Minnesota State Open Judo Championship Saturday May 2, 2009 (USJI Sanction JMI #0902)

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1 Minnesota State Open Judo Championship Saturday May 2, 2009 (USJI Sanction JMI #0902) SCHEDULE OF EVENTS A LOCATION s Friday, May 1, 2009 (Midway Judo Club) 6:00 PM 8:00 PM Referee s Clinic ($10.00 fee for clinic) 6:00 PM 8:00 PM Registration and Early Weigh-In Saturday, May 2, 2009 (Eagan Civic Arena) 8:30 AM 10:00 AM Registration and Weigh-In 10:00 AM 11:00 AM Technical Officials Meeting (Mat#1) How to work an electronic scoreboard 10:30 AM 11:00 AM Referee Meeting 11:00 AM Junior Competition Begins 1:00 PM(estimated) Senior and Masters Competition following Junior Competition Note: Seniors & Master competition will not begin before 1:00PM 3:30 PM(estimated) Elections of Athletic Reps for Judo MN Inc board following Senior Competition Registration, Early Weigh-In and Referee s Clinic will be held at: Midway Judo Club, 1068 Robert St. W. St. Paul, MN Phone (651) Registration, Weigh-In and Competitions will be held at: Eagan Civic Arena, 3870 Pilot Knob Rd. Eagan, MN Concessions & Snacks available on site. Changing Rooms available on site. REGISTRATIO Pre-registration: $20 first division. If mailed and postmarked by April 25, Additional division: $10 (two divisions max.) Checks payable to: Judo Minnesota Inc. (JMI) Mail to: James Darabi /1830 Larpenteur Ave W. #205 / St. Paul, MN Registration: $30 first division. Additional division: $10 (two divisions max.) Proof of valid national membership (i.e. USJI, USJA or USJF) must be presented by all participants. STAFF Tournament Director: Head Referee: Pairing Coordinator: Medical Services: Mat Setup & Breakdown Coordinator: Technical Coordinator Registration Coordinator James Darabi / / [email protected] Cary Yamanaka Gary Foster Dr. Greg T. Olson Mark Kafka George Trembulak Sharon Trembulak

2 2 Regulation Judo Mats COMPETITION Best of 3 matches for divisions of 2 people, Round Robin for divisions of 3 people where most wins wins and if a tie the lightest person wins, Modified Double Elimination for divisions of 4 or more players. Match length: 3 minutes for Juniors; 4 minutes for Seniors & Masters. Modified IJF Rules. Chokes allowed for ages 13 and up. Armlocks allowed in all Senior and Master divisions. Golden Score will apply. Tournament Director reserves the right to adjust divisions to ensure fair and safe competition. 1 st, 2 nd and 3 rd place Trophies for Juniors and Medals for Seniors. COMPETITION DIVISIONS JUNIORS Novice divisions include white, yellow and orange belts. Advanced divisions include green belt and above. Divisions will be Light, Medium and Heavy as appropriate. Our goal is to keep Junior divisions within 10 pounds. Girls Boys 8 and under All Ranks Novice and Novice and Novice and Novice and Advanced Advanced Advanced Advanced 6 and under All Ranks All Ranks Novice and Novice and Novice and Novice and Advanced Advanced Advanced Advanced SENIORS Senior Novice divisions include green belt and below. Advanced divisions include brown belt and above. Women Novice Light Medium Heavy Advanced Light Medium Heavy Men Novice Light Medium Light Heavy Heavy Advanced Over 220 MASTERS Ages 30 and over. Divisions: / 45 and over. Novice and Advanced will be divided if entries warrant. Weight divisions will be determined by entries. Tournament Director reserves the right to adjust divisions to ensure fair and safe competition.

