The 2015 U.S. Open Veterans Judo Championships Fort Lauderdale, Florida Sponsored by A. Kolychkine Judo Foundation

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1 The 2015 U.S. Open Veterans Judo Championships Fort Lauderdale, Florida Sponsored by A. Kolychkine Judo Foundation Held under the Sanction ( ) of USA JUDO (United States Judo, Inc.) Domestic & International Veterans Competitors Entry Package Contents: Introduction Schedule of Events Technical Information Competition Rules & Categories Veterans Competitor Check List Veterans Competitor Official Entry Form U.S. Open Competition Waiver Credit Card Charge Form Brown Belt Request for Waiver Competition: Fort Lauderdale Convention Center July 19, 2015 Fort Lauderdale, Florida. Hotel Headquarters: B Ocean Hotel Fort Lauderdale Beach Other Hotels are available for lodging and contact information and rates are listed elsewhere in this packet. Rates are $66.00 to $ (ASK FOR THE USA JUDO RATE) The Veterans Competition is open to athletes born in 1985 or earlier and hold black belt rank with proof of rank or brown belt rank with a waiver approved by the Tournament Director, Gerry Navarro & or John Miller. Waiver Request form is available at end of entry package. For additional registration information contact: Phone: Fax:

2 The 2015 U.S. Open Veterans Judo Championships SCHEDULE OF EVENTS EVENT DATE TIME LOCATION Registration: All Veterans 07/18/15 12 Noon - 3:00 PM Unofficial Weigh-in All 07/18/15 1:00 2:00 PM Veterans Official Weigh-in: 07/18/15 2:00-3:30 PM Referee Meeting 07/17/15 5:00-6:00 PM Technical/Coaches/Athletes Meeting (see note 3 below) Competition Begins: Male/Female; All Divisions 07/17/15 6:00 PM 07/19/15 1:00 PM Note 1: Awards will be given out within one hour of each category s completion for the Veterans Divisions. Note 2: Competitors will not be allowed to check their weight on official scale during weigh-in times; however, an unofficial scale will be available for the purpose of checking weight outside of the weigh in room during official weigh-in times. Note 3: It is the policy of USA Judo that competitors will get their medal and points for an uncontested division. In addition, divisions may be combined FOR EXHIBITION PURPOSES ONLY. A meeting will be held at 6:00 pm at the convention center prior to the day of competition to discuss creating these divisions. All competitors must be present and consent to these changes.

3 Veterans Competitor Technical Information- U.S. Open Judo Championships Competition Dates: Sunday, July 19, 2015 Detailed Schedule: Refer to Schedule of Events Organized By: USA Judo Tournament Gerry Navarro & John Miller Phone: 786 Directors: Fax: Competition Venue: Fort Lauderdale Convention Center Cost: On Time Entry fee $90.00 if staying at Event Hotels, Entry fee is $ If not staying at the event hotels. On site Walk-up fee: $ Entry Deadline: Postmarked by July 10, 2015: On Time Entry After July 10: Do not mail anything. Register on site, July 18 th, as a walk-up. Cash, Money Orders, Traveler s Checks, Credit cards, Certified Checks, Cashier s Checks ONLY. Personal checks and Business Checks will not be accepted for walk-up registration. Insurance: USA Judo declines all responsibility in these matters. United States Citizens must be members in good standing of USA Judo, USJF, or USJA and possess a valid membership card with insurance in effect. USA Judo membership cards may be purchased on site if needed. Headquarters: B Ocean Resort Hotel 1140 Seabreeze Blvd. Fort Lauderdale Beach, Fl Lodging: B Ocean Resort Fort Lauderdale Beach Hotel: 1140 Seabreeze Blvd., Fort Lauderdale, FL Room rate: $ plus 11% tax (1-4 people per room).. Call our Reservations line at and mention the US Open Judo Championship or visit our group s personalized website at https://www.starwoodmeeting.com/book/usjudo2014 Marriot Harbor Beach, 3030 Holiday Dr. Fort Lauderdale Beach, Fl Reservation: Mention US Open Judo Championship and or Rate per room per night plus 11% tax Holiday Inn Express Convention Center/Cruise Port, 1500 SE 17th Street, Fort Lauderdale, FL For reservations call and ask for the 2014 Junior US Open Judo Competition Rate $ Best Western Oceanside Inn: 1180 Seabreeze Boulevard, Fort Lauderdale Beach, FL. Reservations: Tel: Includes full breakfast provided by hotel Room rates (variable because full breakfast is provided): plus 11% tax: 1-2 adults, 1-2 children under plus 11% tax: 3 adults, 1 child under plus 11% tax: 4 adults Maximum of 4 persons per room. Reservations: Bahia Cabana Resort, 3001 Harbor Drive Fort Lauderdale, FL Reservation: Mention Jr US Open Judo Championship or Standard room 1 king or 2 double bed $66.00 plus tax up to four people in the room. Efficiency room 2 beds double $76.00 plus tax up to four people in the room. Suite 1 Bedroom $86.00 plus tax up to four people in the room with separate room with two beds, kitchen To make reservation please contact the hotel directly

