Tournament Committee Use Only: Official Weight:

Date Rec’d: Paid: Owes:

Divisions: 1 2 Adv. Weight ↑

Circle your division: Male Female Masters Women’s Open

Age Group: 5-6 7-8 9-10 11-12 13-16 Sr. Nov. Sr. Adv.

Your Belt Color: White Yellow Orange Green Blue Purple

Your Rank: Sankyu Nikyu Ikkyu Shodan Nidan Sandan+

2^nd Division: Next higher weight group Advanced (same age/weight and

(complete a separate form) if 1^st Jr. division is Novice)

USJF SANCTION # 09-11-04

REGISTRATION FORM

TOHOKU JUDO CLUB’S

28th ANNUAL CHARLES A. CHAVES MEMORIAL TOURNAMENT

and Rokushu Yudanshakai Senior Promotional Tournament

SUNDAY, NOVEMBER 8, 2009

ST. JOHN’S PREP SCHOOL, 72 Spring St., Danvers, MA

Instructions: Choose your competition division by circling the appropriate information above: (Male or Female, age group to fight, your rank or belt color.) For two-colored belts, circle both colors. You may select a 2^nd Advanced Jr. division only if your 1^st Jr. division is Novice. See Novice criteria below.

Complete and mail with entry fee, waiver CHAVES TOURNAMENT COMMITTEE, C/O Harold Oshima

and copy of Judo membership card to: 10 Burnside Ave., Somerville, MA 02144

Registration Fees: $25.00 for 1^st division; $10.00 for 2^nd division (limit of 2 divisions), if postmarked by Oct. 31, 2009 (Saturday). Complete a separate registration form for each division. Fees for registrations postmarked after October 31^st are $35.00 (2^nd division is still $10.00). Make checks payable to: “Tohoku Judo Club”.

Contestant’s Last Name:	First Name:		Middle Name:
Address:	City		State:	Zip:
Email address: (we will email you a receipt of registration)	Telephone # (Day/Wireless)		Telephone # (Evenings)
Judo Club: Coach	Birth Date	Age (on 11/8/09)	Est. Weight:	Rank:
Membership Card Number: (send copy or show card at event)	USJF	USJA	USJI	Expires: Verified:

2009 AGE & WEIGHT DIVISIONS

Coed ages 5 - 6 Light / Medium / Heavy Coed ages 7 - 8 Light / Medium / Heavy Provisional Provisional

Novice div. Advanced div.

Jr. Boys ages 9 - 12 -65 -72 -79 -88 -97 -110 -125 126+ W, Y, O > O

Jr. Boys ages 13 - 16 -89 -99 -110 -121 -132 -145 -161 161+ W, Y, O, G > G

Jr. Girls ages 9 - 10 Fly / Light / Middle / Heavy -- To be Determined by No. of Competitors W, Y, O > O

Jr. Girls ages 11 - 12 Fly / Light / Middle / Heavy -- To be Determined by No. of Competitors W, Y, O > O

Jr. Girls ages 13 - 16 Fly / Light / Middle / Heavy -- To be Determined by No. of Competitors W, Y, O, G > G

Large Junior Divisions may be split, by rank, into Novice and Advanced divisions.

Sr. Women Open Rank ages 17+ -125 -140 -155 -175 175+

Sr. Men’s Novice (Sankyu & below) -132 -145 -161 -178 -198 -220 221+

Sr. Men’s Advanced (Nikyu & above) -132 -145 -161 -178 -198 -220 221+

MASTERS (Age 30+) Men’s Divisions & Women’s Divisions Weight Divisions to be determined by No. of Competitors

All ages are as of November 8, 2009. Tournament Director reserves the right to add,

combine, split or cancel divisions dependent upon the number of competitors.
WARNING!

WAIVER AND RELEASE OF LIABILITY AND AGREEMENT TO PARTICIPATE

(Including Limited Co-Ed Competition for Age 10 and Under for USJF Sanction)

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 Federation, Inc., United States Judo, Inc., United States Judo Association, Inc., Rokushu Judo Yudanshakai, Tohoku Judo Club, St. John’s Prep School, any Medical & Emergency Services Company and Individuals, and the City of Danvers, Massachusetts, 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 or death, and severe social and economic losses due not only to my own actions, inactions or negligence, but also to the actions, inactions, or negligence of others, the rules of the sport of Judo, or conditions of the premises or of any equipment used. Further, I acknowledge that there may be other risks not known to me or not reasonably foreseeable at this time.

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

5. Release, waive, discharge and covenant not to sue the United States Judo Federation, Inc., United States Judo, Inc., United States Judo Association, Inc., Rokushu Judo Yudanshakai, Tohoku Judo Club, St. John’s Prep School, any Medical & Emergency Services Company and Individuals, and the City of Danvers, Massachusetts, 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, legal guardians, supervisors and coaches, sponsoring agencies, sponsors, advertisers, and if applicable, owners, lessors, and lessees of premises used in conducting the event, all of whom are hereinafter referred to as "Releasees", from any and all claims, demands, losses, or damages on account of injury, including permanent disability and death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the Releasees or otherwise to the fullest extent permitted by law.

