
Tech
Judo
Invitational Judo Tournament
Junior Boys and Girls 4-16 years old
Senior Men and Women
USJF Sanction # 09-11-08
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Date: |
Sunday, November 1, 2009 |
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Tournament Director: |
Clyde Worthen |
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Tournament Coordinator: |
Leonardo Victoria |
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Head Referee: |
Ralph Reyes |
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Location: |
HCST Recreation Center 2100 85th Street North Bergen, NJ (10 Minutes from the GW
Bridge or Lincoln Tunnel) (201) 328-4055(cell Clyde Worthen) Email: clydeapajudo@aol.com Directions on other side. |
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Entry Fee: |
$30.00 includes: free admission
and referee expense fee. Late fee $50.00: NOTE LATE ENTRY FEE! |
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Eligibility: |
You must present a current
USJF – USJI – USJA card. USJF registration will be
available at tournament |
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Rules: |
Current IJF rules will be
used with the following modifications. Pre 1994 rules regarding safety zones
and out of bounds area. No chokes ages 12 and under. No arm bars under brown
belt rank. |
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Awards: |
All competitors in
divisions 10 years old and under will receive an award for 1st, 2nd,
or 3rd place. All others divisions awards for 1st, 2nd
and 2 – 3rd places. |
Directions
To HCST Recreation Center
The
Recreation Center is located just off Route 1&9, which becomes Tonnelle
Avenue in North Bergen. Turn at 85th street. Hudson County School of Technology is your
landmark.
From NJ Turnpike
Take
the turnpike to last toll (18W) and proceed to route 46 east, go ¼ mile to
first exit (Grand Avenue). Make a right
on Grand Avenue. At the end of Grand Avenue
bear left. You will be on 1-9 South. Continue to 85th st.. Make a
right turn on 85th street. Recreation Center is located at the
bottom of the hill on the right side.
From the Lincoln Tunnel
Take
exit for 1&9 North and proceed to 85th street and make a left
turn. Recreation Center is located at the bottom of the hill on the right side.
From the George Washington Bridge
Take
exit for Route 46 West. Get off at Broad Ave exit. Go left onto Broad Avenue.
At the end of Broad Avenue bear left. You will be on 1-9 South. Continue to 85th
St. At 85th make a right. Recreation Center is located at the bottom of the
hill on the right side.
Weigh-in
Times
Pee wee boys and girls 4-6 yrs 9:00 - 9:30am
Boys and Girls 7-10yrs 9:30
- 10:00am
Boys and Girls 11-16 10:3 0 - 11:00am
All M-F Seniors 12:30
- 1:00pm
Divisions
All contestants 4-10 will be matched as evenly as
possible by age, weight, and belt, and will compete for 1st, 2nd,
and 3rd within their 3 or 4 man pool. All contestants in these divisions will receive an award.
Boys 11-12 Light-Middle-Heavy
Girls 11-12 Light-Middle-Heavy
Boys 13-14 Light-Middle-Heavy A
– White yellow Orange
B
– Green Blue Purple
Boys 15-16 Light-Middle-Heavy A
and B Divisions
Girls 13-16 Light-Middle-Heavy A
and B Divisions
Senior Men White – Green
<145, <161, <178, <198, <220, over
220lbs.
Senior Men Brown
<145, <161, <178, <198, <220, over
220lbs.
Senior Men Black Light-Middle-Heavy
Senior Women all ranks Light-Middle-Heavy
Modified Double elimination
Tournament director reserves the right
to change divisions if necessary
Tech Judo Invitational
Official Entry Form
Sunday November 1, 2009
Sanctioned by USJF
NAME______________________________________ AGE___________________ SEX_____________
ADDRESS_____________________________ CITY_________________ STATE______ ZIP________
PHONE# ( )_______________________ BIRTH DATE__________________ WEIGHT___________
EMAIL ___________________________________
JUDO RANK SR![]()
JR![]()
KYU _____________ DAN ____________ COLOR
BELT____________
CLUB____________________ INSTRUCTOR____________________ PHONE# ( )_______________
ADDRESS___________________________ CITY__________________ STATE______ ZIP__________
USJF registration will be available
USJF#_________expires_________ USJI#_________expires_________
USJA#_________expires_________
Complete Belt, Weight and Age for your division.
|
PeeWee Div. (4-6 yrs.) |
BELT____________ |
WEIGHT____________ |
AGE____________ |
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Jr. Boys Div. |
BELT____________ |
WEIGHT____________ |
AGE____________ |
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Jr. Girls Div. |
BELT____________ |
WEIGHT____________ |
AGE____________ |
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Sr. Men’s Div. |
BELT____________ |
WEIGHT____________ |
AGE____________ |
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Sr. Women’s Div. |
BELT____________ |
WEIGHT____________ |
AGE____________ |
Entry Fee: $30.00 includes: free admission
and referee expense fee.
NOTE:
LATE FEE $50.00 after Friday, October 30, 2009
MAKE CHECKS PAYABLE TO HCST
Mail to: Tech Judo
C/o Hudson County Schools of Technology
2100 85th St.
North Bergen, NJ 07047
Complete both sides of entry.
Contestants and parents or guardians must sign the release form on the other
side for entry to be accepted. Incomplete entries will be returned.
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 in any Judo
tournament, practice, clinic, and related events and activities (“Activity”) of
the United States Judo
Federation, Inc., USA Judo/United States Judo, Inc., United States Judo
Association, Inc., Hudson Judo Yudanshakai, Inc., Hudson County Schools of
Technology, and the Tech Judo Club, I
agree:
1. I
understand the nature of Judo activities and believe I am qualified to
participate in such Activity. I also
understand the rules governing the sport of Judo.
2. I further acknowledge 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. I
acknowledge and fully understand that I will be engaging in a contact sport
that might result in serious injury, illness or disease, 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, illness,
disease, permanent disability, or death.
5. I
hereby release, waive, discharge and covenant not to sue the United States Judo Federation, Inc., USA
Judo/United States Judo, Inc., United States Judo Association, Inc., Hudson
Judo Yudanshakai, Inc., Hudson County Schools of Technology, and the Tech Judo
Club, together with their affiliated
clubs, their respective administrators, directors, officers, 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 litigation
expenses, attorney fees, loss, liability, damage or costs on account of injury, illness, disease,
including permanent disability and death or damage to property, caused or
alleged to be caused in whole or in part by the negligent acts or omissions of the Releasees or otherwise to the
fullest extent permitted by law.
I HAVE READ
THE ABOVE WARNING, WAIVER, AND RELEASE, UNDERSTAND THAT I HAVE GIVEN UP
SUBSTANTIAL RIGHTS BY SIGNING IT, AND KNOWING THIS, SIGN IT VOLUNTARILY AND
WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE. 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. I INTEND THIS TO BE A COMPLETE AND
UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW
AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THAT THE
BALANCE, NOTWITHSTANDING SHALL CONTINUE IN FULL FORCE AND EFFECT.
__________________________________ ______________________________________________
Participant Participant’s Signature Date
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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 including litigation expenses, attorney fees, loss, liability, damage or costs which may incur as the result of the minor child’s 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
Form 506 V6.0.0, 090818