Tournament Committee only:

M      F    Age:  ______________   Rank:  ____________________     Weight: ______________ Date Rec’d:________________

 

 

REGISTRATION FORM

 

TOHOKU JUDO CLUB’S

21st ANNUAL CHARLES A. CHAVES MEMORIAL TOURNAMENT

SATURDAY, November 9, 2002

 

TOURNAMENT SITE:        MEDFORD HIGH SCHOOL, 489 Winthrop St., Medford, MA

 

Complete and mail with entry fee to:    TOURNAMENT COMMITTEE, C/O DALE SWETT

                                                                        123 SHARON ST., WEST MEDFORD, MA 02155

 

Registration Fees:                $22.00 one division, if postmarked by November 2, 2002;  $8.00 for each additional division,.   Late entry after November 2nd is $30.00 (add’l divisions are still $8.00 each)

All fees are payable to:  “Tohoku Judo Club”. 

 

PLEASE PRINT ALL INFORMATION:                            

 

CONTESTANT’S NAME:        ________________________________________________________________

Address:          ____________________________________________________________________________

City:______________________________________ State:____________   Zip:      _________________

Tel.# (days)____________________ (nights) ____________________  email: _________________________

Birth Date:________________           Age: ____________    Weight:____________            Sex:_____________

Judo Club:  ____________________________________     Judo Rank:      _____________________________

Name of Club Coach: ______________________________________________________________________

Affiliation (circle one):   USJF      USJA           USJI     Membership Card No. __________________

                                                                                    Expiration Date:  ______________________

THE WARNING, WAIVER AND RELEASE OF LIABILITY AND AGREEMENT TO PARTICIPATE FORM

MUST BE COMPLETED AND RETURNED WITH THIS REGISTRATION FORM

 

2002 WEIGHT DIVISIONS

Boys & Girls                             5 -   6                     Light /  Medium /  Heavy                         

Boys & Girls                             7 -   8                     Light /  Medium /  Heavy

 

Boys                                          9 - 12                     -65           -72             -79           -88           -97         -110         -125         +126

Boys                                        13 - 16                     -89           -99           -110         -121         -131         -145         -161         +161

 

Girls                                           9 - 12                     Light /  Medium /  Heavy / Open --  To be Determined by No. of Competitors

Girls                                         13 - 16                     Light /  Medium /  Heavy / Open --  To be Determined by No. of Competitors

 

Women                                    17+                          Light /  Medium /  Heavy                        

 

Men – Sankyu and below       17+                          -132         -145         -161         -178         -198         -220         +221       

               

Men – Nikyu and higher           17+                          -132         -145         -161         -178         -198         -220         +221       

 

All ages are as of November 9, 2002.  Tournament Director reserves the right to add,

combine or cancel divisions dependent upon the number of competitors.


 

TOHOKU JUDO CLUB’S

21st ANNUAL CHARLES A. CHAVES

MEMORIAL TOURNAMENT

SATURDAY, NOVEMBER 9, 2002

 

TOURNAMENT DIRECTOR:        CLARK EDSON                  USJF SANCTION

 

SITE:              MEDFORD HIGH SCHOOL, 489 Winthrop St., Medford, MA               

 

WEIGH-IN:    Juniors & Seniors:  Friday, Nov. 8th; 6:30 pm – 9:00 pm at TOHOKU JUDO CLUB

                        Juniors:   Saturday, November 9th from   9:00 am to 10:00 am at Medford High

                        Seniors:  Saturday, November 9th from 10:00 am to 12:30 pm at Medford High

Competition for Juniors will begin at approximately 10:45 am

Competition for Seniors will begin at approximately   1:30 pm *

                        (*Starting time may be later contingent on number of competitors)

 

FEES:            Early Registration -- $22.00 for one division; $8.00 for each add’l division, if postmarked by November 2, 2002.            

Late Registration after November 2nd is $30.00 (add’l divs. are still $8.00 each)   [Note:  No Refunds.  A $20.00 fee will be charged for any returned check.

 

All fees are payable to:  “Tohoku Judo Club”. 

 

SPECTATOR FEE:   $2.00/Family Donation to Benefit MASS. JUDO, INC.

           

FORMAT:      The competition will be double elimination with a pool system.  Each athlete is guaranteed a minimum of two matches.   Yonen, ages 5 & 6, will have 2 minute matches; Yonen, ages 7-12, and all Shonen divisions will have 3-minute matches;  Male Seinen Kyu Divisions will have 4-minute matches; Male Seinen Dan and all Women’s Open Rank Divisions will have 5-minute matches.

                        GOLDEN SCORE RULES MAY BE IN EFFECT FOR ALL DIVISIONS.

 

RULES:         Current IJF Contest Rules:  Yonen Competitors may not use chokes; Shonen Competitors and Adult White belt divisions may not use armlocks.           [Note:  Only 5-6 and 7-8 year old divisions will be co-ed.]

 

COACHES MEETING:        Approx. 9:45 am—will be announced morning of Tournament.  All coaches, delegates, and interested parties should attend. 

 

AWARDS:     1st  – 2nd – 3rd Place Trophies per division; Junior & Senior Team Awards (based on points); and Best Competitor Awards (based on IPPON wins) per category.

