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Apr 13-14

USA Judo Senior National Championships:ONLINE REGISTRATION AND ENTRY PACKET National

Virginia Beach, Virginia

2013 Senior, Visually Impaired, International Masters, Brown Belt and Kata National

Judo Championships

 

Held under the Sanction of USA Judo (United States Judo, Inc.)

April 13-14, 2013

 

                   DOWNLOAD THE FULL ENTRY PACKET AND FORMS

REGISTER ONLINE

 

Sponsored and

Hosted by:

USA Judo and the Virginia Beach Convention Center

Nearest Airport:

 Norfolk International (ORF)

Tournament

Headquarters:

 Cavalier Hotel
 4201 Atlantic Ave.
 Virginia Beach, VA 23451

Competition Site:

Virginia Beach Convention Center

Check-in and

Registration:

All athletes must register in person.  See schedule of events for details.

Weigh-in:

See Schedule of Events

Competition Date:

Saturday April 13, 2013 Senior Shiai

Female:  57kg, 63kg, 70kg, 78kg, +78kg

Male:  73kg, 81kg, 90kg, 100kg, +100kg. Kata

Sunday April 14, 2013 Senior Shiai.

Female:  44kg, 48kg, 52kg,  Open

Male:  55kg, 60kg, 66kg Open.

All master, brown belt and VI categories

Tournament

Information

Contact the National Office for all registration questions at 719.866.4730

Master & VI

Athlete Meeting

Saturday 2:00 p.m. at venue

Referees Meeting:

Friday April 12

6:30 – 8:00 p.m.

Coaches

Meeting/Draw

Friday April 12

7:00 p.m.

Technical Officials

Meeting

Friday, April 12

6:00 –7:00 p.m.

 

 Event Information/Registration forms available on USA JUDOs Website: www.usjudo.org

SCHEDULE OF EVENTS

 

Wednesday, April 10, 2013     USJF Committee Meetings at the Marriott

 

Thursday, April 11  2013          All Activities at Cavalier Hotel

9:00a.m. – 9:00p.m.                  USA Judo Board of Directors Meeting, USJF Meetings

 

Friday, April 12, 2013                All Activities/Meetings at Cavalier Hotel

10:00 a.m. – 5:30 p.m.                USA Judo Subcommittee Meetings

 

     11:00 a.m. – 4:00 p.m.                Check-in/ registration for ALL kata and shiai competitors (including Open division). ALL  participants MUST register in person.

                                                        Master, brown belt & VI athletes may check in at this time.

 

6:00 p.m. – 7:00 p.m.                Technical Officials meeting

 

6:30 p.m. – 8:00 p.m.                Referee Meeting

 

        7:00 p.m.8:00 p.m.                  Official weigh-in Sr Shiai: Hotel

Female:  57kg, 63kg, 70kg,  78kg, +78kg;

                                                 Male:  73kg, 81kg, 90kg, 100kg, +100kg

 

7:00 p.m./   8:00p.m.                 Coaches Meeting FOLLOWED BY 8:00 PM DRAW

 

Saturday, April 13, 2013

 

  9:00 a.m.                           Competition start for above weight categories

 

1:00 p.m. (no earlier)                   Kata begins. Kata awards presented once tabulation has concluded.

 

11:00 a.m.-1:00 p.m.                    Registration/weigh-in for all Masters & Brown Belts. Register for VI.

Registration and weigh at the venue. All must weigh except Brown Belts who weighed during Senior weigh-ins on Friday

 

2:00 p.m.                             Meeting/Draw for all Masters, Brown Belt and Visually Impaired at venue

 

5:30 p.m.                             Welcome Ceremonies

Medal matches:  one gold/silver medal match per category

 

7:00 p.m. – 8:00 p.m.                     Official weigh-in Sr. Shiai and VI:   at the Venue

Female:   44kg, 48kg, 52kg,  

                                                    Male:  55kg, 60kg, 66kg

Sunday April 14, 2013

 

9:00 a.m.                                         Competition start for senior categories:

                                                        Female: 44kg,  48kg, 52kg, Open

                                                  Male:  55kg, 60kg, 66kg, Open

Masters, brown belt &Visually  Impaired begin immediately upon conclusion of senior categories, by mat.Finals for masters, brown belt and VI categories, followed by awards at conclusion of each category

 

5:00pm                             Medal matches: one gold/silver match per category for Sr. Shiai

 

The Tournament Director reserves the right to make all final decisions regarding this event.