4 Method of Competition: Judogi: Rank Requirement Contest Rules and Sporting Code of the International Judo Federation. These rules include, but are not limited to, eligibility, draw, weigh-in, length of contests, and competition procedures. Specific rules (not a complete list): Categories having five (5) competitors or less: Round Robin Pool (every competitor competes against every other competitor) will be used. Categories having six (6) competitors or greater: Knockout System with Double Repechage will be used. Match Lengths: M1/F1-M6/F6 will be three minutes and two minutes golden score. M7/F7-M11/F11 will be two minutes and one minute golden score. There is no limit to the number of entries permitted per country. The use of blue judogi IS REQUIRED for this event. Any black belt with proof of black belt certificate may compete in this event. Brown belts not meeting the requirements as set forth in this entry form may fill out the waiver request at the end of this entry package and or fax to: Melinda Navarro USA Judo National Ranking Points Points will be awarded in Master Categories only as outlined in the respective criteria. To receive points on the USA Judo Roster you must be a member of USA Judo prior to the event. Criteria can be found at

5 2015 U.S. Open Veterans Judo Championships Veterans Competition Rules & Categories ELIGIBILITY Non U.S. Citizens: Athletes must compete for the country of which they are a citizen and must present a letter from their country s federation stating that they are a member in good standing and have the Federation s permission to compete and meet the age and rank criteria below. Proof of Citizenship must be presented at Tournament Check-in. Passports are mandatory for all citizens of countries other than the United States; United States citizens must present either a passport or a birth certificate. United States Citizens: A U.S. Citizen may participate if he or she is a current member in good standing of USA Judo (United States Judo, Inc.), USJF, or USJA and meets the age and rank criteria below. (Such individuals must also submit all required documents and pay the appropriate entry fee.) Citizens of No Country: Individuals who are not citizens of any country, but are authorized by the Department of Justice of the United States to remain in the United States, may participate by meeting the criteria listed above for U.S. Citizens and meeting the age and rank criteria below. Born in 1985 or earlier. Black belts that possess a black belt certificate certifying rank. Brown belts born in 1985 or earlier may fill out the waiver request at the end of this entry package and or fax to: Melinda Navarro ENTRY FEES Tournament: On time Entry Fee is $90 per participant ($110 if not staying at one of the tournament hotels). Walk-up $ All competition costs, including lodging, will be the responsibility of the contestant. ENTRY DEADLINES On time entries must be postmarked by July 10, After this date bring all documents to Registration on July 18, 2015 and register as a walk-up. HOTEL HEADQUARTERS B Ocean Hotel B Ocean Resort Fort Lauderdale Beach Hotel: 1140 Seabreeze Blvd., Fort Lauderdale, FL For Reservations Call: (ASK FOR THE US Open RATE) Rates are per night plus 11 % tax COMPETITION RULES The Championships will be conducted in accordance with the Contest Rules, Organization Code and Sporting Code of the International Judo Federation. These rules include, but are not limited to eligibility, draw, weigh-in, length of contests, and competition procedures. Blue Judogi: The use of blue judogi is mandatory. The first competitor called will wear a white judogi; the opponent will wear a blue judogi. Competitors should bring a minimum of two sets of Judogi. Match Lengths: M1/F1-M6/F6 will be three minutes and two minutes golden score. M7/F7-M11/F11 will be two minutes and one minute golden score