 

ELIGIBILITY:          Open to all contestants 5 years of age, as of 11/09/02, and older. With current USJF, USJI, or USJA membership (you will be required to show card at competition).

 

COMPETITOR’S BEHAVIOR:      If a competitor commits an act of vandalism of person or real property at the Medford  High School, or any other facility, structure, building or location associated or related in any way whatsoever to the CHAVES MEMORIAL TOURNAMENT, immediate disciplinary action will be taken and the competitor will be suspended from further competition.  The competitor, and/or competitor’s parents, and/or club/school/dojo agrees to indemnify for any and all losses and damages.  The Tournament Director reserves the right to remove any competitor, coach, parent or spectator from the competition site.

 

 

 

 

 

 POWER OF ATTORNEY

 

 

 

 

            We (I) will not be in attendance at the 21st Annual Charles A. Chaves Memorial Tournament on Saturday, November 9, 2002, therefore, we (I) the parent(s) or legal guardian(s) of the contestant, [insert name of contestant] _____________________________________________________ have made, constitute and appoint [insert name of appointee] ______________________________________________________ my (our) true and lawful attorney for me (us) and that we (I) might or could do or exercise through any other person and that he (she) shall deem property or advisable, intending to vest in him (her) full power and authority to do and perform all and every act and thing whatsoever requisite and necessary to be done in connection with the contestant participating in the 21st Annual Charles A. Chaves Memorial Tournament, registering for the events, receiving medical treatment and make any other decision as we (I) might or could make or do if personally present.  [NOTE:  THE PERSON GRANTED THE POWER OF ATTORNEY MUST BE OF LEGAL AGE AND BE PRESENT AT THE TOURNAMENT NAMED HEREIN.]

 

 

 

______________________________________              __________________________________    _________________

Signature of Contestant                                                               Witness                                                          Date

 

 

______________________________________              __________________________________    _________________

Signature of Parent(s)  or Legal Guardian(s)                                           Witness                                                          Date

 

 

 

 

 

 

CONSENT, LIABILITY WAIVER, RELEASE, INDEMNIFICATION AGREEMENT, AND POWER OF ATTORNEY

 

TO BE SIGNED BY PARENT(S)/GUARDIAN(S) OF CONTESTANT UNDER 18 YEARS OF AGE

 

            We (I) have explained to the contestant the aforementioned stipulated condition and their ramifications and we (I) agree and consent to contestant’s registration and participation at the 21st Annual Charles A. Chaves Memorial Tournament under the conditions outlined above and to abide by the disciplinary action which may be taken by representatives of Tohoku Judo Club, USJF, USJA, USJI, City of Medford or any other party or committee of this tournament in fulfilling the requirements of the stipulated conditions.

 

_____________________________________                _____________________________________    ________________

Signature of Coach/Team Delegate                            Witness                                                                Date

 

_____________________________________                _____________________________________    ________________

Signature of Parent(s)  or Legal Guardian(s             Witness                                                                Date

 

 

 

 


DIRECTIONS:

 

From the North:        Routes 128/95 South to Route 93 South to Exit 32 -- Route 60/Medford Square.  Follow Rt. 60 through Medford Square to Rotary, continue to 2nd street onto Winthrop St.  ***

 

From the West:          Routes 128/95 North to Route 2 East, to Exit 29 -- Route 60  Cambridge/Arlington) East toward Arlington, end of ramp take a left and follow Rt. 60            through Arlington Center (crossing Massachusetts Avenue) watch signs closely and stay on Rt. 60 through West Medford Square, crossing railroad tracks at Dunkin Donuts.  Continue on Rt. 60 to Rotary, go to 4th street onto Winthrop St.  ***

 

From the South:        Routes 3/93 North to Exit 31-- Route 16/Medford (do not veer toward Medford Square) at the very end of ramp take a right onto Winthrop Street at Rotary take 3rd street which is still Winthrop Street -- ***

 

*** At Rotary:           Take Winthrop St. --Nursing Home on your left, then Elks Hall on your right Continue straight through lights, pass Temple Shalom on right, next drive on right is the entrance to Medford High School.

 

 

PARKING:                  Enter the school drive take a right and follow the road behind the school buildings, park in the area near the pool —the door there will be open.

 

IN THE SCHOOL:     Weigh-in and registration areas will be in the gymnasium and signs will be posted.

 

 


AREA HOTELS:

 
SIERRA SUITES WOBURN                    
831 Main Street, Woburn, MA  01801       
Tel:      781-938-3737           OR      800-4-SIERRA

Fitness Room Available

Area Restaurants:  Chili’s Grill, Bertucci’s, The Outback Steakhouse, Legal Seafoods

 

MARRIOTT COURTYARD WOBURN                
240 Mishawum Rd., Woburn, MA  01801 
Tel:      781-932-3200           or         800-321-2211 (Toll Free)

Fitness Room Available

Area Restaurants:  TGI FRIDAYS, Bertucci’s, Pizzeria Uno, Joe’s American Bar & Grill

 

TAGE INN BOSTON - SOMERVILLE
23 Cummings Street, Somerville, 02145
Tel:      617-625-5300           or         800—322-TAGE

Fitness Room Available

Area Restaurants:  Nothing in walking distance—lots of delivery selections

 

 

 

ALSO check – Lexington, Malden, Medford, Melrose, Waltham

                          Check Best rates at EXPEDIA.COM