1st SandiaJudo Winter Open

 

December 6th, 2003

Rio Rancho Mid-High School

1600 40th Street

Rio Rancho, New Mexico

 


Sponsored by: Sandia Judo Club

Sanctioned by: New Mexico Judo,Inc.  NMJI #0304         MemberUSJI

 

Notes:               Judogi color:Although optional, we encourage the wearing of a Blue gi by the “blue” sidecompetitor.  The “white” sidecompetitor must wear a white judo gi. Competitorsare responsible for appearing in the correct color gi.  Under no circumstances shall bothcompetitors be allowed to compete in blue gis, nor will the blue and whitecompetitors be allowed to switch positions.

 

Location:          RioRancho Mid-High school

                        160040th Street  

                        RioRancho, NM

 

Host Hotel:        RamadaLimited

                        4081High Resort Blvd.

                        RioRancho, NM 87124

                        Phonetoll free (866) 892-5998

                        LocalPhone (505) 892-5998

                        Fax# (505) 892-9131

                        $59/night.Ask for Sandia Judo Winter Open rate

                        OnRT 528 and High Resort Blvd.

                        (Theyhave an indoor pool)

 

Registration       At theRamada Limited

And weigh-in:   Friday, December 5th,2003 5:00-9:00pm Only.

Walk-up registration will be takenafter completely filling out and signing all required forms and paying theentry fee.

All walk-up registrants andpre-registered contestants must check in, in person, to confirm participationand weigh-in during the above times.

 

Entry Fees:        EntryFee is $30.00 per division entered. If mailing in entry fee and registration forms,

We must receive them by December 5th2003 for them to be valid.  Anew entry fee and registration form will need to be filled out and paid atregistration time if fee and forms have not been received by December 5th2003.  We will send you back alllate forms and checks.

Make checks payable to:   “Sandia Judo Club”

Mail completed registration formsand entry fees to:

                                    MichaelR. Alexander    

                                    5523La Vista Grande PL NE

                                    Albuquerque,NM 87111

                                    (505)275-2413

                                    alexx_nmsw@hotmail.com                                 

 

Divisions:          Competitors15 years old and older and brown belt rank or higher may compete intheir age/weight division and/or a senior division; competitors 30 years andolder may compete in the Masters Category and /or Senior Category.  A separate entry form and entry fee isrequired for each division entered.

 

Eligibility:        Opencompetition.  Contestants from allstates are welcome.  All contestantsmust be currently registered and insured with one of the following nationalorganizations: USA Judo (NGB, USJI), USJF, or USJA (Membership in USA Judo willbe available at the tournament site during registration).  See below for age/weight eligibility.NGB cards will be on sale at weigh-in and registration.

 

InsuranceNote: Forinsurance liability purposes, contestants must provide proof of currentregistration and insurance with one of the above listed nationalorganizations.  If the registrationcard is lost, New Mexico Judo Inc. can only verify USA Judo (USJI) registrationlocally.

 

Awards:          Medalsfor 1st, 2nd, and 3rd place winners in alldivisions.  Team trophies for 1st,2nd, and 3rd place teams.

 

Competition Divisions

 

Juniors                                                           SeniorWomen

Boys & Girls 5-12 yrs.                                   Women17 yrs. & older

No shime waza                                               Seniorrules apply

No kansetsu waza                                           4minutematches

3 minute matches                                           

 

Intermediate                                                 SeniorMen

Male & Female 13 – 16yrs.                           Men17 yrs. & older

No kansetsu waza                                           Seniorrules apply

3 minute matches                                            5minute matches

 

 

Masters Men, Masters Women, Senior Novice (17 yr. & older who are below Brown Belt) and Junior Novice Divisions (White to Orange belts) will be grouped based on thenumber and weights of the participants.

 

Senior rules willapply to the Masters Divisions.

Senior ruleswill apply to Senior Novice. No kansetsu waza.  Shimewaza is permitted. 

Junior ruleswill apply to all Junior Novice divisions.

3 minute matches for Men & Women Masters, and all Novice Divisions, Junior & Senior.

