Fall 2014 Continental Judo Crown Tournament & Kata Competition Seattle, Washington Saturday, November 8, 2014

Similar documents
Fall 2016 Continental Judo Crown Tournament Seattle, Washington Saturday, October 29, 2016

Fall 2017 Continental Judo Crown Tournament Seattle, Washington Sunday, November 5, 2017

2018 Budokan Dojo Tournament Sponsored by Budokan Dojo & Japanese Cultural and Community Center of Washington Sanctioned by the USJF #TBD

2018 Washington State Judo Championships

2019 Washington State Judo Championships

Obukan Judo Dojo Inc.

60th Annual Obukan Judo Shiai and Kata / Onchi Sensei Memorial Tournament Sponsored by Obukan Judo Dojo, Inc. Sanctioned by the USJF (# )

2013 Washington State Championships

17 th Annual Denver Classic Judo Championships

NORTH COAST CHAMPIONSHIPS. Church on the North Coast Gym 4125 Leavitt Rd. Lorain, Ohio 44053

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

$ FIRST PLACE PRIZE FOR OLYMPIC DIVISIONS $ SECOND PLACE PRIZE FOR OLYMPIC DIVISIONS $ THIRD PLACE PRIZE FOR OLYMPIC DIVISIONS

10 th Annual Denver Classic Judo Championships

Iowa State Judo Championships

2016 RAINIER CUP JUDO CHAMPIONSHIPS

Denver Judo Spring Tournament

PRESENTS THE. 23nd ANNIVERSARY OF THE ROCK & ROLL CAPITAL OF THE WORLD JUDO TOURNAMENT. Saturday September 15th, New Venue

Tournament Headquarters: La Quinta Inn NE Holman PORTLAND, OR Chairmen: Blane Bellerud and Tim Ribeiro

JUDO CHAMPIONSHIP DALLAS INVITATIONAL. November 22, th Annual USA JUDO SENIOR D LEVEL & JUNIOR C LEVEL TOURNAMENT HOTEL NAME COMPETITION VENUE

RPI s Annual Spring Judo Tournament

$40 - Novice and Black Belt Divisions. DIRECTOR: Jon Bertsch

Annual Tournament Texas Judo All Star Event Brown Belt State Championship

21st ANNIVERSARY OF THE ROCK & ROLL CAPITAL OF THE WORLD JUDO TOURNAMENT

2018 O. J. Helvey Kentucky State Judo Championships

Mose Woodson Judo Classic

2013 NIKKEI GAMES JUDO SHIAI & KATA TOURNAMENT Sponsored by the Nikkei Games Coordinating Council

2012 Indiana Open State Championships. Hosted By

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

THE AKIYA MEMORIAL JUDO TOURNAMENT

1 st Sandia Judo Winter Open

Bluffton University 1 University Drive Bluffton, Ohio 45817

2019 Ohio Judo Championships March 31th, 2019

America s Cup Judo Championship 2018

Universal Judo 2018 FALL CLASSIC Judo Championships (USA Judo Sanction # 16664)

2011 Michigan State Games Judo Sanction: USA Judo #

Barstow Judo Club Invitational Judo Tournament

MARYLAND OPEN CHAMPIONSHIPS Saturday, January 28, 2017

Cherry Blossom Open XXV

2014 Indiana State Championships

AKIYA JUDO CHAMPIONSHIP SHIAI AND KATA COMPETITION SCHEDULE: Saturday, April 14, 2012

GRANITE STATE FALL JUDO CHALLENGE Sanctioned by: USA Judo #

Lima Family YMCA - Lima, Ohio

Kaizen Judo Dojo 11 th Anniversary Shia Sanction # Saturday, October 6, 2018 Syracuse High School 665 S W. Syracuse, UT 84015

Mail applications to: Richard Imamura 602 W. Princeton Fresno, CA 93705

Saturday August 24, 2013 $45 Pre Registration Fee Pre Register By August 10, 2013 For Current info:

