62nd Annual Obukan Judo Shiai and Kata / Onchi Sensei Memorial Tournament Sponsored by Obukan Judo Dojo, Inc. Sanctioned by the USJF (# )

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62nd Annual Obukan Judo Shiai and Kata / Onchi Sensei Memorial Tournament Sponsored by Obukan Judo Dojo, Inc. Sanctioned by the USJF (#18-03-11) Tournament date: Kata: Friday, March 23, 2018 Shiai: Saturday, March 24, 2018 Contestants must be an amateur athlete and must have a current USJF card, USA Judo or USJA membership and present card. Tournament Site: Competition Start: Information: Tournament Hotel: PCC Cascade Campus Gym, 600 N. Killingsworth St. Portland. OR 97217 3/23 Friday: Kata starts at 6:00 PM, 3/24 Saturday: Shiai starts at 9:00 AM Rod Conduragis or Mark Hirota 503-208-3035, obukantournament@gmail.com Fairfield Inn & Suites Portland N. Harbour 1200 N. Anchor Way, Portland, OR 97217 503-286-6336 Call and request special room rate for Obukan Judo Dojo by 2-26-18 REGISTRATION AND PAYMENT Shiai: Registration (on or before March 22nd): Enter tournament on-line at obukanjudo.org by March 22, 2018. Present printed and signed waiver form and copy of NBG card to satellite weigh in. Entry fee is $35 for the first division and $20 for an additional division. Walk Up Registration (March 23rd ONLY): Walk up registration and weigh in only allowed on March 23 rd, 6:00 pm to 8:30 pm at the venue. Walk up entry fee is $80 for the first division and $50 for an additional division. Kata: Registration (on or before March 22nd): Enter tournament on-line at obukanjudo.org by March 22, 2017. Bring printed and signed waiver form and copy of NBG card to venue. Entry fee is $60 per team for each kata. Teams can enter up to three kata. Nage no Kata, Katame no Kata and Ju. Walk up Kata registration only allowed on March 23 rd, prior to competition start. Officials Meeting: Officials, coaches and managers, Saturday 8:30 AM. Head Referee: TBA. NW Class R certification is available by the NWYDK Referee Committee.

NEW! SHIAI REGISTRATION AND WEIGH IN PROCEDURE Step 1. Valid National Registration. Make sure you have a valid USJF, USA Judo, USJA or NGB card prior to registering for the Shiai or Kata competition in Eventbrite. Step 2. Register in Eventbrite. Enter tournament and pay on-line at obukanjudo.org by March 22, 2018. In order to keep the quality of our tournament, we are limiting the number of contestants to 250. Step 3. Satellite Weigh in. Between March 20-22, go to a designated satellite weigh in location and weigh in. Note, you must have already registered in Eventbrite and paid your entry fee prior to weighing in. Present your Eventbrite confirmation, signed waiver and copy of National registration card. See the list of Satellite weigh in locations at obukanjudo.org. If you wish to be designated as a satellite weigh in location, please contact Rod Conduragis or Mark Hirota at 503-208-3035, obukanjudo@yahoo.com. Satellite weigh in locations must email their weigh in forms no later than midnight March 22 nd to obukanjudo.org and deliver signed waivers and copies of NBG cards to check in desk at the tournament venue on March 24 th. Step 4. Report to the Mat. Having completed the steps above, simply report to the venue on Saturday March 24. Tournament opens at 9 am.