I HAVE READ THE ABOVE WARNING, WAIVER, AND RELEASE, UNDERSTAND THAT I GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND KNOWING THIS, SIGN IT VOLUNTARILY. CONSISTENT WITH THE BY-LAWS OF USJF, THIS TOURNAMENT MAY INCLUDE CO-ED COMPETITION FOR AGES 10 AND BELOW IN COMPARABLE AGE/WEIGHT DIVISIONS WHERE THERE IS AN INSUFFICIENT NUMBER OF GIRLS FOR NON-CO-ED AGE/WEIGHT DIVISIONS. I HAVE READ AND UNDERSTAND THE TOURNAMENT ANNOUNCEMENT CONCERNING THESE SPECIAL DIVISIONS. 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/LEGAL GUARDIAN AS EVIDENCED BY THEIR SIGNATURE BELOW.

__________________________________ ______________________________ __________________

Participant Participant’s Signature Date

FOR PARENTS/LEGAL GUARDIANS OF PARTICIPANTS OF MINORITY AGE

(UNDER AGE 18 AT TIME OF REGISTRATION)

This is to certify that I, as parent/legal 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/ Legal Guardian Parent/ Legal Guardian’s Signature Date

TOHOKU JUDO CLUB’S

28th ANNUAL CHARLES A. CHAVES MEMORIAL TOURNAMENT

and Rokushu Yudanshakai Senior Promotional Tournament

Sunday, November 8, 2009

St. John’s Prep School, 72 Spring St., Danvers, MA

WEIGH-IN SCHEDULE Saturday, Nov. 7 (At Tohoku) Sunday, November 8 (At Tournament Site)

All Competitors	6:00 PM to 8:00 PM
Masters		9:00		10:00
Juniors (Ages 5 – 8)		9:00	9:30
Juniors (Ages 9 – 12)			9:30		10:30
Juniors (Ages 13 – 16)					10:30		11:30
Seniors						11:00		12:30

COMPETITION SCHEDULE

Masters: Approximately: 10:30 AM Juniors: Approximately:10:45 AM Seniors: Approximately: 1:30 PM

AGE & WEIGHT DIVISIONS

Coed ages 5 – 6 Light / Medium / Heavy Coed ages 7 - 8 Light / Medium / Heavy Provisional Provisional

Novice div. Advanced div.

Jr. Boys ages 9 - 12 -65 -72 -79 -88 -97 -110 -125 126+ W, Y, O > O

Jr. Boys ages 13 - 16 -89 -99 -110 -121 -132 -145 -161 161+ W, Y, O, G > G

Jr. Girls ages 9 - 10 Fly / Light / Middle / Heavy -- To be Determined by No. of Competitors W, Y, O > O

Jr. Girls ages 11 - 12 Fly / Light / Middle / Heavy -- To be Determined by No. of Competitors W, Y, O > O

Jr. Girls ages 13 - 16 Fly / Light / Middle / Heavy -- To be Determined by No. of Competitors W, Y, O, G > G

Large Junior Divisions may be split, by rank, into Novice and Advanced divisions.

Sr. Women Open Rank ages 17+ -125 -140 -155 -175 175+

Sr. Men’s Novice (Sankyu & below) -132 -145 -161 -178 -198 -220 221+

Sr. Men’s Advanced (Nikyu & above) -132 -145 -161 -178 -198 -220 221+

MASTERS (Age 30+) Men’s Divisions & Women’s Divisions Weight classes to be determined by number of competitors

FEES

$25.00 for 1^st division; $10.00 for 2^nd division if postmarked by October 31, 2009.

$35.00 for 1^st division if postmarked after October 31^st; $10.00 for 2^nd division.

Limit of 2 divisions per contestant. Note: No Refunds. A $25.00 fee will be charged for any returned check.

FORMAT ● We anticipate using three (3) contest areas for this event.

· Divisions: 4 or less – Round Robin; 5 or more Modified Double Elimination.

· Matches for ages 5 - 8 will consist of one 2-minute period;

· Matches for ages 9 – 12 and 13 - 16 will consist of one 3-minute period;

· Senior Men’s Novice will consist of one 4-minute period;

· Senior Women’s Open and Senior Men’s Advanced will consist of one 5-minute period.

· GOLDEN SCORE WILL BE IN EFFECT FOR ALL DIVISIONS

.

RULES

Current IJF Contest Rules with the following modifications: Pre-2003 Medical Rules will be used; Competitors under 13 may not use shime-waza (strangles); Kansetsu-waza (armlocks) ONLY in Sr. Men’s Advanced Division. 5-6 and 7-8 year-old divisions may be co-ed.

AWARDS 1^st, 2^nd and 3^rd Place Awards. Awards presented at the close of each division.

ELIGIBILITY: Open to all contestants at least 5 years of age, as of 11/8/09, with current USJF, USJI, or USJA membership (you will be required to show card at competition, or register on-site. NO EXCEPTIONS).

