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USA Judo

Mar 23-24

Register now: USA Judo National Scholastics Championships National

Miami, Florida



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

March 23-24, 2013

 

DOWNLOAD ENTRY PACKET

ONLINE REGISTRATION



Tournament

Headquarters Hotel

EuroSuites Hotels 1750 NW 107th St. Miami-Doral, FL 33166

Competition Site:

Ronald Regan High School 8600 NW 107th Ave. Doral, FL 33178

Check-in

Friday, March 22: All athletes must register in person.  See schedule of events for details

Weigh In

See Schedule of Events

Competition Date:

Saturday, March 23: Juvenile A, B ,Intermediate 2, and Senior

Collegiate

Sunday, March 24: Bantam,  Intermediate 1, IJF-Junior, and

Novice Collegiate

Tournament Director:

Contact the National Office for registration questions at

719.866.4730

Referees Meeting:

See attached schedule

Chief Referee

To be announced

Coaches Meeting:

Coaches meeting will be held at Ronald Regan High School at

7:00 p.m. on Friday, March 22. All coaches on the floor must be certified and have proper ID to be issued at meeting to gain floor access. Coaches must attend to receive credentials for event. Only USA Judo coach certification will be accepted.

Draw

Will immediately follow the Coaches Meeting on Friday March 22 for Juvenile A/B, Intermediate 2 and all Collegiate Categories only.  Draw for Intermediate 1, Bantam and IJF Junior Categories will be held on Saturday March 23 after competition at the venue

 

 www.usjudo.org

*The Collegiate Invitational Open is not the Collegiate National Championships.  The Collegiate National

Championships will be held March 15-16, 2013 at Iowa State University


SCHEDULE OF EVENTS

  

Friday, March 22, 2013                  All activities at Ronald Regan High School

11:00am – 4:00pm                     Tournament check-in and registration for ALL competitors/ALL

categories. Athletes must register in person.

11:00am – 4:00pm                     Weigh-ins for Juvenile A, B, Intermediate 2 and all Collegiate

Categories

6:00 pm                                 Referees Meeting

6:00 pm                                 Technical Officials Meeting

7:00 pm                                 Coaches Meeting

Draw for Juvenile A, B, Intermediate 2  and all Collegiate categories immediately following coaches meeting

 

Saturday, March 23, 2013              Competition to be held at Ronald Regan High School

7:00 am                                 Doors open

7:00 am                                 Referees meeting at venue

7:45 am                                 Opening Ceremonies

8:00 am                                 Competition begins for Juvenile A, B, Intermediate 2 and Senior

Collegiate Categories

11:00am - 2:00pm                      Weigh-ins for Bantam, Intermediate 1, and IJF-Junior Categories at

venue

After competition                  Draw for Bantam, Intermediate 1 & IJF-Junior Categories at venue

 

Sunday, March 24, 2013

7:00 am                                 Doors open

7:00 am                                 Referees meeting at venue

8:00 am                                 Competition begins – Bantam,  Intermediate 1, IJF-Junior and

Novice Collegiate Categories

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


REGISTRATION, ENTRY FEES, TOURNAMENT CHECK-IN

 

.Registration Dates/Entry Fees:

 

Due Date

1st Category

2nd Category

3rd Category

Postmarked no later than Feb. 22

$100.00

$75.00

$60.00

Postmarked Feb. 23March 1**

$120.00

$90.00

$75.00

On line registration by Feb. 22

$85.00

$70.00

$55.00

On line registration Feb. 23- March

19

$100.00

$80.00

$70.00

Walk up registration after March 19

$130.00

$130.00

$70.00

 

 

**DO NOT MAIL ENTRIES AFTER MARCH 1.  After this date, all entries must be on line or should be hand carried to event and will be considered walk-up registration unless you register on-line.

 

On-line registrations will not be accepted after March 19.  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 Youth National Championships

 

Entry into second or third category must be for same athlete

 

Entry fees are non-refundable

 

Absolutely no entries will be accepted after 4:00 p.m. Friday March 22.

 

 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 registrations unless the required material is received before March 8.

 

Confirmation of Registration:  Enclose a stamped, self addressed envelope to be informed whether your registration is complete/incomplete.  Missing items received by March 8 will complete registration. Otherwise, your entry will be considered incomplete and walk-up registration fees will apply.  Emails or phone calls regarding complete/incomplete items will not be taken.  Missing information

notices will not be sent after March 1.