REGISTRATION DATES -  ENTRY FEES

 Registration Dates/Entry Fees (fees are per category):

 

Number of

Categories

Postmarked

by 3/8

Postmarked

by 3/18

Walk Up

Registration

On Line

by 3/25

On Line

3/26-4/12

1,2

$100.00

$110.00

$130.00

$85.00

$100.00

3,4,5

$70.00

$85.00

$90.00

$55.00

$70.00

6,7,8,9,10

$40.00

$55.00

$60.00

$35.00

$40.00

Open Div.*

$55.00

$65.00

$70.00

$50.00

$60.00

 

  •     *Open category price above is if open is second category entered.  If entered as first category, then full fees apply.

 

  •     DO NOT MAIL ENTRIES AFTER MARCH 18.  After this date, all entries should be hand carried to event and will be considered walk up registration unless registering on line.

 

  •     On line registrations will not be accepted after April 9.  Entries should be hand carried to event and will be considered walk up registrations at this point.

 

  •     Personal, Business, Travelers, Certified, Cashiers checks, Money Orders or credit cards only accepted via mail in entries.  Do not send cash. Credit card form attached

 

  •     Checks should be made payable to 2013 USA Judo Senior National Championships

 

  •     Entry into additional categories must be for same athlete

 

  •     The official entry form and all other required forms must be fully completed, properly signed, appropriate fees enclosed and mailed to the address stated on the entry form.

 

  •     Athletes may also register during Tournament Check in as a walk up.

 

  •     Entry fee’s are non-refundable

 

  •     Absolutely no entries will be accepted after 4:00pm Friday April 12 for Sr. Shiai and Kata.  No entries    accepted after 2pm on Saturday April 13 for Brown belt, VI or master categories.

 

  •     Entry fee is waived for defending Champion in Senior Shiai and NCJA Collegiate Nationals if competing in same weight in which won if entry is received prior to  March 25.  If entry is postmarked after 3/25, all fees above apply.  On line entry is not available for defending champions requesting fee waiver, must be mailed in.

 

Online Entries:

 

Your rank, date of birth and citizenship must be verified in the USA Judo database prior to being allowed access to register on line.  For verification, please send a copy of your birth certificate or picture passport page and a copy of your USA Judo, USJF or USJA rank certificate to 719-866-4733 (fax) or scan/email to corinne.shigemoto@usajudo.us or kevin.wagoner@usajudo.us.  Verification will only be entered in database during normal business hours (Monday-Friday 8am-5pm MST).

 

Incomplete Entry Materials:

 

Entries with incomplete or missing information will be considered walk up registration unless the required material is received before April 4.

 

Confirmation of Registration:  enclose a stamped, self addressed envelope to be informed whether your registration is complete or whether items are missing.  Missing items received by April 4 will complete  registration. Otherwise, your entry will be considered incomplete and late registration fees will apply.

Emails or phone calls regarding complete/incomplete entries will not be taken.

 

 

SPECTATOR ADMISSION FEES

 

Adult (13 and up):                   One day $12.00      Two days  $20.00

9-12 years:                             One day    $8.00      Two days  $14.00

Children under 6 & under Free

 

 

CHAMPIONSHIP HEADQUARTERS

 

Headquarters:          Cavalier Hotel

                                    4201 Atlantic Ave.

                                  Virginia Beach, VA 23451

 

Rates:                         $129.00, plus all applicable tax

 

Deadline Date:          Book by March 23 to receive the discounted pricing.

For Reservations Call757-425-8555.  Ask for the Judo rate.

  

TRANSPORTATION

 

Air Transportation:  Nearest airport is Norfolk International (ORF). Book with United Airlines, support USA Judo and save on regular published fares. Go to  www.united.com/USOC  

Use discount code ZMGX683412 to receive the discount.

 

Ground Transportation:  No ground transportation will be provided to/from airport, hotel or venue.

 

COACH DRESS CODE

All coaches must adhere to the following dress code during this event.  Failure to adhere will be grounds for removal of coaching credentials.

