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
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:
5523La Vista Grande PL NE
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.
Boys & Girls 5-12 yrs. Women17 yrs. & older
No shime waza Seniorrules apply
No kansetsu waza 4minutematches
3 minute matches
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
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
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
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
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
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.