Minnesota State Open Judo Championship Saturday May 2, 2009

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Minnesota State Open Judo Championship
Saturday May 2, 2009 (USJI Sanction JMI #0902)
SCHEDULE OF EVENTS
Friday, May 1, 2009 (Midway Judo Club)
6:00 PM – 8:00 PM
6:00 PM – 8:00 PM
Referee’s Clinic ($10.00 fee for clinic)
Registration and Early Weigh-In
Saturday, May 2, 2009 (Eagan Civic Arena)
8:30 AM – 10:00 AM
10:00 AM – 11:00 AM
10:30 AM – 11:00 AM
11:00 AM
1:00 PM(estimated)
REGISTRATIO
LOCATION
A
s
3:30 PM(estimated)
Registration and Weigh-In
Technical Officials Meeting (Mat#1) – How to work an electronic scoreboard
Referee Meeting
Junior Competition Begins
Senior and Masters Competition following Junior Competition
Note: Seniors & Master competition will not begin before 1:00PM
Elections of Athletic Reps for Judo MN Inc board following Senior Competition
Registration, Early Weigh-In and Referee’s Clinic will be held at:
Midway Judo Club,
1068 Robert St.
W. St. Paul, MN. 55118
Phone (651) 453-0403
Registration, Weigh-In and Competitions will be held at:
Eagan Civic Arena,
3870 Pilot Knob Rd.
Eagan, MN 55112
Concessions & Snacks available on site.
Changing Rooms available on site.
Pre-registration:
$20 first division. If mailed and postmarked by April 25, 2009.
Additional division: $10 (two divisions max.)
Checks payable to:
Mail to:
Judo Minnesota Inc. (JMI)
James Darabi /1830 Larpenteur Ave W. #205 / St. Paul, MN 55113
Registration:
$30 first division. Additional division: $10 (two divisions max.)
STAFF
Proof of valid national membership (i.e. USJI, USJA or USJF) must be presented by all participants.
Tournament Director:
Head Referee:
Pairing Coordinator:
Medical Services:
Mat Setup & Breakdown Coordinator:
Technical Coordinator
Registration Coordinator
James Darabi / 651-271-8410 / jdarabi@yahoo.com
Cary Yamanaka
Gary Foster
Dr. Greg T. Olson
Mark Kafka
George Trembulak
Sharon Trembulak
COMPETITION
2 Regulation Judo Mats
Best of 3 matches for divisions of 2 people,
Round Robin for divisions of 3 people where most wins wins and if a tie the lightest person wins,
Modified Double Elimination for divisions of 4 or more players.
Match length: 3 minutes for Juniors; 4 minutes for Seniors & Masters.
Modified IJF Rules.
Chokes allowed for ages 13 and up.
Armlocks allowed in all Senior and Master divisions.
Golden Score will apply.
Tournament Director reserves the right to adjust divisions to ensure fair and safe competition.
1st, 2nd and 3rd place Trophies for Juniors and Medals for Seniors.
COMPETITION DIVISIONS
JUNIORS
Novice divisions include white, yellow and orange belts. Advanced divisions include green belt and
above. Divisions will be Light, Medium and Heavy as appropriate. Our goal is to keep Junior divisions
within 10 pounds.
Girls
Boys
8 and under
All Ranks
6 and under
All Ranks
7-8
All Ranks
9 - 10
Novice and
Advanced
11 - 12
Novice and
Advanced
13 - 14
Novice and
Advanced
15 - 16
Novice and
Advanced
9 - 10
Novice and
Advanced
11 - 12
Novice and
Advanced
13 - 14
Novice and
Advanced
15 - 16
Novice and
Advanced
SENIORS
Senior Novice divisions include green belt and below. Advanced divisions include brown belt and above.
Women
Novice
Advanced
Men
Novice
Advanced
Light
Light
Medium
Medium
Light
132
Heavy
Heavy
Medium
145
161
178
Light Heavy
198
220
Heavy
Over 220
MASTERS
Ages 30 and over. Divisions: 30 - 44 / 45 and over.
Novice and Advanced will be divided if entries warrant. Weight divisions will be determined by entries.