 

Acceptable apparel:  national or club team track suit (sweatsuit) with polo shirt; business casual attire, dress jeans (no holes or markings); button down shirts or polo shirts.  Dress shoes, sneakers (tennis shoes)

 

Forbidden apparel: flip flops, sandals, shorts, tee-shirts, hats, head coverings.

 

Coaches must be current USA Judo Certified Coaches to receive coaching credentials at this event.

 

ELIGIBILITY

 

Contestants may compete in Senior Shiai, Visually Impaired Shiai, Masters,  Brown Belt and Kata Categories, if they meet the eligibility requirements for those events, submit the required documentation, pay the required entry fees and there is no conflict regarding weigh-in and competition schedules.

 

  •   Must have been born December 31, 1998 or earlier, or have obtained appropriate Age Waiver.

    (see  http://www.teamusa.org/USA-Judo/Athletes/Juniors/2012-USA-Judo-Age-Waiver-Resolution.aspx.

    Age Waiver applications MUST reach Jim Hrbek via email (judolym@aol.com) by March 23, 2013)

  •    All athletes must hold the minimum rank of senior sankyu

 

  •   All  athletes must be a member of USA Judo regardless of citizenship.

 

Senior Shiai Category:

 

1.  Must be United States citizen

 

2.  Athletes must be currently or formerly on the elite Senior Roster, or IJF Junior Roster, or Juvenile B Roster, or have received a Juvenile A Age Waiver according to the rules governing Age Waivers, or have competed in their most recent Group B State Championships.  If an athlete was unable to compete in his or her State Championship, check appropriate box on entry form.

 

3.  Athletes participating in the Senior Shiai divisions (excluding the Open division) must not have represented another country at Senior Continental Championship or higher level within the past three years from date of Senior Nationals, or in the 2012 Olympic Games.

 

Visually Impaired Category: Participants in the visually impaired competition must be:

 

1.  United States citizen

 

2.  Must have been classified as visually impaired at an IBSA or IPC event in the past 10 years or provide a letter from an optometrist or ophthalmologist verifying visual acuity.

 

Classifications of visual impairment:

 

Class B1

No light perception in either eye up to light perception, but inability to recognize the shape of a hand at any distance or in any direction.

 

Class B2

From ability to recognize the shape of a hand up to visual acuity of 20/600 and/or a visual field of less than

5 degrees in the best eye with the best practical eye correction.

 

Class B3

From visual acuity above 20/600 and up to visual acuity of 20/200 and/or a visual field of less than 20 degrees and more than 5 degrees in the best eye with the best practical eye correction.

*Visual groups B1, B2 and B3 will compete together.

 

Open Category:   Participants in this Category must be:

 

1.  Competition is open to any U.S. citizen, permanent resident of the USA (green card, white card, etc.), full time student residing in the USA or person holding a long-term work visa in the USA.

 

Masters Category:  All athletes must be:

 

  1. Age will now be determined by year of birth.  Minimum year of birth is 1983.

 

Age From

Age To

YOB  From

YOB To

Female

Male

30

34

1983

1979

F1

M1

35

39

1978

1974

F2

M2

40

44

1973

1969

F3

M3

45

49

1968

1964

F4

M4

50

54

1963

1959

F5

M5

55

59

1958

1954

F6

M6

60

64

1953

1949

F7

M7

65

69

1948

1944

F8

M8

70

74

1943

1939

F9

M9

75

79

1938

1934

F10

M10

80

+

1933

 

F11

M11

 

2.  Athletes who are not citizens of the United States may participate by meeting one of the following     conditions:

A.  If a non-U.S. citizen is a permanent, legal, resident of the United States (green card, etc.),

then that person may compete either :For the Country of which he/she is a citizen with proof of

membership in that countrys Judo Federation and the Countrys permission to compete, OR,

 

B. As a member of USA Judo, affiliated with a State Governing Body. If a person is not a permanent resident of the United States, that person can only compete under criteria 2a, above.

 

Proof of citizenship or permanent residency must be presented by all competitors at Tournament Check-In.

   
  Passports are mandatory for all citizens of countries other than the United States.