6 AGE/WEIGHT CATEGORIES HOW AGE IS DETERMINED. Players will be assigned to an Age Division based their year of birth. A player must be born in 1985 or earlier and will be assigned to a five year age range as shown below: Division Age at end of 2015 Year of birth F1/M F2/M F3/M F4/M F5/M F6/M F7/M F8/M F9/M F10/M F11/M11 80 and over 1935 and older WEIGHT DIVISIONS TO BE CONTESTED: A weight division is defined as over the next lower weight division and up to and including the weight division number. Example: Male 73 kg means over 66 kg up to and including 73kg. Males: 60 kg 66 kg 73 kg 81 kg 90 kg 100 kg +100 kg Females: 48 kg 52 kg 57 kg 63 kg 70 kg 78 kg +78 kg It is the policy of USA Judo that competitors will get their medal and points for an uncontested division. In addition, divisions may be combined FOR EXHIBITION PURPOSES ONLY. A meeting will be held at 6:00 pm at the convention center prior to the day of competition to discuss creating these divisions. All competitors must be present and consent to these changes. Athletes must declare a weight division on their entry form. At registration and check- in, athletes may change their declared weight. At official weigh- in, athletes must make their declared weight. At OFFICIAL WEIGH-IN, athletes must present their tournament-issued identification card AND a photo ID/Passport. METHOD OF COMPETITION 1. Categories having five (5) Competitors or less: Round Robin Pool (every competitor competes against every other competitor). The order of finish is determined by number of wins, then, if tied, by total points (Ippon=10, Waza-ari=7, Yuko=5. Decision=1). If tied in wins and points, the winner of the head-to-head competition between the two who are still tied determines the winner. If three or more are still tied in wins and points for any place (first, second, or third), those contestants involved must contest again to determine the order of finish. 2. Categories having six (6) competitors or greater: Knockout System with Double Repechage (sometimes referred to as Crossover Repechage). Players are divided into two pools, A and B which are further subdivided into A1, A2, B1, B2. Determination of 1st and 2nd place: The "knockout" (single elimination) system is then used to produce two finalists, who will compete for 1st & 2nd place. Determination of 3rd - 5th place: All contestants who were defeated by the winners of pools A1, A2, B1, and B2 (quarterfinalists) will take part in the repechage of their respective pools in the order in which they were defeated. For example, for pool A1, the loser from Round 1 will meet the loser from Round 2; the winner of that match will meet the loser from Round 3, etc. The winner of repechage pool A1 will meet the winner of repechage pool A2; similar for B1 and B2. The winner of repechage pool A will meet the loser of the semi-final of knockout pool B. The winner of repechage pool B will meet the loser of the semi-final of knockout pool A. The winners (2) are placed 3rd, the losers (2) are placed 5th.

7 2015 U.S. Open Veterans Judo Championships Veterans Competitor Check List DO NOT MAIL THIS PAGE, KEEP FOR CONTACT REFERENCES Please Use All Deadlines and Addresses on this List for Submittal q Official Entry Form and Entry Fee: Entry fee is $90 if postmarked by July 10, 2015 ($110 if not staying at one of the official tournament hotels. DO NOT MAIL ANYTHING AFTER July Register on site on July 18, 2015 as a Walk-up and pay the walk-up entry fee of $130. Cash, Money Orders, Traveler s Checks, Credit cards, Certified Checks, Cashier s Checks ONLY. Personal checks and Business Checks will not be accepted for walk-up registration. q Copy of current USA Judo (USJI), USJF, or USJA membership card. If you do not have a membership card, USA Judo membership will be available at the event. Please indicate whether you have a current membership card or intend to purchase one in the space provided at the bottom of your entry form. q Warning, Waiver, Release of Liability and Agreement to Participate. q Proof of Age: Copy of birth certificate, passport, or USA Judo membership card having the verification symbol (V) printed following the birth date. A driver s license is not proof of age! q Proof of Black Belt Rank: Copy of rank certificate OR, Waiver Regarding Non-Black Belt Contestants. NOTE: A copy of your current USA Judo (USJI) membership card having the rank verification symbol (V) printed following the rank will serve as proof. Rank cards issued by USJA or USJF will also serve as proof. q Credit Card Charge Request Form. Credit Cards can only be accepted if drawn on United States Banks. INCOMPLETE FORMS WILL BE CONSIDERED WALK UP AND WILL BE SUBJECT TO A LATE FEE OF $130. During Tournament Registration, all late or incomplete registrations will be required to properly complete all forms and pay the appropriate fees. All required forms must be properly completed and signed and the appropriate entry fees paid regardless of when the player registers. Unofficial Weigh-in: Scales will be available for unofficial weigh-in starting prior to the start of official weigh-in. Location and times will be posted at Tournament Headquarters. Contestants may check weights as many times as desired during this period. At OFFICIAL WEIGH-IN, competitors must present their tournamentissued identification card AND a photo ID and will be allowed only one opportunity to weigh on the official scale. NOTE: Please include your Personal Check, Business Check, Money Order, Traveler s Check, Certified Check, Cashier s Check, or Credit Card form (DO NOT SEND CASH) made payable to: 2015 US Open Judo Championship MAIL ALL ITEMS TO: Melinda Navarro NW 12 St; Pembroke Pines, Fl Fax:

