2016 Texas Judo Inc. NCJA Southwest Regional Collegiate Championships

Size: px
Start display at page:

Download "2016 Texas Judo Inc. NCJA Southwest Regional Collegiate Championships"

Transcription

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 bobperez@tamu.edu Dan Gomez tamujudo@gmail.com Minh Nguyen n.minhnguyen@yahoo.com WEBSITE: aggiejudo@tamu.edu 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 tamujudo@gmail.com 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 aggiejudo@tamu.edu 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 aggiejudo@tamu.edu 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

2013 Mid-West Collegiate Championships February 9, 2013

2013 Mid-West Collegiate Championships February 9, 2013 2013 Mid-West Collegiate Championships February 9, 2013 Host: Purdue Judo Club Location: Purdue University Sanction: USA Judo Recreational Sports Center Indiana Judo Inc. 355 N. Martin Jischke Drive West

More information

The Ruben Martin Open Judo Championships

The Ruben Martin Open Judo Championships The Ruben Martin Open Judo Championships Sponsored by: ROUND ROBIN FOR DIVISIONS OF 5 OR LESS TRUE DOUBLE ELIMINATION FOR 6 OR MORE AT LEAST 3 MATCHES FOR MOST JUNIORS JUNIOR NOVICE DIVISIONS (up to one

More information

50th Annual Dallas Invitational Judo Championships

50th Annual Dallas Invitational Judo Championships 50th Annual Dallas Invitational Judo Championships Sponsored by: ROUND ROBIN FOR DIVISIONS OF 5 OR LESS TRUE DOUBLE ELIMINATION FOR 6 OR MORE AT LEAST 3 MATCHES FOR MOST JUNIORS JUNIOR NOVICE DIVISIONS

More information

Barstow Judo Club Invitational Judo Tournament

Barstow Judo Club Invitational Judo Tournament Barstow Judo Club Invitational Judo Tournament Date: Sunday June 24, 2012 Location: Eligibility: Entry Fee: Awards: Sanction: Cora Harper Community Center 841 Barstow Road Barstow, CA 92311 MUST BE Current

More information

IOWA STATE UNIVERSITY SPRING JUDO CHAMPIONSHIP

IOWA STATE UNIVERSITY SPRING JUDO CHAMPIONSHIP IOWA STATE UNIVERSITY SPRING JUDO CHAMPIONSHIP DATE: Sunday, April 21, 2012 LOCATION: Forker Building, Iowa State University, Ames, Iowa SANCTION: Applied for WEIGH-INS: 8:00 10:00 AM COMPETITION: Juniors

More information

Cherry Blossom Open XXII

Cherry Blossom Open XXII Cherry Blossom Open XXII Saturday, February 13, 2016 National Ranking Points: Bantam, Intermediate, & Juvenile A & B only - 2 for 1st, 1 for 2nd, and.5 for 3rd Hosted by: Tomodachi Judo Club & Ki-Itsu-Sai

More information

Taishi Judo Club 5 th Annual Invitational Tournament

Taishi Judo Club 5 th Annual Invitational Tournament Taishi Judo Club 5 th Annual Invitational Tournament Date/Time: Location: Sunday, March 22, 2015. Tournament will start promptly at 10:00AM Northview High School 1016 W. Cypress St. Covina, CA 91722 Sanction:

More information

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

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

More information

Tech Judo Open II Invitational Judo Tournament

Tech Judo Open II Invitational Judo Tournament Tech Judo Open II Invitational Judo Tournament USA Judo Sanction # 2015-12-02 Date: Sunday, February 15, 2015 Tournament Director: Clyde Worthen Tournament Coordinator: Leonardo Victoria Head Referee:

More information

Taishi Judo Club 5 th Anniversary Invitational Tournament

Taishi Judo Club 5 th Anniversary Invitational Tournament Taishi Judo Club 5 th Anniversary Invitational Tournament Date: Sunday, February 21, 2016. Time: Location: Tournament will start promptly at 10:00AM Cerritos College 11110 Alondra Boulevard Norwalk, CA

More information

SIXTY-SECOND ANNUAL PALO ALTO JUDO TOURNAMENT. Registration Information. Contest Information

SIXTY-SECOND ANNUAL PALO ALTO JUDO TOURNAMENT. Registration Information. Contest Information SIXTY-SECOND ANNUAL PALO ALTO JUDO TOURNAMENT The Sixty-second Palo Alto Judo Tournament will be held in Ayers Gym at Menlo-Atherton High School on Sunday, November 15, 2015. The school address is 555

More information

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

The 2015 U.S. Open Veterans Judo Championships Fort Lauderdale, Florida Sponsored by A. Kolychkine Judo Foundation The 2015 U.S. Open Veterans Judo Championships Fort Lauderdale, Florida Sponsored by A. Kolychkine Judo Foundation Held under the Sanction (2014-04-07) of USA JUDO (United States Judo, Inc.) Domestic &

More information

2014 NIKKEI GAMES JUDO SHIAI & KATA TOURNAMENT Sponsored by the Nikkei Games Coordinating Council

2014 NIKKEI GAMES JUDO SHIAI & KATA TOURNAMENT Sponsored by the Nikkei Games Coordinating Council Date / Time: Sunday, August 10, 2014 / Kata Competition 9:00 AM - Shiai Competition 10:00 AM Location: Long Beach Pyramid-California State University, Long Beach 1250 Bellflower Blvd., Long Beach, CA 90840