 Brown Belt Category:  Athlete must be:

A.   A U.S. citizen, permanent resident of the USA (green card, white card, etc.), full time student residing in the USA or person holding a long-term work visa in the USA.

 

B.  Minimum senior sankyu rank, no dan ranks allowed.

 

Kata Category:  Athletes must be:         


 

A.  Athletes who are not United States citizens must compete for the country of which they are a citizen, and must present a letter from their countrys federation stating that they are a member in good standing and have the Federation’s permission to compete.

 

B.  This letter must be included with your application or presented at Registration/Check-in.

 

C.  For teams composed of non-U.S. citizens, both Uke and Tori must be citizens of the same country.

Passports are mandatory for all citizens of countries other than the United States.

 

There will be three Kata categories: Same Gender Male (both partners must be male); Same Gender Female (both partners must be female); and Mixed Gender (one partner must be male, the other must be female.)  For further details, please refer to the kata section under Rules, elsewhere in this package.

 

WEIGH IN

 

See Schedule of Events for times of weigh in.  A calibrated practice scale will be available prior to, and during, the weigh-in periods.  However, in no case will contestants be allowed on the Official Scale during Official Weigh-in for the purpose of checking weight. Contestants may check weight as many times as desired prior to the official weigh-in.  A contestant is given only one chance on the official scale during official weigh-in. Open division contestants do not need to weigh in. Brown belt category athletes who compete in senior shiai on Saturday and weigh during the morning weigh-in do not need to re-weigh between 11am-1pm on Saturday.  All other brown belt category athletes do need to weigh on Saturday between 11am-1pm.  At weigh in, athletes must present their tournament-issued identification card AND a photo ID.

 

 

***MANDATORY DRAW***

 

All draws will be conducted using USA Judo approved software. With the exception of seeding, the draw will be random. It is the coach/athletes sole responsibility to confirm that the correct athlete is listed in the correct category.  Any corrections/changes must be made prior to the draw or during the scheduled draw for those categories. Once the draw is complete, there will be no changes.  NO EXCEPTIONS.

 

 

 

 

JUDO GI COLOR

 

Blue and white judo gi's are mandatory for all shiai categories. White judo gi only for kata.

 

 

RULES AND METHOD OF COMPETITION

 

Points will be awarded in Senior, Master and Visually Impaired Categories only as outlined in the respective criteria. Criteria can be found at www.usjudo.org.

 

Competition Method for Senior, Visually Impaired, Masters and Brown Belt Categories:

 

1.  Categories having five (5) Competitors or less: Round Robin Pool (every competitor competes against every other competitor). The order of finish is determined by number of wins, then, if tied, by total points.  If tied in wins and points, the winner of the head-to-head competition between the two who are still tied determines the winner.  If three or more are still tied in wins and points for any place (first,

second, or third), those contestants involved must contest again to determine the order of finish.  Points are given to the winner only and shall be based on the highest single score of the winner, after factoring out scores that cancel out each other.  Point values are Ippon= 10, Waza-ari= 7, Yuko= 5, Decision= 1. If a contestant withdraws from a division prior to beginning his or her final match, the results of all that person’s previous matches shall be discarded.

 

2. Categories having six (6) competitors or greater: Knockout System with Double Repechage (some- times referred to as Crossover Repechage).  Players are divided into two pools, A and B which are further subdivided into A1, A2, B1, B2. Determination of 1st and 2nd place: The Knockout(single elimination) system is then used to produce two finalists, one from pool A, the other from pool B, who will compete for 1st and 2nd place. Determination of 3rd – 5th place:  All contestants who were defeated by the winners of pools A1, A2, B1, and B2 (semi-finalists) will take part in the repechage of their respective pools in the order in which they were defeated.  For example, for pool A1, the loser from Round 1 will meet the loser from Round 2; the winner of that match will meet the loser from Round 3, etc. The winner of repechage pool A1 will meet the winner of repechage pool A2; similarly for B1 and B2.  The winner of the repechage pool A will meet the loser of the semi-final of knockout pool B. The

winner of repechage pool B will meet the loser of the semi-final of knockout pool A. The winners (2) are placed 3rd, the losers (2) are placed 5th.