 

Masters and Juniors on mat at 9:00am

Seniors to start 1 hrafter Masters and Junior Divisions are completed.

There will be no rollcall.  Contestants resposible fortimes listed.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Modified Double Elimination

Tournament director reserves the right to make anychanges in the best interest of the contestants.

Age & Weight Chart

Division          Age                  LB.      LB.      LB.      LB.      LB.      LB.      LB.

 

Jr. boys           5-6                   LMH  

                        7-8                   51        60        68        77        Over

                        9-10                 57        66        75        84        95        Over

                        11-12               66        75        86        97        108      120      Over

 

Int. boys         13-14               99        110      121      132      143      Over

                        15-16               110      121      132      143      158      176      Over

 

Sr. Women      17+                  99        106      114      125      139      154      172      Over

Women novice            LMH

Women Master                       LMH

 

Sr. Men           17+                  123      132      145      161      178      198      220      Over

Men Novice                            LMH

Men Master                            LMH

Weight breaks for all Female,Novices, and Masters will be determined after weigh-in based on weight range,age, and number of contestants. Our objective is to provide the best competitive environment for allcontestants.

 

Power of attorney

If contestant is under the age of 18 years, and, ifparent or legal guardian is not attending the Open, this document must becompleted by contestant’s legal guardian,

I certify that I am theparent or legal guardian of _______________________ a minor,

I will not be inattendance and do hereby designate _______________________, who is  over 21 years of age, to be my true andlawful attorney, to act in my name, place and stead, to do any and every actand exercise any power that I might or could do or exercise through any otherperson and that he/she shall deem proper or advisable, intending hereby to vestin the person acting for me full power and authority to do and perform all andevery act and thing.

 

________________________________ Signature of parent orlegal guardian.

1st Sandia Judo Winter Open

2003

Warning

Waiver and Release of Liability/ Agreement toParticipate

 

            IN CONSIDERATION OF BEING PERMITTED TO PARTICIPATE INANY WAY, INCLUDING TRAVEL TO AND FROM, IN ANY JUDO TOURNAMENT, PRACTICE CLINIC,AND RELATED EVENTS AND ACTIVITIES OF THE UNITED STATES JUDO, INC., UNITEDSTATES JUDO ASSOCIATION, UNITED STATES JUDO FEDERATION, SANDIA JUDO CLUB,ALBUQUERQUE JUDOKAI, RIO RANCH PUBLIC SCHOOL, AND ALL SPONSORS, INSTRUCTORS,ASSISTANTS AND DIRECTORS, I HEREBY:

 

1.      I acknowledge that I am familiar with the sport of Judoand understand the rules governing the sport of Judo.

2.      Agree that prior to participation, I will inspect themats, equipment, facilities, and competition pools or divisions and theelimination or scoring system to be used, and if I believe anything is unsafeor beyond my capability, I will immediately advise my coach or supervisor ofsuch condition(s) and refuse to participate.

3.      Acknowledge and fully understand that I will beengaging in a contact sport that may result in serious injury, includingpermanent disability or death, and severe social and economic losses due notonly by my own actions, inaction’s, or negligence, but also action, inaction,or negligence of others, the rules of the sport of Judo, or conditions ofpremises or any equipment used. Further, I acknowledge that there may be other risks not known to me ornot reasonably foreseeable at this time.

4.      Knowing the risks involved in the sport of Judo, Iassume risk and accept personal responsibility for the damages following suchinjury permanent disability or death.

5.      I release, waiver and discharge and covenant not to suethe United States Judo, Inc., United States Judo Association, United StatesJudo Federation, together with the affiliated clubs, their respectiveadministrators, directors, agents, coaches, and other employees or volunteersof the organization, event officials, medical personnel, other participants,their parents, guardians, supervisors, coaches, sponsoring agencies, sponsors,advertisers, and if applicable, owners, lessors, and lessees of premises usedto conduct the event, all of whom are hereinafter referred to as “releasee”,from any and all claims, demands, losses, and damages on account of injury,including permanent disability and death or damage to property, caused oralleged to be caused in whole or in part by the negligence of the releasee orotherwise, to the fullest extent permitted by law.