Tournament Director reserves the right to adjust divisions to ensure fair and safe competition.
SHIAI ENTRY FORM MINNESOTA STATE OPEN JUDO CHAMPIONSHIP 2009
Entry Fee Paid:
For official use only. Do NOT write in this box!
Membership and Insurance Verified:
CHECK ONE:
JUNIOR NOVICE (white,yellow, orange belt through age 16)
Official Weight:
CHECK ONE:
MALE
FEMALE
JUNIOR ADVANCED (green belt & above through age 16)
SENIOR NOVICE (below brown belt)
ENTER:
SENIOR ADVANCED (brown or black belt)
AGE:
MASTERS (ages 30 and above)
RANK:
FOR SECOND DIVISION IS SAME CATEGORY, CHECK ONE:
Move up an age group
Move up to next
Novice player entering
Masters palyer
(juniors only)
weight division
Advanced division
entering seniors
First Name:
Last Name:
Judo Club:
Home Address
City:
State:
Zip code:
USJI, USJF, USJA #
Birth Date M/D/Y:
/
/
Card expiration:
/
/
Email Address:
CERTIFICATE REGARDING NON-BLACK BELT CONTESTANTS
The undersigned __________________________________, a Judo Instructor who holds the rank of Shodan
or higher which is recognized by USJI, USJF, USJA, Judo Canada, or any provincial governing body, hereby
certifies that the above Contestant, although not having been awarded the Judo Rank of Shodan or higher,
is of sufficient aptitude and skill to compete in the above described event.
Signature of Instructor
POWER OF ATTORNEY
If contestant is under the age of 18 years, 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
Please sign the WARNING WAIVER AND RELEASE OF LIABILITY AND AGREEMENT TO PARTICIPATE on back .
Minnesota State Open Judo Championship
Saturday May 2, 2009
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, Inc., United States Judo Federation, United
States Judo Association, Judo Minnesota Inc. (JMI) and Eagan Civic Arena, I hereby:
1. Acknowledge that I am familiar with the sport of Judo and understand the rules governing the sport of Judo and the
importance of following these rules.
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 or supervisor of such condition(s) 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 to not only my own actions, inactions
or negligence, but also to the action, inaction 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 rules involved in the sport of Judo, I assume that risk and accept personal responsibility for the damages
following such injury, permanent disability or death.
5. Release, waive and discharge and covenant not to sue the United States Judo, Inc., United States Judo Federation,
United States Judo Association, Judo Minnesota Inc. (JMI) and 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, guardian(s), supervisors and coaches, sponsoring agencies, sponsors, advertisers and, if
applicable, owners, lessors, and lessees of premises used to conduct 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 (please print name)
_______________________________________
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 (please print name)
_______________________________________
Parent/Guardian Signature
__________
Date
Judo Tournament
RESIDENCE INN EAGAN
You and your team will CHEER when they experience:
•
All suite hotel, complete with full-sized kitchen appliance to include
refrigerator/freezer, microwave oven, full-size oven/stove, dishwasher
•
Seasonal outdoor pool/spa/SportsCourt – all guests receive a complimentary
pass to the local YMCA – complimentary shuttle provided
•
Separate living and sleeping space – definitely room to move
•
Complimentary Hot/Cold Breakfast Buffet - get that energy needed
•
Complimentary Shuttle to area stores and Mall of America
•
Restaurants within walking distance
•
3 Miles from the Eagan Civic Arena,
3870 Pilot Knob Road
Eagan, MN 55122
Hotel provides complimentary shuttle (see front desk for scheduling)
•
Team Rates –
o
o
o
$69.00, plus 9.5% tax – Studio Suite with one king or queen bed
$79.00, plus 9.5% tax – Studio Suite with two queen beds
$149.00, plus 9.5% tax – 2-Bedroom Penthouse Suite (2-queen beds)
(Reservations must be received by 4/17/2009. After this date reservations will be accepted on
and space and rate available basis only.)
To Make Reservations Call:
Residence Inn Eagan
3040 Eagandale Place
Eagan, MN 55121
(651) 688-0363 (hotel direct) or
(800) 331-3131 (worldwide reservations)
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