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


SPECTATOR ADMISSION FEE

 

$12.00 per person per day.  Children under 8 years of age are free. Children 9 -12 years of age are $8 per day or $14 for two days. Two-day adult passes are $20.00.

 

Olympians will be granted free admission and floor passes to the event.

 USA JUDO Life Members will receive free admission (spectator seating only).

 

CHAMPIONSHIP HEADQUARTERS HOTEL

  

Headquarters:         Eurosuites Hotel

1750 NW 107th St. Miami-Doral, FL 33166

 

Rates:                         $108.00 plus tax – one bedroom suite without kitchen

$116.00 plus tax – one bedroom suite with kitchen

$196.00 plus tax – two bedroom suite with kitchen

 

Deadline Date:         Book by March 1 to receive the discounted pricing.

 

For Reservations:  Email urquiaalex@yahoo.com (Alex) or call 786-472-9095, ask for Alex.  Ask for the

Judo rate.

 

Overflow Hotel:       Quality Inn Miami Airport-3959 NW 79th Ave. Miami, FL 33166

 

Rates:                        $144.00 plus tax for single or double

 

Deadline Date:         Book by March 1 to receive the discounted pricing

 

For Reservations Call:  305-599-5200, ask for the Judo rate

 TRANSPORTATION

 

Air Transportation:  Nearest airport is Miami International.

 

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

 

 ELIGIBILITY FOR  ATHLETES

 

Contestants may participate if they meet the following eligibility requirements:

 

1.  All divisions  MUST BE a United States Citizen (with copy of passport or birth certificate required or verification of citizenship on USA Judo membership card), OR may be a non-United States citizen who is residing in the United States legally, i.e., student VISA,  valid Green Card, visitor's VISA, work VISA, etc.  Original documentation of legal residency must be presented during the registration process. NOTE: Non-citizens as described above may enter any division EXCEPT Trial divisions. For this event, that means they may not enter IJF Jr or Juvenile B EXCEPT in the IJF JR Open category

 

2.  A current member in good standing of USA JUDO (United States Judo, Inc.)  regardless of citizenship.  A copy of membership card is required.


3.  Born between 1993 and 2007 inclusively for all non-collegiate categories.

 

4.  Current year Juvenile A athletes (born 1999-2000), who meet the published criteria and complete the application process, may be granted an age waiver to allow them to compete in the IJF Jr divisions. They may NOT earn points in these divisions, but they may compete.

 

5.  For Collegiate Categories:  At least fifteen (15) years of age as of the date of the tournament and under the age of 28 as of December 31 of the year of the event.  Must be sankyu and above.

 

6.  For Novice Collegiate category athlete must be below the rank of sankyu (brown).

 

JUNIOR AGE CATEGORIES  (Non- Collegiate) OF COMPETITION AND WEIGHT DIVISIONS

 

Please note that 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 for this year’s event (2013):

 

BANTAM 1 (Born 2007):

Female AND Male: 19, 23, 28, +28 kg

INTERMEDIATE 2 (Born 2001-2002): Female AND Male:

28, 31, 34, 38, 42, 47, 52, +52 kg

BANTAM 2 (Born 2006):

Female AND Male: 21, 25, 30, +30 kg

JUVENILE A (Born 1999-2000): Female AND Male:

36, 40, 44, 48, 53, 58, 64, +64 kg

BANTAM 3 (Born 2005):

Female AND Male: 23, 27, 31, 35, +35 kg

JUVENILE B (Born 1996-1998):

Female: 40, 44, 48, 52, 57, 63, 70, +70 kg

Male: 50, 55, 60, 66, 73, 81, 90, +90 kg

INTERMEDIATE 1 (Born 2003-2004):

Female AND Male: 26, 30, 34, 38, 43, +43 kg

IJF-Junior (Born 1993-1998):

Female: 44, 48, 52, 57, 63, 70, 78, +78 kg, Open

Male: 55, 60, 66, 73, 81, 90, 100, +100 kg, Open

  

The IJF-Junior Category is the same as the International Judo Federation Junior World Championships

Category.  Athletes may enter if they are born in 1993 through1998 only.

Juvenile B is the same as the International Judo Federation Cadet World Championships category

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 designated time of the official weigh-in on the official scale.  A contestant is given only one chance on the official scale during official weigh-in.   At weigh-in, athletes must present their tournament-issued identification card AND all athletes in the Juvenile B , IJF- Junior and Collegiate categories  must present a photo ID.