 

 

Seeding:   Senior Shiai only:  The top eight athletes in attendance will be seeded in accordance with their listing on the National Roster maintained by USA Judo, provided they are ranked at A through D levels,  as follows:  A (or B) side: #1 and #8 in one half, #5 and #4 in the other half. B (or A) side: #2 and #7 in one half; and #6 and #3 in the other half.  Seeded athletes will be separated as far as possible in their sections of the draw and will receive byes if available.  A higher seeded athlete will always receive a bye before a lower seeded athlete.  Athletes having the same State (Group B) affiliation will be placed as far apart in the bracket as possible.   Seeded athletes lose their State/Club affiliation for purposes of the draw, i.e. two athletes from the same state or club may meet in the first round if one is a seeded athlete.

 

Senior Shiai and Brown Belt Rules:

 

The Senior Shiai and brown belt Championships will be conducted in accordance with the Contest Rules, Organization Code and Sporting Code of the International Judo Federation. The exception to the IJF rules will be the usage of the Knockout System with Double Repechage. A meeting will be held Saturday afternoon at the venue for all brown belt category competitors.  At this time, uncontested divisions may be combined with others.  All competitors must be present for a division to be combined.

 

Injury Rule:  The following rule was approved by the Board of Directors of USA Judo on October 22, 1998: Decisions as to whether an athlete may continue if injured while on the mat, are to be resolved in accordance with IJF rules; such decisions  occurring off the mat or not covered by the IJF rules, are to be made by the coach, the athlete, and the Team Doctor. If there is not a unanimous opinion among these three individuals, the athlete may not continue.

 

  •     Match Lengths: Five minutes for men and women. No time limit Golden Score

 

Visually Impaired:

 

The Visually Impaired Championships will be conducted in accordance with the Contest Rules, Organization

Code and Sporting Code of the International Blind Sports Association.

 

  •     Match Lengths: Five minutes for men and women. No time limit Golden Score

 

  •     Method of resolving uncontested visually impaired divisions: In the event that a visually impaired competitor is uncontested in his or her division, a mandatory meeting will be held Saturday afternoon at the venue for all visually impaired competitors.  At this time uncontested divisions may be combined with others. All competitors must be present for a division to be combined.

 

Masters Championships:

 

The Masters Championships will be conducted in accordance with the Contest Rules, Organization Code and

Sporting Code of the International Judo Federation with the exception of match length:

 

  •      Match Lengths:  M1/F1-M6/F6 will be three minutes and two minutes golden score.     M7/F7-M10/F10 will be two minutes and one minute golden score.

 

  •     Masters may compete in only one weight division.

 

  •     Method of resolving uncontested Masters divisions: In the event that a Masters competitor is uncontested the following options are available, beginning with the oldest uncontested competitor and progressing to the youngest:

1. Remain uncontested

2. Move down in age group, same weight until competition is found

3. If an uncontested competitor must move down more than one age group in order to find competition, you may choose to move up in weight within their proper age group.

 

A meeting will be held Saturday at the venue for all Masters competitors. All competitors must be present for a division to be combined. Points will only be awarded for athletes true category and weight.

 

Kata Championships:

 

The Kata Championships will be conducted in accordance with the current procedures of United States Judo, Inc. Entry rules are as follows:

 

  •     There are five events in each category: Nage-no-kata, Kime-no-kata, Katame-no-kata, Ju-no-kata, and Goshin-jutsu.

 

  •     A contestant may enter only one Kata event once, i.e. cannot enter the same Kata Event with a different partner.

 

  •     To qualify for the All-Around award in each Category, the same Kata team contestants must enter and compete in any three kata's, within the same Category. The role of Uke and Tori may vary but the contestants must be the same.

 

  •     A separate application and entry fee must be included for each Kata event entered.

