2014 NEW JERSEY STATE JUDO CHAMPIONSHIP Sanctioned by USJF #

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1 2014 NEW JERSEY STATE JUDO CHAMPIONSHIP Sanctioned by USJF # Sunday, March 23, 2014 New Location: Princeton High School 151 Moore St, Princeton, NJ (Entrance is around back on Walnut St) Parking is free on all surrounding streets as well as the High School lots around the building. DO NOT PARK IN THE WESTMINSTER QUIRE COLLEGE LOT. NEW LOCATION 3 MAT AREAS BLEACHER SEATING Entry fee: $40.00 Must be received by March 19, Late fee $60.00 Eligibility: Open to current members of USJF, USJI, USJA. (Card required). USJF registration will be available at tournament Rules: Modified IJF rules, Contest area is 6.5M x 6.5M with safety area of 4.0M x 4.0M, no choking techniques allowed for those 12 years of age and younger. No Armbars allowed if one or both competitors are below the rank of Sankyu. All competitors are required to wear a White gi if they are the first contestant called. Blue Gi s will ONLY be allowed on the second player called. Contestants will be provided a blue belt if they do not have a blue gi. This is for all divisions/ages. ****ABSOLUTLY NO ONE WILL BE WEIGHED IN AFTER THE CLOSE OF REGISTRATION**** LATE AGE REGISTRATION/ WEIGH-IN START MAT MAT 2 MAT 3 TIME 1 All Judoka age :30 10:00am All Judoka age :00-11:30 12:00pm All Senior Judoka 12:30-1:00 1:30pm All Sr. 60& & Women kg +100 kg All Senior Judoka 12:30-1:00 1:30pm 73kg 81kg 90kg From the south: Take I-95 North into New Jersey. Get off at Exit 7B (Lawrenceville) to Route 206 North. Follow to where 206 North takes a left (called Bayard Lane at that point) and take that left. At the first traffic light, turn right onto Paul Robeson Place. Paul Robeson Place becomes Wiggins St. Proceed 3/4 mile turn left onto Moore St. The School will be on your right. Make right onto Houghton Rd just prior to the school. Make left onto Walnut St. Entrance/parking lot and street parking is on the backside of the school. From the north: Take the NJ Turnpike South to Exit 9 (New Brunswick). Bear right after the toll booth and follow NJ Route 18 North a short distance to US Route 1 South. Continue on Route 1, about 18 miles to the Route 571/Washington Road traffic light (an intersection with 2 gas stations. Make a right onto Washington Road. Drive into town and make right onto Rt 27 / Nassau St. Proceed three blocks and make a left onto Chestnut St. Chestnut St turns into Walnut St. The School will be on your left. Entrance/parking lot and street parking is on the backside of the school and on Walnut St.

2 2014 NEW JERSEY STATE JUDO CHAMPIONSHIP Senior & Junior Divisions Awards 1 st, 2 nd and 3 rd place medals for all divisions. 1. Senior Men (All weight divisions are listed as kilograms) (A) (B) Senior National Division (Black & Brown Belt) 60kg. 66kg. 73kg. 81kg. 90kg. 100kg. +100kg. Novice Division (4 th Kyu & Under) 60kg. 66kg. 73kg. 81kg. 90kg. 100kg. +100kg. 2. Senior Female - (17 years old & older) (All divisions are listed as kilograms) 48kg. 52kg. 57kg. 63kg. 70kg. 78kg. +78kg. 3. Junior Boys (All weight divisions are listed as Pounds) 5-8 years old - Match all contestants as closely as possible by age, weight and belt in 3 or 4 man pools. (two third place trophies if a 4 man pool is utilized) 9-10 Yrs -60, -70, -80, -90, -105, -120, +120 Lb , -90, -100, -120, -135, +135 Lb , -100, -120, -135, -150, +150 lb , -120, -135, -150, -170, -190, +190 Lb 4. Junior Girls (All weight divisions are listed as Pounds) 5-8 years old - Match all contestants as closely as possible by age, weight and belt in 3 or 4 man pools. (two third place trophies if 4 person pool is utilized) 9-10 Yrs -75, -85, -95, +95 Lb , -95, -110, +110 Lb , -105, -125, -140, -160, +160 Lb

3 New Jersey State Judo Championship Official Entry Form Sanctioned by USJF # Name Address Telephone Male Female Age Novice Advanced Belt Rank Weight Club If assistance/accommodation is needed (Check off appropriate box) Hearing Loss/Deafness Vision Loss/Blindness Other Type of assistance/accommodation needed USJF# USJI # USJA# All checks payable to: Judo of New Jersey Mail entry form: Judo of New Jersey c/o Cory Cuomo 13. W. Zoller rd. East Brunswick, NJ P) E) Please complete the entire entry form, non black belt waiver and liability waiver. Contestants and parents or guardians must sign all forms to be accepted. Incomplete entries will be returned.

4 Certificate Regarding Non-Black Belt Contestants I a Judo instructor, who has been awarded the Judo rank of Shodan or higher, under the auspices of the USJI, USJF, USJA or Judo Canada, hereby certify that, (print name of contestant) although not having been awarded the Judo rank of Shodan or higher, is of sufficient aptitude and skill in Judo to compete in this competition. Judo Instructor (print) Signature of Instructor Date Rank Organization rank obtained through

5 WAIVER AND RELEASE OF LIABILITY AND AGREEMENT TO PARTICIPATE In consideration of being permitted to participate in any way, including travel to and from, in any Judo tournament, practice, clinic, and related events and activities ( Activity ) of the United States Judo Federation, Inc., USA Judo/United States Judo, Inc., United States Judo Association, Inc., Hudson Judo Yudanshakai, Inc., Judo of New Jersey, Inc., Princeton Judo, Cory Cuomo, and the YWCA Princeton, I agree: 1. I understand the nature of Judo activities and believe I am qualified to participate in such Activity. I also understand the rules governing the sport of Judo. 2. I further acknowledge 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. I acknowledge and fully understand that I will be engaging in a contact sport that might result in serious injury, illness or disease, including permanent disability 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, illness, disease, permanent disability, or death. 5. I hereby release, waive, discharge and covenant not to sue the United States Judo Federation, Inc., USA Judo/United States Judo, Inc., United States Judo Association, Inc., Hudson Judo Yudanshakai, Inc., Judo of New Jersey, Inc., Princeton Judo, Cory Cuomo, and the YWCA Princeton, together with their affiliated clubs, their respective administrators, directors, officers, agents, coaches, and other employees or volunteers of the organization, event officials, medical personnel, other participants, their parents, legal 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 litigation expenses, attorney fees, loss, liability, damage or costs on account of injury, illness, disease, including permanent disability and death or damage to property, caused or alleged to be caused in whole or in part by the negligent acts or omissions of the Releasees or otherwise to the fullest extent permitted by law. I HAVE READ THE ABOVE WARNING, WAIVER, AND RELEASE, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND KNOWING THIS, SIGN IT VOLUNTARILY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE. 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 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENT/LEGAL GUARDIAN AS EVIDENCED BY THEIR SIGNATURE BELOW. I INTEND THIS TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THAT THE BALANCE, NOTWITHSTANDING SHALL CONTINUE IN FULL FORCE AND EFFECT. Participant Participant s Signature Date FOR PARENTS/LEGAL GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION) This is to certify that I, as parent/legal 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 including litigation expenses, attorney fees, loss, liability, damage or costs which may incur as the result of the minor child s 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 the above warnings and conditions and their ramifications.

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