1st SandiaJudo Winter Open
Location:
160040th Street
RioRancho, NM
Host Hotel:
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
And weigh-in:
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:
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:
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:
Eligibility:
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.
Boys & Girls 5-12 yrs.
No shime waza
No kansetsu waza
3 minute matches
Male & Female 13 Ð 16yrs. Men17 yrs. & older
No kansetsu waza
3 minute matches
Masters Men
3 minute matches for Men
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
Jr. boys
7-8
9-10
11-12
Int. boys
15-16
Sr. Women
Women novice
Women Master
Sr. Men
Men Novice
Men Master
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 contestantÕs 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
________________________________ Signature of parent orlegal guardian.
Warning
Waiver and Release of Liability/ Agreement toParticipate
1.
2.
3.
4.
5.
IHAVE READ THE ABOVE WARNING, WAIVER AND RELEASE, UNDERSTAND THAT I GIVE UPSUBSTANTIAL RIGHTS BY SIGNING IT, AND KNOWING THIS, SIGN IT VOLUNTARILY.
| | |
PARTICPANTÕS PRINTED NAME | PARTICIPANTÕS SIGNATURE | DATE |
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 childÕs 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 |
ÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉ
____________________________
Last Name (Apelido)
____________________________
Address (Direccion)
____________________________
Telephone
____________________________
Club Name
___________________________
InsuranceExpiration Date
Please check one event oneach entry form
JUNIOR BOYS NOVICE _________
JUNIOR BOYS
INTERMEDIATE BOYS
NOVICE MEN
SENIOR MEN
MASTERS MEN 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
PLEASE READ AND SIGN THEWAIVER OF RELEASE & LIABILITY FORM ON REVERSE SIDE.
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.
FemaleCompetitors must wear white or off white colored T-shirts.
5.