8 2015 U.S. OPEN VETERANS ENTRY FORM Sponsored By Pedro Kolychkine N.W. 12 Street; Pembroke Pines, FL Last Name (Family Name, Surname): Street Address: First Name: City:: State Zip Code: Country: Judo Club: Judo Rank:: Telephone (Voice): Fax: USA Judo, USJA, or USJF Member Number (US Athletes):* Date of Birth (month/day/year): / / Address (optional) Circle the category and gender in which you wish to compete. Circle One Category only! Females: F1 ( ) F2 ( ) F3 ( ) F4 ( ) F5 ( ) F6 ( ) F7 ( ) F8 ( ) F9 ( ) F10 ( ) F11 (1935 and earlier) Males: M1 ( ) M2 ( ) M3 ( ) M4 ( ) M5 ( ) F6 ( ) M7 ( ) M8 ( ) M9 ( ) M10 ( ) M11 (1935 and earlier) Circle the weight divison that you intend to compete in. At registration, you may change this declared weight. At Official Weigh-in you must make this weight. Males: 60 kg 66 kg 73 kg 81 kg 90 kg 100 kg +100 kg Females: 48 kg 52 kg 57 kg 63 kg 70 kg 78 kg +78 kg Please mail the appropriate entry fee payable to 2015 U.S. Open Judo Championship, this entry form and all other documents, fully completed and signed in the appropriate places, to Melinda Navarro at the address listed at the top of this entry form. DO NOT MAIL ANYTHING AFTER July 10, After that date, bring entry materials to tournament registration on July 18 th and register as a walk- up. * US Citizens: If you are not a current member of USA Judo, USJF, or USJA please circle: Will bring current membership card to event Will purchase membership at event NOTE: Only USA Judo membership will be available at the event.

9 2015 U.S. Open Veterans Judo Championships WAIVER AND RELEASE OF LIABILITY AND AGREEMENT TO PARTICIPATE In consideration of being permitted to participate in any way, including travel to and from, the 2015 U. S. Open Veterans Judo Championships and related events and activities of United States Judo, Inc. (dba USA Judo), 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 to not only 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, Inc. (dba USA Judo), the City of Fort Lauderdale, Fort Lauderdale Convention and visiting bureau, Fort Lauderdale Convention Center, the State of Florida, B Ocean Hotel, Harbor Beach Marriott Hotel and Marriott franchise, Florida Judo Inc., 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, guardians, supervisors and coaches, sponsoring agencies, sponsors, advertisers, and if applicable, owners, lessors, and lessees of premises used to conduct the event, all of whom are hereinafter referred to as "releasee", from any and all claims, demands, losses, actions, causes of actions or damages on account of injury, including permanent disability and death and damage to property (Collectively, Liabilities ), caused or alleged to be caused in whole or in part by the acts or omissions of the release, even if arising from their negligence, 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. I AGREE TO PARTICIPATE KNOWING THE RISK 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/GUARDIAN AS EVIDENCED BY THEIR SIGNATURE BELOW. Participant's Printed Name Participant's Signature Date

10 2015 U.S. Open Veterans Judo Championships Credit Card Charge Request Credit cards may be used for Merchandise Sales Booth and Entry fees. Please complete the following information and enclose with your application form(s): Credit Cards can only be accepted if drawn on United States Banks. Name: Address: Telephone #: Credit Card (circle one): MasterCard ---- VISA ---- Discover ---- American Express Credit Card #: \ \ \ Credit Card Expiration Date: (month) (year) Name as it appears on Credit Card (please print): Amount authorized to charge: _$ Signature: Date:

11 2015 U.S. Open Judo Championships BROWN BELT REQUEST FOR WAIVER Name Address Phone Number Club Coach Coaches Address Coaches Phone Number How many years have you been in judo? What is your current rank? List top 5 finishes in competition: Name of Competition Finish/Place Year Please include your coach s signature and attach a copy of his black belt certificate: I,, a Judo Instructor, who has been (Name of Instructor) awarded the Judo rank of Shodan or higher, recognized by United States Judo, Inc., hereby certify that,, although not having been awarded the Judo rank of Shodan or higher, is of sufficient aptitude and skill in Judo to compete in the 2009 US Open Judo Championships. As the Coach, I understand that this is only valid with a copy of my black belt certificate attached. Yes, I have attached my black belt certificate. Date Signature of Judo Instructor or Fax to: Melinda Navarro at Fax: All requests will be reviewed by the Tournament Director, Mr. Gerry Navarro & John Miller. All applicants will be contacted regarding their request within 7 business days after receiving.

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