 

 

IHAVE READ THE ABOVE WARNING, WAIVER AND RELEASE, UNDERSTAND THAT I GIVE UPSUBSTANTIAL RIGHTS BY SIGNING IT, AND KNOWING THIS, SIGN IT VOLUNTARILY.  I AGREE TO PARTICIPATE KNOWING THERISKS AND CONDITIONS INVOLVED AND DO SO ENTIRELY ON MY OWN FREE WILL I AFIRMTHAT I AM AT LEAST 18 YEARS OF AGE, OF IF I AM UNDER 18 YEARS OF AGE, I HAVEOBTAINED THE REQUIRED CONSENT OF MY PARENT/GUARDIAN AS EVIDENCED BY THEIRSIGNATURE BELOW

 

 

 

 

 

PARTICPANT’S PRINTED NAME

 

PARTICIPANT’S SIGNATURE

DATE

 

FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINOR AGE

 (UNDERAGE 18 AT TIME OF REGISTRATION)

This is to certify that I, as parent/guardian with legal responsibilityfor this participant, do consent and this is agree to his/her release, asprovided above, of all the releasees, and, for myself, my heirs, assigns, andnext of kin.  I release and agreeto indemnify and hold harmless the releasees from any and all liabilitiesincident to my minor child’s involvement or participant in these programs asprovided above, even if arising from their negligence, to the fullest extentpermitted by law.  I haveinstructed the minor participant as to the above warnings and conditions andtheir ramification

 

 

 

 

 

 

PARENT/GUARDIAN (PRINT)

SIGNATURE

DATE

                                                                                                                             

 

Insurance Verified____Entry FeePaid___Weight___Age____Gender___

 

Please do not write above thisline.  For official use only.

…………………………………………………

SHIAI ENTRY FORM

 

____________________________                ____________________________________                  __________________________

Last Name (Apelido)                            FirstName (Nombre)                                            Birth Date (Nacio)

 

____________________________                _____________________            ______________        ___________________________

Address (Direccion)                          City(Ciudad)                        State(Estado)      Country(Pais)

 

 

____________________________                ________  ________                   ________________                      __________________

Telephone                                                  Age       Gender                    Weight(Peso)                         Rank

 

 

____________________________                _________________________________                        ___________________________

Club Name                                                Coach(Maestro)                                                       USJA  / USJI  /  USJF

                                                                                                                                                                 

                                                                                                                                                                  ___________________________

                                                                                                                                                                  InsuranceExpiration Date

 

Divisions

Please check one event oneach entry form

JUNIOR BOYS NOVICE    _________      JUNIOR GIRLSNOVICE   _________

JUNIOR BOYS                     _________      JUNIOR GIRLS                    _________

INTERMEDIATE BOYS      _________      INTERMEDIATEGIRLS     _________

NOVICE MEN                      _________      NOVICE WOMEN               _________

SENIOR MEN                       _________      SENIOR WOMEN                _________

MASTERS MEN 30+           _________      MASTERS WOMEN 30+    _________

 

 

 

 

 

WAIVER REGARDING NON-BLACK BELT CONTESTANTS

I, _________________, aJudo Instructor who holds the rank of Shodan or higher, which was awarded underthe auspices of the United States Judo, Inc., United States Judo Association,or United States Judo Federation, hereby certify that _________________,(contestant) although not having been awarded the rank of Shodan or higher isof sufficient aptitude and skill to compete in any higher division at the 1st Sandia JudoWinter Open, 2003.  ________________ (Instructor signature)

PLEASE READ AND SIGN THEWAIVER OF RELEASE & LIABILITY FORM ON REVERSE SIDE.

 

1st Sandia JudoWinter Open

2003

 

Check list

 

1.     Fill out ShiaiEntry Form Completely.

 

2.    Please read andsign waiver of release and liability form.

 

 

3.    Required to show:

CurrentMembership in one of the following:

USJA,USJF, or USJI (NGB),

Insurancemust be current.

 

4.     White Gi is Mandatory.  Blue Gi will be optional.

FemaleCompetitors must wear white or off white colored T-shirts.

 

5.   These forms may be duplicated.