Kata Format (Competition Friday March 23, 2018, 6 pm) Eligible teams include all female, all male and mixed pairs. Teams may compete in one or more kata, though an individual may only compete in each kata once. Changes in the above may be made at the discretion of the Tournament Committee. First, Second and Third place will be awarded in each kata. Shiai Format (Competition Saturday March 24, 2018, 9 am) Divisions with 6 or more contestants will use a modified double elimination bracket, the champion will not have a loss. Divisions with 5 or less contestants will use a pool bracket Changes in the above may be made at the discretion of the Tournament Committee. No contestant may move down an age group. First, Second and Third place will be awarded to the Divisions indicated below. Shiai Age and Weight Divisions Bantam 1 * (5 and 6 yrs) Bantam 2 * (7 and 8 yrs) Intermediate 1 (9 and 10 yrs) Intermediate 2 (11 and 12 yrs) Juvenile A (13 and 14 yrs) Cadet (15, 16 and 17 yrs) Senior Novice (Up to 4th Kyu) Brown Belt Black Belt Veterans (35 yrs +) *Bantam divisions could be co-ed, depending on the numbers of entries. Divisions will be based on age (as of the day of the tournament) or rank and actual weight. Based on available contestants, every attempt will be made to ensure fair competition for all contestants. If a contestant moves up to a division by their own choice, they will be subject to the rules for that division. If a contestant moves up to a division, at the request of the Tournament Committee and with their concurrence, they will be identified and subject only to the rules pertaining to their original age/rank division.

Div rules with the following modifications: Junior Divisions Bantam 1 and 2* Interm 1 Interm 2 Juv A Cadet Novice 5-6 and 7-9 and 10 11 and 12 13 and 14 8 yrs yrs yrs yrs Senior Divisions Black Belt Brown Belt 15, 16 and 17 yrs over 17 yrs N/A N/A Veterans 35 yrs+ Age Match Time 2 min 2 min 3 min 3 min 4 min 4 min 4 min 4 min 3 min GS time 2 min 2 min unl unl unl unl unl unl unl Shime- Waza No No No Yes Yes Yes Yes Yes Yes Kansetsu- Waza No No No No Yes No Yes Yes Yes Blue Gi Mandatory No No Yes Yes Yes Yes Yes Yes Yes Medical Rules Gi Fit @ Pre-2003 Pre- 2003 Pre-2003 Pre-2003 Pre-2003 *-Bantam divisions could be co-ed, depending on the numbers of entries. @ -2014 Judo Gi rule for fit enforced (increased sleeve length and top cross over). Approved Judogi not required. Contest area: 8 meters x 8 meters Safety area: 3 meters with 4 meters between contest areas.

ENTRY FORM 62nd Annual Obukan Judo Shiai and Kata / Onchi Sensei Memorial Tournament March 24, 2018, Sanctioned by the USJF (#18-03-11) Contestant s Name: Address: City: State: Phone: Age: Male: Female: Weight: Rank: Dojo/Club: USJF, USA Judo or USJA Card Number: Expiration Date: In consideration of your accepting this entry, I, intending to be legally bound hereby for myself, my heirs, executors and administrators, waive the release any and all rights or damages that I may have against the Obukan Judo Dojo Inc. and the member clubs, officials and members of the Northwest Yudanshakai, or United States Judo Federation for any and all injuries suffered by me at said event. Signature of Contestant Date Signature of Parent or Guardian (if under 18 years of age) Date If assistance/accommodation is needed (check off appropriate box): Vision loss / Blindness Hearing Loss / Deafness Type of assistance /accommodation requested or name of person assisting: CERTIFICATE REGARDING NON-BLACK BELT CONTESTANT I,, a judo instructor who holds the judo rank of (must be Shodan or higher) under the auspices of a nationally recognized organization, who is currently registered with a national Judo Organization, hereby certify that,, a non-black belt competitor is competent to participate in the 62nd Annual Obukan Judo Shiai and Kata / Onchi Sensei Memorial Tournament Instructor s Signature Date Organization Registration Number Expiration Date

WARNING! WAIVER AND RELEASE OF LIABILITY AND AGREEMENT TO PARTICIPATE (Including Limited Co-Ed Competition for Age 10 and Under for USJF Sanction) 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., Northwest Judo Yudanshakai, Inc., PCC Cascade Campus, and Obukan Judo Dojo, 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., Northwest Judo Yudanshakai, Inc., PCC Cascade Campus, and Obukan Judo Dojo, 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. CONSISTENT WITH THE BY-LAWS OF USJF, THIS TOURNAMENT MAY INCLUDE CO-ED COMPETITION FOR AGES 10 AND UNDER 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/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 514, V6.0.0, 090818

Tournament Hotel: Tournament Parking (Free on Saturday): PCC Cascade Campus Gym, 600 N. Killingsworth St. Portland. OR 97217