 

NOTICE OF POSSIBLE TESTING FOR BANNED SUBSTANCES

 

Senior and Visually Impaired Shiai only:  Testing, in accordance with the Anti-Doping Rules and Procedures of the IJF, USOC, and the United States Anti-Doping Agency (USADA), may be conducted to determine whether an athlete is utilizing a substance forbidden by the International Olympic Committee.  As an athlete, before taking any medication or supplement, it is your responsibility to find out if any substance in the product

is prohibited or restrictedThe Drug Reference Hotline is 1.800.233.0393.  You can send correspondence and inquiries to:  United States Anti-Doping Agency; 1330 Quail Lake Loop, Suite 250, Colorado Springs, CO

80906.  Or visit USADA’s website:  http://www.usantidoping.org/


 

 ATHLETE ENTRY REQUIREMENTS CHECKLIST

 

To assure that the requirements for participation in the Championships have been fulfilled, the following forms must be completed, postmarked by March 18, 2013 and sent to the address printed at the bottom of this page.

 

All Athletes:

 

q  Official Entry Form and appropriate fees. A separate application and entry fee must be included for each category/event entered

 

q  Warning, Waiver, Release of Liability and Agreement to Participate.

q  Proof of Age: Copy of birth certificate, passport, or USA JUDO membership card having the verification

symbol “(V)printed following the birth date. A drivers license is not proof of age or citizenship!

q  Copy of Rank: 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 the USJF or USJA National Offices will serve as proof.

q  Citizenship:  Copy of birth certificate or passport showing US Citizenship is required for all senior and visually impaired shiai competitors. A C” on the USA Judo card does verify citizenship.

q  Senior Open division Proof of US citizenship OR permanent residency (green card, white card, etc.)

q  Copy of current USA JUDO (USJI) membership card. Cards may be purchased on site at event. Cards may be purchased on line at www.usjudo.org.

q  Age Waivered Athletes MUST include a copy of the Age Waiver Approval

 

Visually Impaired Athletes

 

q  Proof of classification letter from an optometrist or ophthalmologist verifying visual acuity; unless competitor has been previously classified at an IBSA or IPC event in the past 10 years (please list this event on the entry form in the space provided).

 

Non-US citizens competing in Open, Masters or Kata and representing the country of which they are citizens:

 

q  Letter from your National Judo Federation stating that you are a member in good standing and have their permission to compete in this event.

 

 

NOTE:  A self-addressed, stamped envelope must be included to receive confirmation of entry form received.

 

Forward all forms and fees to:

 

2013 USA Judo National Championships

1 Olympic Plaza, Colorado Springs, CO 80909

For Questions Contact: USA Judo

719.866.4730


 

SENIOR SHIAI OFFICIAL ENTRY FORM

 

Mail Entry Forms, waivers and fees to:

2013 USA Judo National Championships 1 Olympic Plaza Colorado Springs, CO 80909

 

DO NOT MAIL ENTRIES AFTER March 18, 2013

 

 

Participant’s Name: Last Name (Family Name, Surname)     First Name
















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Street Address:

 

 

City:                                                                                                             State:         Zip Code:

















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Telephone (Voice):                                                      Fax:




-




-





||




-




-





USA JUDO (USJI) Membership Number:                             Date of Birth (month/day/year)















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/



/





Judo Rank:                                                  Name of Coach:










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Judo Club Name:

 

 

E-Mail Address

 

 

Circle one: If competing in the Open Category a second entry form must be completed.

 

Female:

44 Kg

48 Kg

52 Kg

57 Kg

63 Kg

70 Kg

78 Kg

+78 Kg

Open

Male:

55 Kg

60 Kg

66 Kg

73 Kg

81 Kg

90 Kg

100 Kg

+100 Kg

Open

 

 

 

All athletes except those entering the Open Category must certify that they meet at least one of the following Board-approved eligibility criteria:

 

       I am a current or former elite Senior, IJF Junior or Juvenile B Athlete.

       I have competed in the most recent Group B State Championship in my state.

       I was unable to compete in the most recent Group B State Championship in my state of residence.

 

 

 



Participant's Signature

Date

 

         I request entry fee waiver. I am the defending champion in this weight:      (Sr. Ntl. or NCJA Ntl

(must be received postmarked by 3/25, otherwise full fees apply).