3 SHIAI ENTRY FORM MINNESOTA STATE OPEN JUDO CHAMPIONSHIP 2009 For official use only. Do NOT write in this box! Entry Fee Paid: Membership and Insurance Verified: Official Weight: CHECK ONE: CHECK ONE: JUNIOR NOVICE (white,yellow, orange belt through age 16) MALE FEMALE JUNIOR ADVANCED (green belt & above through age 16) SENIOR NOVICE (below brown belt) ENTER: SENIOR ADVANCED (brown or black belt) AGE: MASTERS (ages 30 and above) RANK: FOR SECOND DIVISION IS SAME CATEGORY, CHECK ONE: Move up an age group Move up to next Novice player entering Masters palyer (juniors only) weight division Advanced division entering seniors First Name: Last Name: Judo Club: Home Address City: State: Zip code: USJI, USJF, USJA # Birth Date M/D/Y: / / Card expiration: / / Address: The undersigned, a Judo Instructor who holds the rank of Shodan or higher which is recognized by USJI, USJF, USJA, Judo Canada, or any provincial governing body, hereby certifies that the above Contestant, although not having been awarded the Judo Rank of Shodan or higher, is of sufficient aptitude and skill to compete in the above described event. Signature of Instructor CERTIFICATE REGARDING NON-BLACK BELT CONTESTANTS POWER OF ATTORNEY If contestant is under the age of 18 years, this document must be completed by the contestant's parent or legal guardian if the parent or legal guardian is not attending the Tournament. I certify that I am the parent or legal guardian of a minor. I will not be in attendance at the Tournament and do hereby designate, who is over 21 years of age, to be my true and lawful attorney, to act in my name, place, and stead, to do any and every act and exercise any power that I might or could do or exercise through any other person and that he/she shall deem proper or advisable, intending hereby to vest in the person acting for me full power and authority to do and perform all and every act and thing. Signature of parent or legal guardian Please sign the WARNING WAIVER AND RELEASE OF LIABILITY AND AGREEMENT TO PARTICIPATE on back.

4 Minnesota State Open Judo Championship Saturday May 2, 2009 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 of the United States Judo, Inc., United States Judo Federation, United States Judo Association, Judo Minnesota Inc. (JMI) and Eagan Civic Arena, I hereby: 1. Acknowledge that I am familiar with the sport of Judo and understand the rules governing the sport of Judo and the importance of following these rules. 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 or supervisor of such condition(s) 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 action, inaction 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 rules involved in the sport of Judo, I assume that risk and accept personal responsibility for the damages following such injury, permanent disability or death. 5. Release, waive and discharge and covenant not to sue the United States Judo, Inc., United States Judo Federation, United States Judo Association, Judo Minnesota Inc. (JMI) and 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, guardian(s), 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 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 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 (please print name) 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 the above warnings and conditions and their ramifications. Parent/Guardian (please print name) Parent/Guardian Signature Date

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6 Judo Tournament RESIDENCE INN EAGAN You and your team will CHEER when they experience: All suite hotel, complete with full-sized kitchen appliance to include refrigerator/freezer, microwave oven, full-size oven/stove, dishwasher Seasonal outdoor pool/spa/sportscourt all guests receive a complimentary pass to the local YMCA complimentary shuttle provided Separate living and sleeping space definitely room to move Complimentary Hot/Cold Breakfast Buffet - get that energy needed Complimentary Shuttle to area stores and Mall of America Restaurants within walking distance 3 Miles from the Eagan Civic Arena, 3870 Pilot Knob Road Eagan, MN Hotel provides complimentary shuttle (see front desk for scheduling) Team Rates o $69.00, plus 9.5% tax Studio Suite with one king or queen bed o $79.00, plus 9.5% tax Studio Suite with two queen beds o $149.00, plus 9.5% tax 2-Bedroom Penthouse Suite (2-queen beds) (Reservations must be received by 4/17/2009. After this date reservations will be accepted on To Make Reservations Call: Residence Inn Eagan 3040 Eagandale Place Eagan, MN and space and rate available basis only.) (651) (hotel direct) or (800) (worldwide reservations)