* * * USA Judo E Level Tournament * * *

2017 Texas Judo Inc. NCJA Southwest Regional Collegiate Championships

35th Annual Oil Capital Judo Classic

North Bay Developmental Shiai

OHIO JUDO, INC. presents the. March 18th, 2017

The Becerra Judo Challenge

52nd Annual Dallas Invitational Judo Championships

2012 Rainier Cup Judo Championships

53rd Annual Dallas Invitational Judo Championships NOVEMBER 17TH, 2018 IRVING CONVENTION CENTER IRVING, TEXAS

2019 Texas Judo Inc. NCJA Southwest Regional Collegiate Championships

Bay Area Judo Tournament

2010 Furniture City Open Sanctions: USJF # Pending

HUDSON JUDO YUDANSHAKAI RANK PROMOTIONAL TOURNAMENT

The 2019 West Clovis Senseis Memorial Judo Tournament

2009 GREAT LAKES OPEN JUDO CHAMPIONSHIPS Sanctions: USJF #

FEB 25 th & Feb 26 th, 2017

2015 PRINCETON JUDO INVITATIONAL Sanctioned by USJF #

OCEAN STATE INTERNATIONAL 2015

Hanabi Halloween Classic 2018

EVERGREEN STATE OPEN JUDO CHAMPIONSHIPS

2018 Texas Judo Inc Junior, Senior, Masters and Kata Championships

YOU NEED TO BRING YOUR OWN BLUE AND WHITE BELTS!

EAST BAY INVITATIONAL JUDO TOURNAMENT

United States Naval Academy Judo Club Senior Invitational. Saturday, October 4, 2008

SUNDAY, MARCH 26, 2017

Land of Lakes Open Judo Tournament - October 13, 2018

High Mountain Open Judo Championship McCall, Idaho

1 st Set 1 st Set 1 st Set 2 nd Set 2 nd Set 2 nd Set 3 rd Set

Land of Lakes Open Judo Tournament - October 13, 2018

23rd Annual Go Shibata Memorial Texas Judo Inc. All-Star Event

OCT 27, 2018 FLORIDA JUDO RANKING

2016 FRESNO JUDO CLUB INVITATIONAL

MVJ 14 th Invitational Round Robin Judo Tournament.

HUDSON JUDO YUDANSHAKAI RANK PROMOTIONAL TOURNAMENT

Midwest Collegiate Judo Championships

September 22, Contact Tournament will be held in Providence Rhode Island

OCEAN STATE INTERNATIONAL 2012

The USA CUP. International Junior & Cadet World Roster Point Tournament. National Ranking Points: Cadet & Junior - 3 for 1st, 2 for 2nd, & 1 for 3rd

2013 O. J. Helvey Kentucky State Judo Championships

2018 CENTRAL COAST YUDANSHAKAI CENCO CUP TEAM TOURNAMENT

Universal Judo Club Training Camp

Saturday, Oct. 29 Pittsburgh Oliver High School

Junior, Senior and Master Shiai & Kata Judo Tournament

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

30 th Annual North/South Open Judo Tournament

2019 Rebel Judo Invitational

Hui-O-Judo Beltsville and College Park Judo Club

Mike Szrejter Tomodachi Judo Club. And. Jhonny Prado Ki-Itsu-Sai National Training Center. Brings You. Judo Championship. Shiai and Kata Competitions

OCEAN STATE INTERNATIONAL 2011

OHIO JUDO, INC. presents the. March 7th, 2015

Referee Clinic. Hui-O-Judo Beltsville Shufu Judo Yudanshakai United States Judo Federation. All levels of referees should attend this clinic!!

USA DIVISIONS JUNIOR. Special

Cherry Blossom Open XX

3 rd Annual Pan American Masters Judo Championship November 18-20, 2005

2019 O. J. Helvey Kentucky State Judo Championship (OPEN to ALL states!)

Transcription:

Fall 2014 Continental Judo Crown Tournament & Kata Competition Seattle, Washington Saturday, November 8, 2014 Level E Tournament & National Referee Examination/Re-certification Site Competitors Entry Package Tournament Hotel and Driving Information Schedule of Events Technical Information Competition Rules & Categories Competitor Entry Package Checklist Competitor Official Entry Form Competition Waiver Power of Attorney Non Black Belt Competitor Certification Tournament Headquarters Doubletree Hotel Seattle Airport 18740 International Boulevard Seattle, Washington 98188 Phone 206-248-4330 Attn: Hola Mataele, Sales Manager Special room rate- $99.00 (up to 4 per room) Reservation deadline: October 9, 2014 Competition Location Highline Community College 2400 South 240 th Street Des Moines, WA 98198 Entry Form is available on the web at: www.continentalcrownjudo.com USA Judo Sanction: #2104-129-11