 

ATHLETES COMPETING IN TWO CATEGORIES ON SEPARATE DAYS NEED ONLY TO WEIGH IN ONE TIME PRIOR TO THEIR FIRST DAY OF COMPETITION.


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/athlete’s sole responsibility to confirm that the correct athlete is listed in the correct division.  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.  The draw is now mandatory, the athlete or representative for the athlete must attend the draw to ensure they are in the correct category.

 

 

 COACH INFORMATION

 

All Coaches must adhere to the following dress code during the 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.

 

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

 

 

RULES AND METHOD OF COMPETITION

 

The Championships will be conducted in accordance with the Contest Rules, Organization Code and Sporting Code of the International Judo Federation, as revised for the USA JUDO Youth and Scholastic National Judo Championships.  Athletes competing in Junior divisions do not have to be enrolled in academic institutions to be eligible to compete.

 

Competition Method: The standard (“true”) Double Elimination System with winners and losers brackets will be used.  The winner of the losers bracket will compete against the winner of the winners bracket for 1st and 2nd place.  The first one of these two contestants to have two (2) losses will be placed second; the other will be placed first.  The loser of the losers bracket will be placed 3rd. For categories of under five contestants, round robin will be the method of competition.

 

Seeding : There will be no seeding  with the exception of the IJF-Junior and Juvenile B categories.

The top four athletes will be seeded in each division. If seeded athlete is not present, the other athletes WILL move up in seeding. Players having the same state affiliation will be placed as far apart in the bracket as possible.

Juniors winning medals in the IJF-Junior, Juvenile A, Juvenile B, Intermediate 1 and Intermediate 2 divisions will be awarded 10 points for a gold medal, 6 points for a silver medal and 4 points for a bronze medal on the Junior Elite National Roster that corresponds to his or her weight division.

 

Juniors will not be awarded points for the Junior Elite National Roster for winning medals in collegiate categories.  There will be no points awarded in the Collegiate Categories.

 

Determination of Weight Category: Athletes are asked to make a  preliminary declaration of weight on the entry form or at check-in/registration.  However, in this tournament the athlete’s actual weight at weigh-in will determine the category of competition, i.e. the athlete does not have to “make” the declared weight


All athletes must compete in their true age/weight unless their category is uncontested. In the event there are uncontested categories, weight categories may be combined if the Consent for Weight Change Form is signed and indicates approval from parent/guardian. Athletes may

move up a weight in the same age.  Any changes must be made prior to or during the draw.  If a contestant moves up a weight instead of accepting an uncontested gold medal, that athlete cannot receive points for the uncontested category.  In no case can an athlete move up in age except to the IJF Jr. category. Refer to the Consent of Weight Change form attached.

 

Shime-waza rule: Shime-waza  allowed in Juvenile A, B, IJF-Junior and all Collegiate categories only.

 

Kansetsu-waza rule: Kansetsu-waza  allowed in Juvenile B,  IJF-Junior and senior collegiate categories only.

 

Injury Rule: Decisions regarding on mat injuries, 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 (Board-approved October 22, 1998.)

 

Match lengths:            Bantam, Intermediate, Juvenile A - 3 minutes/ 2 minute golden score

 Juvenile B and IJF-Junior                   - 4 minutes/ 2 minute golden score

 

All Collegiate Categories                   - 5 minutes/ 3 minute golden score

 

Judo gi color: For all divisions, the blue/white judo gi requirement is mandatory

 

NOTICE OF POSSIBLE TESTING FOR BANNED SUBSTANCES

 

IJF Junior Categories only, testing, in accordance with procedures of the U.S. Olympic Committee may be conducted by the United States Anti-Doping Agency (USADA) .For questions concerning whether or not a substance banned, you may call the Drug Reference Hotline at 1.800.223.0393. Correspondence and inquiries: USADA, 1265 Lake Plaza Dr., Colorado Springs, CO 80906. Visit http://www.usantidoping.org/ for more information.

 

 AWARDS

 

Individual Awards: Gold, Silver and Bronze (one bronze)  medals will be awarded for first, second and third places for all divisions

 

Special Awards (to both male and female): Best Technique, Fighting Spirit and Outstanding

Competitor for each day.

 

All medal winners MUST be in regulation judo uniform or team sweats (track suit) to accept any and all awards.

