2016 Texas Judo Inc. NCJA Southwest Regional Collegiate Championships

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1 HOST: ELIGIBILITY: Texas A&M University Judo Team Texas, Oklahoma, Louisiana, Arkansas, Mississippi & New Mexico full time college students. See eligibility requirements on page 3 USJI, USJA,USJF - USA Judo membership available at registration DATE: Saturday, February 6, 2016 LOCATION: Physical Education Activity Building (PEAP) 632 Penberthy Road Texas A&M University - College Station, Texas SANCTION: USA Sanction #9557 (rev ision 3 12/17/2015) WEIGH-IN: Competition: MEDICAL: ENTRY FEE: MATCH TIMES: Registration and Weigh In 632 Penberthy Road Friday February 5-8:00-10:00 pm Saturday February 6-8:00-9:30 am Saturday, February 6, 2016 Begins at 10:30 am Texas A&M University Emergency Medical Technicians $45.00 first division $15.00 second division Athlete may compete in one Novice and one Senior Elite division Must provide proof of full-time enrollment Senior Elite Division - Winner of Senior Elite NCJA SW Regional Championships receive a free entry to the 2016 National Collegiate Judo Championships Match length: 5 Minutes Men Match length: 4 Minutes Women Novice Division (Below Sankyu) Men and Women 3 minutes Novice and Senior Elite Divisions Males: 60kg, 66kg, 73kg, 81kg, 90kg, 100kg, +100kg Females: 48kg, 52kg, 57kg, 63kg, 70kg, 78kg, +78kg 1

2 Method: RULES: Modified Double elimination 6 or more Round Robin for 5 or less competitors Tournament Directors may adjust weight categories, divisions and brackets if necessary *** Modified IJF Rules. IJF RULE MODIFICATIONS. Competitors are required to bring their own white and blue belts. All competitors must have at least a white gi and are encouraged to bring a blue gi as well. A match between two competitors with blue gis will not be permitted. JUDOGI Article 3 Is modified to use the pre-2014 gi fit requirements to be applied within reason based upon the size of the player. No hansoku-make will be given for the first violation and the player will be given the opportunity to change gis, even if the contest has started. Shime waza and Kansetsu waza will be allowed in ALL divisions DIRECTOR: Bob Perez Dan Gomez Minh Nguyen WEBSITE: We do not have a host hotel. PEAP Google Map Click here 632 Penberthy Road College Station, Texas VENUE PEAP BUILDING and parking 2

3 ELIGIBILITY: National Collegiate Judo Association Rules of Eligibility: NCJA Southwest Eligibility contact - Dan Gomez Texas, Oklahoma, Louisiana, Arkansas, Mississippi and New Mexico full time college students Student must meet the following Criteria: 1. A member in good standing with USA Judo (United States Judo Inc.). A copy of your current membership card will be required at registration 2. Is at least fifteen (15) years of age as of the date of the tournament and under the age of 28 as of December 31st of the tournament year. Proof of age consisting of birth certificate, passport, or current USA Judo membership card having the age verification symbol V printed following the date of birth. Note: A drivers License is not acceptable as proof of age. 3. Is currently enrolled as a full-time Student in an undergraduate program as defined by their institution. The student must carry no less than 12 semester hours or 12 quarter hours, nor have received or satisfied the requirements for a baccalaureate degree. A Student with eligibility in his/her final semester graduating at the end of term with less than 12 units is eligible for the championships A student who is enrolled in a graduate program is allowed to participate in the championships, so long as he/she has remaining eligibility and participates within the applicable 5 year period. 4. M ust show legitimate progression toward graduation. Each year is recognized at the beginning of the academic year to include any summer school work completed. At the beginning of each year of collegiate enrollment, the student must have completed the units toward a designated degree program. By the beginning of the second year, a student must have completed and passed 15% of the requirements. By the beginning of the 3rd year, a student must have completed and passed 30% of the requirements. By the beginning of the 4th year, a student must have completed and passed 60% of the requirements. By the beginning of the 5th year, a student must have completed and passed 85% of the requirements 5. Student is eligible to compete in 4 (Seasons) within 5 Consecutive years of participation (10 semester s or 15 quarters) at a 4 year College or University or 2 seasons within 3 consecutive Calendar years (5 semesters or 8 quarters) at a junior (2 year) college. These time limits are calculated from the student s original date of matriculation. A Student Shall not be Subject to transfer qualifications if: a. Student changed institutions in order to continue to participate in judo because judo was dropped as a sport from the previous institution. b. There was no organized judo at previous organization. c. The transfer is a result of enhanced educational opportunities. Written verification from previous coach that the student left the first program in good standing must accompany the application. Ineligibility - The NCJA Eligibility Committee will judge all exceptions on merit with no guarantee of participation. a. If the student does not meet the unit standards required, then he/she becomes ineligible for competition until the student meets the unit standards. b. If it is determined that the student was ineligible prior to competition due to misrepresented or forged documents, then he/she will, at a minimum, forfeit any medal and ranking achieved by this championship and will lose one year of eligibility. Applications that are received before January 23, 2016 will be reviewed by the NCJA Eligibility Committee. If an athlete is d etermined to be ineligible, he or she will be so informed. Applications received after January 31, 2016 will be reviewed by the NCJA El igibility Committee, but there is no guarantee that the athlete will be notified in time if he/she is determined to be ineligible. 3