Sponsored By: Washington State Judo, Inc. NW Judo Yudanshakai Tournament Director: Bert Mackey Tournament Committee: John Schaeder, Calvin Terada, Jason Harai, Mike Hiatt, Mark Glaser, Brian Toth, Julie Koyama Technical Directors: Jason Harai, Operations Barbara Shimizu, IJF-A, Chief Referee Karen Nagai, Kata Competition and Hospitality Sanctioned By: USA Judo Sanction #2014-129-11 Registration: Budokan Dojo 1414 South Weller Street Seattle, WA 98144 Tournament Headquarters: Doubletree Hotel Seattle Airport 18740 International Boulevard Seattle, Washington 98188 Registration & Weigh-In: Friday Only November 7 th from 5:00 to 8:00 p.m. at the Doubletree Hotel Seattle Airport. All Shiai competitors must register and weigh-in. Kata competitors must check in at registration, but are not required to weigh-in. Tournament Site: Highline Community College Pavilion Gym 2400 South 240 th Street Des Moines, WA 98198 Eligibility: Open to contestants who have current membership with any of the following organizations: USJA, USJI, or USJF. Athletes from outside of the United States must have an approval letter from their Federation to compete (foreign contestants must be members of a member federation of the International Judo Federation). Competitors must have their membership card at weigh-in. Rules: Round Robin (five or fewer competitors) or Modified Double Elimination. Full IJF rules will be used with the following modifications. 1) Chokes are only allowed in Juvenile, IJF Junior, and Senior Novice and Elite divisions. 2) Arm locks are only allowed in Juvenile B, IJF Junior, and Senior Elite divisions. No arm locks allowed in Juvenile A, Intermediate, Bantam or Senior Novice divisions. These rules are based solely on the division in which the contestant competes. The contestant s actual age on the day of competition is irrelevant. Competitors must adhere to the rules of the division in which they compete. Blue and white judogis are required for all competitors (Seniors and Juniors). To receive an award, athletes must be in judo-gi or proper team attire. Coaches must wear proper attire as per the IJF coaching code, except that coaching during the match will be allowed and coaches will not be expected to wear suits during the scheduled finals. Officials Meeting: 8:00 a.m. Saturday, November 8 at tournament venue National Referee Examination & Re-Certification Site: Referee and Coach Workshop/Clinic will be held on Friday, November 7 from 7:00 to 9:00 p.m. at the Doubletree Hotel Seattle Airport. The clinic fee will be $25. All referees, coaches, and interested parties are encouraged to attend. All checks should be written to the Continental Crown Judo Tournament. The clinic is open to ALL referees and coaches. The clinic will be mandatory for candidates taking the National Referee examination. Immediately following the clinic, all candidates taking the National Referee examination will take their written test. Entry Fee: $40.00 for Junior divisions, $50.00 for Senior divisions, and $40 per Kata pair for one Kata, $70 per Kata pair for two Kata, $90 per Kata pair for three Kata (U.S. Currency) Please submit money order or bank draft in U.S. funds. Entries must be post marked, emailed, or phoned in by October 29, 2014 to avoid late fee. All entry packages must be complete in order to avoid late fee charges. Late fee will be applied for entries received after October 29. Late fee $75.00 (US). Walkin fee $100.00 (US) For more information, contact Bert Mackey at judoratt@comcast.net Tournament Competition: Saturday, November 8 Kata Competition, 8:00 a.m. Tournament Opening Ceremony, 9:00 a.m. Competition begins promptly at 9:30 a.m.