 

Entry fees are non-refundable

 

 

 

The Tournament Director reserves the right to make any and all changes regarding this event

 

SENIOR SHIAI        SENIOR SHIAI        SENIOR SHIAI        SENIOR SHIAI        SENIOR SHIAI


 

BROWN BELT OFFICIAL ENTRY FORM

 

Mail Entry Forms, waivers and fees to:

2013 USA Judo National Championships 1 Olympic Plaza Colorado Springs, CO 80909

 

DO NOT MAIL ENTRIES AFTER March 18, 2013

 

 

Participant’s Name: Last Name (Family Name, Surname)     First Name
















||










Street Address:

 

 

City:                                                                                                             State:         Zip Code:

















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Telephone (Voice):                                                      Fax:




-




-





||




-




-





USA JUDO (USJI) Membership Number:                             Date of Birth (month/day/year)















||



/



/





Judo Rank:                                                  Name of Coach:










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Judo Club Name:

 

 

E-Mail Address

 

 

Circle one: If competing in the Open Category a second entry form must be completed.

 

Female:

44 Kg

48 Kg

52 Kg

57 Kg

63 Kg

70 Kg

78 Kg

+78 Kg


Male:

55 Kg

60 Kg

66 Kg

73 Kg

81 Kg

90 Kg

100 Kg

+100 Kg


 

.



Participant's Signature

Date

 

 

Entry fees are non-refundable

 

 

 

The Tournament Director reserves the right to make any and all changes regarding this event

 

 

 

BROWN BELT      BROWN BELT      BROWN BELT      BROWN BELT      BROWN BELT


 

VISUALLY IMPAIRED SHIAI OFFICIAL ENTRY FORM

 

Mail Entry Forms, waivers and fees to:

2013 USA Judo National Championships, 1 Olympic Plaza Colorado Springs, CO 80909

 

DO NOT MAIL ENTRIES AFTER March 18, 2013

 

Participant’s Name: Last Name (Family Name, Surname)          First Name
















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Street Address:

 

 

City:                                                                                                                   State:         Zip Code:

















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Telephone (Voice):                                                           Fax:




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-





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-




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USA JUDO (USJI) Membership Number:                                  Date of Birth (month/day/year)















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/





Judo Rank:                                                       Name of Coach:










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Judo Club Name:

 

 

E-Mail Address

 

 

Circle the category in which you wish to compete.

 

Female:

48 Kg

52 Kg

57 Kg

63 Kg

70 Kg

+70 Kg


Male:

60 Kg

66 Kg

73 Kg

81 Kg

90 Kg

100 Kg

+100 Kg

Classification: Please check the box next to the classification you qualify as

 

q   Class B1: No light perception in either eye up to light perception, but inability to recognize the shape of a hand at any distance or in any direction.

 

q   Class B2: From ability to recognize the shape of a hand up to visual acuity of 20/600 and/or a visual field of less than

5 degrees in the best eye with the best practical eye correction.

 

q   Class B3: From visual acuity above 20/600 and up to visual acuity of 20/200 and/or a visual field of less than 20 degrees and more than 5 degrees in the best eye with the best practical eye correction.

Participants must have been classified as visually impaired at an IBSA or IPC event in the past 10 years or provide a letter from an optometrist or ophthalmologist verifying visual acuity.  If you have received classification at an IBSA or IPC event, please list event and the date of the event below.

 

IBSA or IPC Event name and date:                                                                                          

 



Participant's Signature

Date

Entry fees are non-refundable

 

The Tournament Director reserves the right to make any and all changes regarding this event

 

 

VISUALLY IMPAIRED         VISUALLY IMPAIRED        VISUALLY IMPAIRED        VISUALLY IMPAIRED


 

MASTERS OFFICIAL ENTRY FORM

 

Mail Entry Forms, waivers and fees to:

2013 USA Judo National Championships, 1 Olympic Plaza Colorado Springs, CO 80909

DO NOT MAIL ENTRIES AFTER March 18, 2013

 

Participant’s Name: Last Name (Family Name, Surname)     First Name
















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Street Address:

 

 

City:                                                                                                             State:         Zip Code:

















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Telephone (Voice):                                                      Fax:




-




-





||




-




-





USA JUDO (USJI) Membership Number:                             Date of Birth (month/day/year)















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/



/





Judo Rank:                                                  Name of Coach:










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Judo Club Name:

 

 

E-Mail Address

 

 

 

Circle your age group: Age is determined by the YEAR BORN ONLY (not the day you were born).