TOURNAMENT DIRECTORS: HAROLD OSHIMA & CLARK EDSON

(email: oshima@post.harvard.edu)

TOURNAMENT SITE: ST. JOHN’S PREP SCHOOL

72 SPRING STREET, DANVERS, MA

School Website: http://STJOHNSPREP.ORG

DIRECTIONS:

From Route 95
From 95 South, take Exit 50 for Route 1 South to the Route 62 East, Danvers exit. From Route 95 North, take Exit 49. Turn right at end of exit ramp onto Route 62. Follow St. John's Prep signs to Nichols Street on left. Bear right onto Spring Street. Go to top of hill to the corner of Spring and Summer streets and turn left. Follow parking signs.

From Route 128 North
Take Exit 22W (Route 62, Middleton). Turn right at light onto Route 62W. Follow Route 62 for about 1.5 miles through two sets of lights. After second light, take third right onto Summer Street. Go about a half mile up Summer Street to flashing yellow light. Follow parking signs.

From Route 128 South
Take Exit 22W (Route 62, Middleton). Follow Route 62 for about 1.5 miles through two sets of lights. After second light, take third right onto Summer Street. Go about a half mile up Summer Street to flashing yellow light. Follow parking signs.

From Route 495
Take Route 114 East. Follow Route 114 to the center of Middleton. Turn left at Exxon gas station onto Route 62. Follow Route 62 past Route 1 and Route 95. Take first left after Route 95 overpass onto Nichols Street. Bear right onto Spring Street. Go to top of hill to the corner of Spring and Summer streets. Turn left and follow parking signs.

HOTELS

HAMPTON INN BOSTON/PEABODY - Tel: 1-978-536-2020  Fax: 1-978-535-6530 

WWW.HAMPTONINN.COM

59 Newbury St., Peabody, MA 01960

COMFORT INN NORTH SHORE – Phone: (978) 777-1700  Fax: (978) 777-4647

WWW.COMFORTINN.COM

50 Dayton St., Danvers, MA 01923

BOSTON – DAYS INN SALEM – Phone: 978-777-1030  Fax: 978-777-0264

WWW.DAYSINN.COM

152 Endicott St., Danvers, MA  01923

FOOD

In the Chaves tradition, we will have a full breakfast, lunch and snack bar, serving specialties from local chefs and restaurants as well as perennial favorites lovingly prepared by Tohoku parents.

JUDO GI’S, APPAREL

Judo-gi’s and apparel will also be on sale at the tournament site.

EMT

Also in the Chaves tradition, we will have an on-site EMT present for the entire competition.

WEB PRESENCE:

Chaves On-Line Registration: Coming Soon!

Tohoku Website: http://sites.google.com/a/tohokujudo.org/tohoku-judo-club/Home

POWER OF ATTORNEY

We (I) will not be in attendance at the 28th Annual Charles A. Chaves Memorial Tournament on Sunday, November 8, 2009, 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 27th 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

TOHOKU JUDO CLUB’S

28th ANNUAL CHARLES A. CHAVES MEMORIAL TOURNAMENT

and Rokushu Yudanshakai Senior Promotional Tournament

Sunday, November 8, 2009

St. John’s Prep School, 72 Spring St., Danvers, MA

Rokushu Yudanshakai Senior Promotional Tournament

Rules and Requirements

The 28^th Annual Chaves Memorial Tournament will also serve as the Rokushu Yudanshakai Senior Promotional Tournament. A promotional tournament is a tournament held specifically to qualify candidates for promotion, providing a venue for all judoka eligible for promotion to compete and submit to testing and evaluation by the Rokushu Yudanshakai Board of Examiners.

Judoka seeking promotion are required to:

1) Be a member of the USJF and Rokushu Yudanshakai. (Rokushu has no promotional authority over non-members)

2) Register for promotion by submitting a Promotion Eligibility Form signed by the judoka’s head sensei. Eligibility forms must be submitted with the Chaves pre-registration forms. (No walk-ups will be considered for promotion.)

3) Meet the Yudanshakai requirements for promotion. (Requirements are listed in the study guides at http://www.usjf.com/forms/. Some of these requirements are waived for batsugun promotions.)

There are two types of promotion awarded at a promotional tournament: Normal and Batsugun.

Normal promotions are granted to competitors who have met most of requirements for promotion to the next rank, including character, age, testing and time-in-grade but;

1) may need to demonstrate kata; or

2) may need additional competition points

Batsugun promotions are based solely on competition performance on tournament day. A batsugun (exceptional achievement) promotion may be granted immediately by the Board of Examiners if the judoka:

1) Has met the 1) membership and 2) registration requirements listed above and;

2) Places first or second in the senior novice or advanced division and:

a. Has at least 2 wins by ippon or wazari over opponents of equal or higher rank or:

b. Has at least 3 wins by ippon over opponents of equal or lower rank (maximum 2 ranks lower).

In the event of a batsugun promotion, all time-in-grade, competition point, kata, and testing requirements are waived. Promotions may be from any rank to any higher rank, up to and including shodan.

The Board of Examiners of the Rokushu Yudanshakai intends to make this Promotional Tournament an annual event. In the future, we expect to include the junior shonen divisions.

Please remember that fulfillment of promotion requirements does not guarantee promotion. Promotion is a decision that can only be made by your sensei and the Rokushu Board of Examiners.