Tournament Headquarters Hotel and Driving Information Doubletree Hotel Seattle Airport 18740 International Boulevard Seattle, Washington 98188 Phone 206-248-4330 Attn: Hola Mataele, Sales Manager Special room rate: $99.00 (up to 4 per room) Reservation deadline: October 9, 2014 Directions to Tournament Competition Site: Highline Community College South 240th Street & Pacific Highway South Des Moines, WA 98198 (206) 878-3710 From Interstate 5 Coming from Seattle - take exit 149 Coming from Tacoma -take exit 149B Proceed west on Kent-Des Moines Road to Pacific Highway South (Route 99) Turn left (south) onto Pacific Highway South Turn right (west) onto South 240th Street Entrances to East, South and Administration parking lots are on the right Entrance to North parking lot is off 20th Avenue South For more maps and directions to Highline Community College www.highline.edu/home/maps

Schedule of Events Friday, November 7, 2014 Registration & Weigh-ins: 5:00 to 8:00 p.m. at the Doubletree Hotel Seattle Airport. All Competitors (Juniors, Intermediates, Seniors and Kata) must register on Friday. All competitors except those competing in only Kata will be required to weigh-in on Friday. USJA, USJI, USJF, or foreign athlete s membership cards will be checked at weigh-in site. No registration will be accepted after 8:00 p.m. Friday, November 7, 2014. Friday, November 7, 2014 Referee Clinic: 7:00 p.m. at the Doubletree Hotel Seattle Airport. The Referee Clinic will be conducted by Barbara Shimizu, IJF-A, Chief Examiner (Coaches are encouraged to attend) Fee: $25.00 Saturday, November 8, 2014 8:00 to 9:00 a.m. Junior and Intermediate competitors report to tournament site to pick up Texas Match Card 8:00 a.m. Officials Meeting 8:00 a.m. Kata Competition 9:00 a.m. Bantam, Intermediate and Juvenile A competitors report for Opening Ceremony 9:00 a.m. Opening Ceremony 9:30 a.m. Competition Begins 10:00 a.m. Juvenile B and IJF Junior competitors report 12:00 to 1:00 p.m. Senior competitors report to pick up Texas Match Card Crown Challenge Team Match: By noon Saturday, the U.S. and Canada are requested to appoint a coach who will select one contestant from each of the following weight divisions: Men: 145, 161, 178, 198, 220+; Women: 125, 145, 146+. Traveling Trophy will be presented to winning team. The Crown Challenge is fought prior to Senior Competition. REFRESHMENTS Food and drink will NOT be available at tournament site. TRANSPORTATION Shuttle service provided from SeaTac Airport to tournament hotel and to/from the tournament venue. Please inquire at registration/ weigh-in if you will need transportation to the tournament venue.

Technical Information Senior Class E and Junior Class D Event Elite Point procedures: This event is a USA Judo Senior Class-E and Junior Class-D event. The ONLY divisions in which points can be earned are the SENIOR divisions that include ranks THROUGH black belt. ALL players who place 1st or 2nd will receive 1.0 and 0.5 SENIOR points, respectively, and Senior E-level classification. Junior-age athletes (born 1986 and later) who place 1st, 2nd, or 3rd in those same SENIOR divisions will receive 2.0, 1.0, and.5 JUNIOR points, respectively, on both the IJF Junior and their age-appropriate rosters, in addition to Senior points. Restrictions: In order to receive points, players must be citizens of the USA. In addition, players must win at least 1 match to receive SENIOR points (the 1 win restriction does not apply for JUNIOR points). After earning points, in order to be listed on any of USA Judo's national rosters, a player must join USA Judo prior to the conclusion of the event to receive points (if not already a member). Seeding: For the Elite point categories, the top 4 nationally ranked Senior athletes will be seeded if they compete in the weight division in which they are ranked. #1 and #4 shall be placed on one side of the bracket; #2 and #3 shall be placed on the other side. The seeding order shall be in the order of the byes, i.e., if there is 1 bye, #1 shall get it; if there are 2 byes, #s 1 and 2 shall get them, etc. If any of the top 4 nationally ranked athletes are not in attendance, athletes ranked #5 and below SHALL NOT be seeded, i.e., moved up to the next higher seed position. Rules for the Elite point categories: 1. IJF contest rules shall be used. 2. Blue judo-gi use is mandatory. 3. Players may compete in only 1 division. 4. Players must compete in the weight category that conforms to their measured weight at weighin. Example: A player competing in the 81 kg division must weigh over 73 kg and less than or equal to 81 kg. Exception: The Male 55 kg and Female 44 kg divisions are PJC weights and not Olympic weights. Competitors whose measured weight would place them in a PJC weight division may choose to compete in the next higher weight division (Male 60 kg and Female 48 kg).