4 SENIOR ELITE Collegiate Entry Form Texas, Oklahoma, Louisiana, Arkansas Mississippi and New Mexico full time college students Competitors must provide white and blue belts Makes Checks PAYABLE to Texas A&M Judo $45.00 first division $15 for second division Athlete may compete in one Novice and one Senior Elite division OFFICIAL USE ONLY : USJI / USJA/ USJF Card # Pay Amount Cash Check # Senior Elite Weight Texas A&M University Judo Team 4250 TAMU College Station, Texas Name Address City/State/Zip Phone Number Address University Circle One: Fr - So - Jr Sr - Gr Male / Female Student must provide proof of full-time enrollment USJI/USJF/USJA # Exp date Rank Age DOB / / Emergency Contact T elephone DIVISION: CIRCLE ONE Senior Elite Men: 60kg, 66kg, 73kg, 81kg,90kg, 100kg, +100kg Senior Elite Women 48kg, 52kg, 57kg, 63kg, 70kg, 78kg, +78kg I certify the above named student meets all of the eligibility requirements stated above. T eam Coach (print) and Phone T eam Coach (signature) CERTIFICATE REGARDING NON- BLACK BELT CONTESTANTS I,, (Name of Instructor) a Judo Instructor, who has been 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 these Championships. Signature of Judo Instructor 4

5 NOVICE Collegiate Entry Form Texas, Oklahoma, Louisiana, Arkansas Mississippi and New Mexico full time college students Competitors must provide white and blue belts Makes Checks PAYABLE to Texas A&M Judo $45.00 first division $15 for second division Athlete may compete in one Novice and one Senior Elite division OFFICIAL USE ONLY : USJI / USJA/ USJF Card # Pay Amount Cash Check # NOVICE Weight Texas A&M University Judo Team 4250 TAMU College Station, Texas Name Address City/State/Zip Phone Number Address University Circle One: Fr - So - Jr Sr - Gr Male / Female Student must provide proof of full-time enrollment USJI/USJF/USJA # Exp date Rank Age DOB / / Emergency Contact T elephone DIVISION: CIRCLE ONE NOVICE Men: 60kg, 66kg, 73kg, 81kg,90kg, 100kg, +100kg NOVICE Women: 48kg, 52kg, 57kg, 63kg, 70kg, 78kg, +78kg I certify the above named student meets all of the eligibility requirements stated above. T eam Coach (print) and Phone T eam Coach (signature) CERTIFICATE REGARDING NON- BLACK BELT CONTESTANTS I,, (Name of Instructor) a Judo Instructor, who has been 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 i n Judo to compete in these Championships. Signature of Judo Instructor 5

6 WARNING! WAIVER AND RELEASE OF LIABLITY AND AGREEMENT TO PARTICIPATE In consideration of being permitted to participate in any way, including travel to and from, the 2016 Texas Judo Inc, NCJA Southwest Regional, and in any Judo tournament, practice, clinic, and related events and activities of the United States Judo, Inc.; United States Judo Association, Inc.; United States Judo Federation, Inc.; NCJA; Friends of Houston Judo; Texas A&M University, Texas Judo Inc., Texas A&M Department of Recreational Sports, Texas A&M PEAP, Texas A&M Kinesiology, Texas A&M Judo and its officers and all judo organizations and local organizations supporting the event, 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, Traumatic Brain Injury (TBI) 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, permanent disability, or death. 5. Release, waive, discharge and covenant not to sue the United States Judo, Inc; United States Judo Association; United States Judo Federation, Inc; NCJA; Friends of Houston Judo; Texas A&M University, Texas Judo Inc., Texas A&M Department of Recreational Sports, Texas A&M PEAP, Texas A&M Kinesiology, Texas A&M Judo and all judo organizations and local organizations supporting the event, 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 in conducting the event, all of whom are hereinafter referred to as "Releasees", from any and all claims, demands, losses, or damages on account of injury, including permanent disability and death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the Releasees 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 RISKS AND CONDITIONS INVOLVED AND DO SO ENTIRELY OF MY OWN FREE WILL. I AFFIRM THAT I AM AT LEAST 18YEARS 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 Participant s Signature Date FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION) This is to certify that I, as parent/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 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 tile above warnings and conditions and their ramifications. Print Name of Parent/Guardian Signature of Parent/Guardian Date 6

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