 

The tournament director reserves the right to make all final decisions on events related to and surrounding these championships.


ENTRY REQUIREMENTS CHECKLIST

 

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

 

 

q Official Entry Form and appropriate fees

q Copy of current USA JUDO membership card.  If membership is not current, circle at the bottom of the entry form “Will bring current membership card to event” or “Will purchase membership at event.

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!

q Proof of Citizenship: Copy of birth certificate, valid passport or citizenship verified on USA Judo Membership card.  Copy of legal residency (VISA/Green Card, etc.).  TheC" designation on the bottom corner of the card does verify U.S. Citizenship. A drivers license is not proof of citizenship.

q Consent for Weight Change Form

  q Contestants & Parent/Guardian Signatures wherever requested on all documents

q False Alarm/Damages Statement

 

Forward all forms and fees to:

2013 USA Judo National Scholastic Championships

1 Olympic Plaza

Colorado Springs, CO 80909


JUNIOR CATEGORIES

 

 

OFFICIAL ENTRY FORM -2013 Scholastic Championships

 

DO NOT MAIL ENTRIES AFTER MARCH 1

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):                                                          Cell:




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-






USA JUDO Membership Number: (see below if not current)


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, circle Male or Female; enter weight.

 

Bantam-

1; Born

2007

Bantam-2; Born 2006

Bantam-

3; Born

2005

Inter.-1; Born

2003-

2004

Inter.

-2; Born

2001

-

2002

Juvenile- A; Born

1999-

2000

Juvenile- B; Born

1996-

1998

IJF-Junior; Born

1993-1998

Female

Male

Enter Approximate Weight:                     KG      

 

 



Participant's Signature

Date

 

 

 

Mail to:  USA Judo

1 Olympic Plaza

Colorado Springs, CO 80909

ENTRY FEES ARE NON-REFUNDABLE


SENIOR COLLEGIATE

 

 

OFFICIAL ENTRY FORM -2013 Scholastic Championships

 

DO NOT MAIL ENTRIES AFTER March 1

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):                                                          Cell:




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USA JUDO Membership Number: (see below if not current)


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:

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

 

 

 

Mail to:  USA Judo

1 Olympic Plaza

Colorado Springs, CO 80909

 

ENTRY FEES ARE NON-REFUNDABLE


NOVICE COLLEGIATE

 

 

OFFICIAL ENTRY FORM -2013 Scholastic Championships

 

DO NOT MAIL ENTRIES AFTER March 1

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):                                                          Cell:




-




-





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-




-






USA JUDO Membership Number: (see below if not current)


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:

44N Kg

48N Kg

52N Kg

57N Kg

63NKg

70N Kg

78NKg

+78N Kg

Male:

55N Kg

60N Kg

66N Kg

73N Kg

81NKg

90N Kg

100N Kg

+100N Kg

 

 



Participant's Signature

Date

 

Mail to:  USA Judo

1 Olympic Plaza

Colorado Springs, CO 80909

 

ENTRY FEES ARE NON-REFUNDABLE


CONSENT FOR WEIGHT CHANGE OF JUNIOR CATEGORY CONTESTANTS

 

We (I), the undersigned parents(s) or legal guardian(s) of                                                 _(Contestant) have been informed of the age/weight Categories of Competition for the 2013 USA JUDO National Youth and Scholastic Judo Championships.

 

We (I), hereby express our consent and approval that in the event that the Contestant is uncontested, he/she may either move up into another weight bracket of his/her age or to the IJF Jr age bracket but in the same weight. Please indicate your preference(s) by checking the left box(es) and circling your preference(s) below:

 


SAME AGE/HEAVIER WEIGHT BRACKET

PREFERRED

ALLOWED (circle one or both)


SAME WEIGHT/IJF Jr BRACKET

PREFERRED

ALLOWED (circle one or both)


WE (I) DO NOT CONSENT TO A CHANGE IN AGE/WEIGHT BRACKET UNDER ANY CIRCUMSTANCES.

Note: Moving a contestant to a different age or weight group is subject to the USA JUDO rules in effect at the time of the event.