WEIGHT DIVISIONS: Please note these divisions excluding Elite Sr. divisions, are guidelines only and may be modified according to number and weight of the entries at tournament director s discretion. JUNIOR BOYS AND GIRLS DIVISIONS: Please note that Junior divisions are for players born in 1994 or later. Each category is based solely on the year in which the contestant was born. The contestant s actual age on the day of competition is irrelevant. All weights are in kilograms. For each weight division, the weight range will be over the next lower weight and up to and including the weight listed. Example: Bantam 1, 28 kg over 23 kg and up to and including 28 kg. The following age/weight categories will be in use: CATEGORY BIRTH YEAR DIVISION Bantam 1 (Male/Female) 2008-19kg -23kg -28kg +28kg Bantam 2 (Male/Female) 2007-21kg -25kg -30kg +30kg Bantam 3 (Male/Female) 2006-23kg -27kg -31kg -35kg +35kg Intermediate 1(Male/Female) 2004-2005 -26kg -30kg -34kg -38kg -43kg +43kg Intermediate 2 (Male/Female) 2002-2003 -28kg -31kg -34kg -38kg -42kg -47kg -52kg +52kg Juvenile A (Male/Female) 2000-2001 -36kg -40kg -44kg -48kg -53kg -58kg -64kg +64kg Juvenile B (Male) 1997-1999 -50kg -55kg -60kg -66kg -73kg -81kg -90kg +90kg Juvenile B (Female) 1997-1999 -40kg -44kg -48kg -52kg -57kg -63kg -70kg +70kg IJF Junior Male 1994-1999 -55kg -60kg -66kg -73kg -81kg -90kg -100kg +100kg IJF Junior Female 1994-1999 -44kg -48kg -52kg -57kg -63kg -70kg -78kg +78kg SENIOR NOVICE DIVISION: Please note that Senior Novice divisions are for players born before 1994. All weights are in kilograms. For each weight division, the weight range will be over the next lower weight and up to and including the weight listed. CATEGORY LIGHT MEDIUM HEAVY SUPERHEAVY Novice Men -66kg -81kg -100kg +100kg Novice Women -52kg -63kg -78kg +78kg SENIOR MEN BROWN & BLACK BELT DIVISION MB-55 kg MB-60 kg MB-66 kg MB-73 kg MB-81 kg MB-90 kg MB-100 kg MB-100+kg MB Open SENIOR WOMEN BROWN & BLACK BELT DIVISION WB-44 kg WB-48 kg WB-52 kg WB-57 kg WB-63 kg WB-70 kg WB-78 kg WB-78+kg WB Open MASTERS DIVISION 40 yrs.+ (Brackets will be made according to number of entries) 1. IJF contest rules shall be used unless otherwise specified. 2. Match times will be in accordance with IJF rules: 5 minutes for Senior Men Brown & Black Belt Divisions, 4 minutes for Senior Women Brown & Black Belt Divisions. 3. All Senior Novice, Junior and Masters divisions will be 3 minutes in length. 4. Tournament director reserves the right to a) make changes to divisions if there are insufficient contestants and will notify coaches of any such event prior to competition and b) to reject any forms that contain false information.