 

 

 

M1/F1

M2/F2

M3/F3

M4/F4

M5/F5

M6/F6

M7/F7

M8/F8

M9/F9

M10/F10

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

 

 

Circle the weight category in which you wish to compete. This is for planning purposes only.  Your division will be determined by your actual weight at weigh-in.

 

Female:

44 Kg

48 Kg

52 Kg

57 Kg

63 Kg

70 Kg

78 Kg

+78 Kg

Under

50

Open

Over 50

Open

Male:

55 Kg

60 Kg

66 Kg

73 Kg

81 Kg

90 Kg

100 Kg

+100 Kg

Under

50

Open

Over 50

Open

 



Participant's Signature

Date

Entry Fees are non-refundable

The Tournament Director reserves the right to make any and all changes regarding this event

 

 

MASTERS          MASTERS          MASTERS          MASTERS          MASTERS          MASTERS


 

SAME GENDER    -   KATA OFFICIAL ENTRY FORM    -   SAME GENDER

 

Mail Entry Forms, waivers and fees to:

2013 USA Judo National Championships, 1 Olympic Plaza Colorado Springs, CO 80909

 

DO NOT MAIL ENTRIES AFTER March 18, 2013

Participant’s Name:

Last Name (Family Name, Surname)                                                               First Name
















ll










Street Address:

 

 

City:                                                                                                           State:                     Zip Code:

















ll



ll






Telephone (Voice)                                                                 Fax:




-




-





ll




-




-





USA JUDO (USJI) Membership Number:                                             Date of Birth (month/day/year)















ll



/



/





Judo Rank:                                                                  Name of Coach









ll

















Judo Club Name:

 

 

E-Mail Address

 

 

Circle the category in which you wish to compete.  Tori and Uke must submit separate forms.

 

If competing in more than one category, a separate application and entry fee must be included for each Kata category entered.

 

Nage-no-kata

Kime-no-kata

Katame-no-kata

Ju-no-kata

Goshin-jutsu

 

Both partners must be of the  Same Gender - Please circle one:   M       F

 



TORI'S NAME (LAST, FIRST)

UKE'S NAME (LAST, FIRST)

 

 

Entry Fees are non-refundable

 

The Tournament Director reserves the right to make any and all changes regarding this event

 

 

 

SAME GENDER      KATA     SAME GENDER      KATA     SAME GENDER


 

MIXED GENDER    -   KATA OFFICIAL ENTRY FORM     -   MIXED GENDER

 

Mail Entry Forms, waivers and fees to:

2013 USA Judo National Championships 1 Olympic Plaza Colorado Springs, CO 80909

 

DO NOT MAIL ENTRIES AFTER March 18, 2013

 

 

Participant’s Name:

Last Name (Family Name, Surname)                                                               First Name
















ll










Street Address:

 

 

City:                                                                                                           State:                     Zip Code:

















ll



ll






Telephone (Voice)                                                                 Fax:




-




-





ll




-




-





USA JUDO (USJI) Membership Number:                                             Date of Birth (month/day/year)















ll



/



/





Judo Rank:                                                                  Name of Coach









ll

















Judo Club Name:

 

 

E-Mail Address

 

 

 

Circle the category in which you wish to compete.  Tori and Uke must submit separate forms.

 

 

If competing in more than one category, a separate application and entry fee must be included for each Kata category entered.

 

Nage-no-kata

Kime-no-kata

Katame-no-kata

Ju-no-kata

Goshin-jutsu

 

 

 

Partners must be of Mixed Gender, one male, one female – Indicate by circling M/F below

 

M / F

M / F

TORI'S NAME (LAST, FIRST)

UKE'S NAME (LAST, FIRST)

 

 

 

 

 

Entry Fees are non-refundable

 

The Tournament Director reserves the right to make any and all changes regarding this event

 

 

 

 

MIXED GENDER        KATA     MIXED GENDER        KATA     MIXED GENDER        KATA     MIXED GENDER


 

 

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, the 2013 USA Judo (USJI) Senior, Visually Impaired, International Masters, Brown Belt and Kata National Judo Championships, and related events and activities of United States Judo, Inc. (USA Judo) the Virginia Beach Convention Center, The Cavalier Hotel, the City of Virginia Beach, and all judo and local organizations supporting the event 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, includ<