 




Parent/Guardian's Printed Name

Parent/Guardian's Signature

Date




Parent/Guardian's Printed Name

Parent/Guardian's Signature

Date

 

 

 

 

FALSE ALARM/DAMAGES STATEMENT

 

This form certifies that the Contestant and her/his legal guardian(s) understand that emergency vehicle response to a false a larm may result in serious injury and loss of life, and that fine, imprisonment and other possible legal consequences may result from activating any false alarm in connection with participation in this tournament.  In addition, charges assessed for a false alarm or for other damage to tournament and hotel facilities shall, together with all costs and fees incurred with collecting said charges, shall be the responsibility of the responsible Contestants parent(s) /legal guardian(s) and home Dojo.  This provis ion has been explained to the Contestant.

 




Contestant's Printed Name

Contestant's Signature

Date




Parent/Guardian's Printed Name

Parent/Guardian's Signature

Date




Judo Instructor's Printed Name

Judo Instructor's Signature

Date


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 National Youth and Scholastic Judo Championships, 2013 USA Judo Collegiate Invitationl Open and related events and activities of United States Judo, Inc. (USA JUDO), the Miami Convention & Visitors Bureau Swain Mats, Inc/Dollamur, Tournament Director, Tournament Organizers, Tournament Staff, Local Organizing Committee, and Florida State Judo, 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 or death, and severe social and economic losses due to not only 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 th is time.

 

4.  Knowing the risks involved in the sport of Judo, I assume all such risks and accept personal responsibility for the damages caused by, arising out of, resulting from or following such injury, permanent disability, or death.

 

5.  Release, waive, discharge and covenant not to sue the United States Judo, Inc., the United States Olympic Committee, United States Judo Federation, United States Judo Association, the Miami CVB,  Tournament Director, Tournament Organizers, Tournament Staff, Swain Mats, Inc./Dollamur, Florida State Judo,  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 to conduct the event, all of whom are hereinafter referred to as "releasee", from any and all claims, demands, losses, actions, causes of actions or damages on account of injury, including permanent disability and death and damage to property (Collectively, Liabilities”), caused or alleged to be caused in whole or in part by the acts or omissions of the release, even if arising from their negligence, 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 RISK 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's Printed 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 ho ld 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 p articipant as to the above warnings and conditions and their ramifications.




Parent/Guardian's Printed Name

Parent/Guardian's Signature

Date


2013 USA Judo Scholastic Championships

Credit Card Charge Request

 

If you wish to use your Credit Card for Entry Fee,  please complete the following information and enclose with your application form(s):

 

Name:_                                                                                                                                                                

 

Address:                                                                                                                                                             

 

Telephone #:_                                                                                                                                                    

 

Credit Card (circle one):  MasterCard  ----  VISA  ----     Discover  ----   American Express

 

 

Credit Card

#:





 

\





 

\





 

\





 

 

Credit Card Expiration

Date:



 

CVV Code

 

------------------------------------

-

 

(month)

 

(year)


 

 

 

Name of athlete if different from card holder:                                                                                                 

 

Name as it appears on Credit Card (please print):_                                                                                   

 

 

 

Amount authorized to charge:_$                              

 

 

 

Signature:_                                                                                    Date:_                                                           


 

 

 

USA Judo Vendor Booth

 

Dear Vendors,

We are pleased to invite you to be a vendor at the 2013 USA Judo Scholastic National Championships that will be held in

Miami,Florida March 23-24. We are extending the offer for two days of competition for a $250 booth fee.

Please submit the Merchandise Booth below to confirm your reservation. There are limited vendor booths available so please submit now to ensure your place at the event.

Thank you, USA Judo

 

Merchandise Sales Booth Reservation

 


This  contract  will  stipulate  the  points  of  agreement  between  USA  Judo  and                                                    

distribution and sales of merchandise at the named events.


on the handling,


 

1. All merchandise or items for sale must be “Judo” oriented. All items must not have political statements, racial or ethnic slurs, lewd or indecent pictures or representations and must be in keeping with the aims of Judo, USA Judo interests, and/or the goals of the Olympic Sport movement

2. No items may be sold that contain the marks or logos of USA Judo, or the event name: or any derivatives of this name without express, written permission from USA Judo.

3. A vendor fee of $250.00 must be included with this agreement for the booth of 2 tables and 2 chairs to be provided. Electrical hook up is an additional cost and will be incurred by the vendor if needed. Please indicate if needed.

Yes, I need electrical                     No, I dont need electrical             

 

4. USA Judo sponsors have the first choice of placement for their booths

 

 

 

Organization Representing Signature                                        Date

 

 

Contact information: Phone                                                              Email