Technical Information Cont. Kata Competition: Nage No Kata, Katame No Kata and Ju No Kata divisions will be open to players of all ages and sex. Co-ed teams are permitted. Kata Divisions: Kata divisions will be open to all ages. Separate Junior and Senior divisions may be used depending on the number of Kata competitors. Please note these divisions are guidelines only and may be modified according to number and age of the entries at tournament director s discretion. Nage No Kata: All Ages Scoring will be based on all five sets of Nage No Kata. Competitors may perform only the first three sets of Nage No Kata (Te-waza, Koshi-waza and Ashi-waza), but will receive no points for the final two sets (Ma-sutemi-waza and Yoko-sutemi-waza). Katame No Kata: All Ages Scoring will be based on all three sets of Katame No Kata. Competitors may perform only the first two sets of Katame No Kata (Osaekomi-waza and Shime-waza), but will receive no points for the final set (Kansetsu-waza). Ju No Kata: All Ages Scoring will be based on all three sets of Ju No Kata. Competitors must perform all sets. Eligibility All contestants must present current USJF, USJI, USJA or Judo Canada cards to participate. Each team member must have all properly completed Waiver, Consents and Liability Releases, and entry forms required for this competition. All team members must meet all other eligibility requirements and restrictions as governed by the 2014 Continental Judo Crown. Kata Entry Information Email entry information to Karen Nagai (nagaiky@comcast.net) no later than midnight Wednesday October 29, 2014 to avoid a $75 late fee. Be sure to include the names of all kata to be entered and the names of both tori and uke for each kata. You may bring entry forms and payment to registration on November 7, 2014. Entry fee is $40 per Kata pair for one Kata, $70 per Kata pair for two Kata, $90 per Kata pair for three Kata (U.S. Currency).

Registration Information ONLINE REGISTRATION NOW AVAILABLE!! PLEASE NOTE: YOU CAN NOW REGISTER ONLINE AT www.continentalcrownjudo.com BETWEEN NOW AND October 29, 2014 Once you complete and submit the online registration form, you will be officially registered for the 2014 Continental Crown Judo Tournament. You can greatly reduce your check in time during registration/ weigh-in on November 7 if you mail the following completed documents to the address below. You may also bring these forms with you to registration/ weigh-in if you do not want to expedite your check in. Competitor Entry Package Checklist: Official Entry Form and Entry Fee: (competing in multiple divisions will require multiple entry fees) Competition Early Entry Fee is $40.00 for Junior divisions and $50.00 for Senior divisions, $40 per Kata pair for one Kata, $70 per Kata pair for two Kata, $90 per Kata pair for three Kata (U.S. Currency) Submitted by October 29, 2014. Late fees & Incomplete Entry Packages is $75.00 by November 5, 2014. Walk up fees will be $100.00 on November 7, 2014. Copy of current USA Judo, USJF, or USJA membership card. Proof of Age: Copy of birth certificate, passport, or USJI membership card having the verification symbol (V) printed following the birth date. A driver s license is not proof of age! Warning, Waiver, Release of Liability and Agreement to Participate. Proof of Black Belt Rank: Copy of rank certificate. Contestants NOTE: A copy of your current USA Judo membership card having the rank verification symbol (V) printed following the rank will serve as proof. Rank cards issued by USJA or USJF will also serve as proof. Waiver Regarding Non-Black Belt Competitors (Individual or Group). Power of Attorney Form (if applicable and not being accompanied by parent). Payment Email Bert Mackey at judoratt@comcast.net if you have additional questions. Mail All Entry Materials To: Budokan Dojo 1414 South Weller Street Seattle, WA 98144

OFFICIAL ENTRY FORM 2014 Continental Judo Crown November 8, 2014 Sanctioned by Washington State Judo, Inc. (PLEASE TYPE OR PRINT) NAME AGE SEX Male Female ADDRESS City State Zip PHONE#( ) - EMAIL BIRTH DATE U.S. Citizen? Yes No, I am a citizen of If assistance/accommodation is needed (Check off appropriate box): Vision Loss/ Blindness Hearing Loss/ Deafness Type of assistance/accommodation needed or name of person assisting: DIVISION: (Please Check All Divisions You Will Compete In) Bantam 1 Bantam 2 Bantam 3 Intermediate 1 Intermediate 2 Juvenile A Juvenile B IJF Junior Senior Novice Senior Brown/Black Masters 40+ WEIGHT Kg (do not report weight in lbs!) RANK (Check One) Jr. Rank: White Yellow Orange Green Blue Purple Sr. Rank: White Green Blue Brown Black Belt Rank: Dan (YOU MUST PRESENT ONE OF THESE CARDS AT WEIGH-IN!) USJF# expires USJI# expires USJA# expires Other (i.e. Judo Canada w/letter) # expires JUDO CLUB Instructor ADDRESS City State Zip Mail Entries to: Budokan Dojo 1414 South Weller Street Seattle, WA 98144 Register Online at www.continentalcrownjudo.com

