever discharge, and agree to indemnify and save harmless The Ontario Judo Black Belt Association,., the organizers of this event, their respective officers, executives, directors, officials, agents, servants and representatives (hereinafter referred to as "the Releases") from and against all claims, actions, costs, expenses and demands in respect of death, injury, loss or damage to my person or property, howsoever caused, arising out to or in connection with my competing or participating in this event and notwithstanding that the same may have been caused by, contributed to or occasioned by the negligence, breach of contract, breach of a common duty of care as an occupier of premises, or otherwise, of or by the Releases or any of them. I agree to assume all risks, both known and unknown, and all consequences thereof, arising out of or in connection with my competing or participating in this event. I agree to adhere to all rules, regulations and conditions of this event. I CERTIFY THAT: 1. I am in good physical condition and I have no injury, disease or disability nor have I injected or ingested anything that would impair my performance or physical condition or increase the likelihood of injury in competing or participating in this event. 2. No physician, nurse, therapist, trainer, coach, manager or other person has advised me not to compete or participate in a body contact sport or in this event. 3. I am familiar with the sport of judo and the nature of a judo contest. I am aware that there is a high risk of injury by the very nature of the sport. 4. This Release Form authorizes the Shiai Director, after consultation with me, to permit a change in categories. (Initialled) THIS DOCUMENT SHALL BE BINDING UPON MYSELF, MY HEIRS, EXECUTORS, ADMINISTRATORS, ASSIGNS AND PERSONAL REPRESENTATIVES. 1 have read this document and I understand it fully. DATE:.. SIGNED:..

Release Form for Minors (Competitors under 18 years of age) NOTICE: This is a legal document, which must be properly completed and signed, or your entry will not be accepted. PLEASE READ CAREFULLY. It affects your rights. If you do not understand it, obtain legal advice before signing. RELEASE, INDEMNITY, WARRANTY, AND ASSUMPTION OF RISK IN CONSIDERATION OF the acceptance of the entry of (hereinafter referred to as "the said child") to compete in and /or being permitted to participate in (hereinafter referred to as "this event"), I/We for myself/ourselves and for and on behalf of the said child hereby release, remise and forever discharge, and agree to indemnify and save harmless The Ontario Judo Black Belt Association,, the organizers of this event, their respective officers, executives, directors, officials, agents, servants and representatives (hereinafter referred to as "the Releases") from and against all claims, actions, costs, expenses and demands in respect of death, injury, loss or damage to the person or property of the said child, or myself/ourselves, howsoever caused, arising out of or in connection with the said child competing or participating in this event and notwithstanding that the same may have been caused by, contributed to or occasioned by the negligence, breach of contract, breach of a common duty of care as an occupier of premises, or otherwise, of or by the Releases or any of them. I/We agree for myself/ourselves and for and on behalf of the said child to assume all risks, both known and unknown, and all consequences thereof, arising out of or in connection with the said child competing or participating in this event and to adhere to all rules, regulations and conditions of this event. I/WE CERTIFY THAT: 1. the said child is in good physical condition and has no injury, disease or disability nor has he/she injected or ingested anything that would impair his/her performance or physical condition or increase the likelihood of injury in competing or participating in this event. 2. No physician, nurse, therapist, trainer, coach, manager or other person has advised me/us not to allow the said child to compete or participate in a body contact sport or in this event. 3. 1/We am/are familiar with the sport of judo and the nature of a judo contest. I/We am/are aware that there is a high risk of injury by the very nature of the sport. 4. We are the father and mother of the said child or the Guardian(s) of the said child and the only person(s) entitled to act for and on behalf of the said child. 5. This Release Form authorizes the Shiai Director, after consultation with me, to permit a change in categories. (Initialled) THIS DOCUMENT SHALL BE BINDING UPON THE SAID CHILD, MYSELF/OURSELVES, THE HEIRS, EXECUTORS, ADMINISTRATORS, ASSIGNS, AND PERSONAL REPRESENTATIVES OF EACH OF US AND THE SAID CHILD. 1/We have read this document and I/we understand it fully. PARENT/GUARDIAN PARENT/GUARDIAN DATE: SIGNED:... ------------------------------ PRINT NAME / RELATIONSHIP PRINT NAME / RELATIONSHIP

TOURNAMENT MAP TOURNAMENT OF CHAMPIONS October 18, 2014 Toronto, Ontario 10:00 am Tournament Director: Senko Mehmedovic For more details please contact Senko Mehmedovic at (416) 988-2212 Sponsorship opportunities available!