OFFICIAL KATA ENTRY FORM 2014 Continental Judo Crown Sanctioned by Washington State Judo, Inc. November 8, 2014 (PLEASE TYPE OR PRINT) NAME: BIRTH DATE: AGE: SEX: Male Female ADDRESS: City: State: Zip: PHONE#: ( ) - EMAIL: NAME OF KATA PARTNER: If assistance/accommodation is needed (Check off appropriate box): Vision Loss/ Blindness Hearing Loss/ Deafness Type of assistance/accommodation needed or name of person assisting: Kata: (Please Check All Kata You Will Compete In) Nage No Kata (Tori) Katame No Kata (Tori) Ju No Kata (Tori) Nage No Kata (Uke) Katame No Kata (Uke) Ju No Kata (Uke) YOU MUST PRESENT ONE OF THESE CARDS AT REGISTRATION! USJF# expires USJI# expires USJA# expires JUDO CLUB Instructor Phone ( ) - Mail Entries to: Budokan Dojo 1414 South Weller Street Seattle, WA 98144

WARNING! WAIVER AND RELEASE OF LIABLITY AND AGREEMENT TO ARTICIPATE In consideration of being permitted to participate in any way, including travel to and from, the Continental Judo Crown, and in any Judo tournament, practice, clinic, and related events and activities of the United States Judo, Inc., United States Judo Association, Inc., United States Judo Federation, Inc., Northwest Judo Yudanshakai, Washington State Judo, Inc., Budokan Dojo, Japanese Cultural and Community Center of Washington, and Highline Community College. 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, Traumatic Brain Injury (TBI) 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, Inc., United States Judo Association, Inc., United States Judo Federation, Inc., Northwest Judo Yudanshakai, Washington State Judo, Inc., Budokan Dojo, Japanese Cultural and Community Center of Washington, and Highline Community College 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. Print Name of Parent/Legal Guardian Parent/Legal Guardian s Signature Date

2014 Continental Judo Crown POWER OF ATTORNEY If contestant is under the age of 18 years on the day of competition, this document must be completed by the contestant s parent or legal guardian if the parent or legal guardian is not attending the tournament. I certify that I am the parent or legal guardian of: a minor. I will not be in attendance at the tournament and do hereby designate: who is over 21 years of age, to be my true and lawful attorney, to act in my name, place and stead, to do any and every act and exercise any power that I might or could do or exercise through any other person and that he/she shall deem proper or advisable, intending hereby to vest in the person acting for me full power and authority to do and perform all and every act and thing. Signature of Parent or Legal Guardian Date Printed Name of Parent or Legal Guardian PLEASE NOTE: Power of Attorney Forms should be given to your designee prior to traveling to the tournament

2014 Continental Judo Crown CERTIFICATE REGARDING NON-BLACK BELT INDIVIDUAL CONTESTANT S ABILITY I,, a Judo Instructor, who has been awarded the Judo rank of Shodan or higher, under the auspices of the United States Judo Federation, United States Judo Inc. or United States Judo Association, hereby certify that (contestant name):, is of sufficient aptitude and skill in Judo to compete in these Championships. A copy of my Judo Black Belt Certificate, a copy of my USJI membership card having the verification symbol ( V ) printed following my rank, or rank card issued by the USJF or USJA National Offices are attached. Judo Instructor (Print Name) Signature Date (Separate entry forms are required if entering Junior and Senior Divisions)

2014 Continental Judo Crown CERTIFICATE REGARDING NON-BLACK BELT GROUP CONTESTANT S ABILITY I, a Judo Instructor, who has been awarded the Judo rank of Shodan or higher, under the auspices of the United States Judo Federation, United States Judo Inc. or United States Judo Association, hereby certify that contestants listed below are of sufficient aptitude and skill in Judo to compete in these Championships. A copy of my Judo Black Belt Certificate or a copy of my USJI membership card having the verification symbol ( V ) printed following my rank, is attached. Judo Instructor (Print Name) Signature Date (PLEASE TYPE OR PRINT INFORMAT DOJO/CLUB : DATE : COACH/SENSEI: COACH S PHONE: NAME SEX AGE DATE OF BIRTH WEIGHT RANK ENTRY FEE PHONE NUMBER