More information

2016 Michigan State Games Judo Sanction: USJF# 16-06-05 http://stategamesofmichigan.com/judo http://konanjudo.wordpress.com/

2016 Michigan State Games Judo Sanction: USJF# 16-06-05 http://stategamesofmichigan.com/judo http://konanjudo.wordpress.com/ DATE: Saturday, June 25, 2016 LOCATION: Kroc Center 2500 S. Division Street. NE Grand Rapids, MI 49507 ELIGIBILITY: All contestants must provide a valid U.S.J.F., U.S.J.I., or U.S.J.A. card. Foreign contestants

More information

without a signed waiver Santa Fe, NM 87506 Fax: 505 820 Student Name: City: Zip: State: Physician's Name: Parent Name(s): Parent Address: City:

without a signed waiver Santa Fe, NM 87506 Fax: 505 820 Student Name: City: Zip: State: Physician's Name: Parent Name(s): Parent Address: City: Please mail application to: Las Campanas Compadres, Inc. 15 Buckskin Circle Santa Fe, NM 87506 Fax: 505 820 2709 Las Campanas Compadres, Inc. Student Application Form Please be sure to sign the waiver

More information

2010 USJA/USJF WINTER NATIONALS SENIORS MASTERS JUNIORS KATA

2010 USJA/USJF WINTER NATIONALS SENIORS MASTERS JUNIORS KATA 5 th ANNIVERSARY 2010 USJA/USJF WINTER NATIONALS SENIORS MASTERS JUNIORS KATA SATURDAY & SUNDAY DECEMBER 4 & 5, LA VERNE, CA Hosted by GOLTZ JUDO TOURNAMENT DIRECTOR: Gary Goltz HEAD REFEREE: Hayward Nishioka

More information

Release of Liability. Printed Name of Participant:

Release of Liability. Printed Name of Participant: Release of Liability IN CONSIDERATION of being given the opportunity to participate in any USRowing activity, including scheduled, supervised club activities, and registered regattas, during the policy

More information

Southern California Men's Collegiate Gymnastics Association

Southern California Men's Collegiate Gymnastics Association SC United Application 2016 Packet www.facebook.com/socalcollegegymnast @SCUgymnastics southerncaliforniaunited scugymnastics SC United Team Application Instructions Thank you for your interest in the SC

More information

5 th Annual Grassroots Judo Junior, Youth, Team, & Kata National Championships

5 th Annual Grassroots Judo Junior, Youth, Team, & Kata National Championships 5 th Annual Grassroots Judo Junior, Youth, Team, & Kata National Championships CHAMPIONSHIP ENTRY PACKET Neal S. Blaisdell Center, Honolulu, HI July 3 5, 2014 USJF Sanction # 14-07-02 The Judo Events will

More information

2015-16 Insurance Information Insurance coverage

2015-16 Insurance Information Insurance coverage 2015-16 Insurance Information Insurance coverage At USA Wrestling, our top priorities are safety and security. That's why we make sure you're covered by General Liability, Accidental Medical Expense, and

More information

IMPORTANT NOTICE EACH TEAM APPLYING FOR COVERAGE MUST BE A MEMBER OF AMERICAN YOUTH SPORTS ATHLETIC ASSOCIATION

IMPORTANT NOTICE EACH TEAM APPLYING FOR COVERAGE MUST BE A MEMBER OF AMERICAN YOUTH SPORTS ATHLETIC ASSOCIATION IMPORTANT NOTICE EACH TEAM APPLYING FOR COVERAGE MUST BE A MEMBER OF AMERICAN YOUTH SPORTS ATHLETIC ASSOCIATION TO BE ELIGIBLE FOR THE INSURANCE RATES ON THE FOLLOWING PAGE For fast service fax completed

More information

DATE OF BIRTH: STREET ADDRESS: CITY/STATE/ZIP:

DATE OF BIRTH: STREET ADDRESS: CITY/STATE/ZIP: Get Noticed Beach Volleyball Waiver WAIVER AND RELEASE, EXPRESS ASSUMPTION OF RISK, INDEMNITY AND HOLD HARMLESS AGREEMENT, AND GRANT OF RIGHTS NAME OF PLAYER: PLAYER AGE DATE OF BIRTH: PLAYER GRADE as

More information

TSF Player Invitation Inter Academy Program U9-U12 Boys & Girls

TSF Player Invitation Inter Academy Program U9-U12 Boys & Girls TSF Player Invitation Inter Academy Program U9-U12 Boys & Girls TSF Academy would like to extend an invitation to play soccer with our Inter Academy Program. We are very excited about the upcoming season.

More information

2015 Coach E s Flagler College Basketball Camps

2015 Coach E s Flagler College Basketball Camps 2015 Coach E s Flagler College Basketball Camps Necci Brown 2015 Averaged a 31.9 field goal percentage during her career as a Saint July 13-17 Camp Registration Campers cannot be admitted without full

More information

2015 Tournament Entry Form

2015 Tournament Entry Form Mississippi MS HIGH SCHOOL BASS NATION 2015 Tournament Entry Form ONE FORM PER TEAM Angler #1 Name: Event Location: Angler #2 Name: School Club Name: Team Advisor Name: Ph# Address: City: State: Zip Code:

More information

2013 BRITISH SCHOOLS CHAMPIONSHIPS

2013 BRITISH SCHOOLS CHAMPIONSHIPS Organisation / Entries: Events Team, British Judo Association, Suite B, Loughborough Technology Centre, Epinal Way, Loughborough, LE11 3GE, Great Britain. Tel: +44 (0)1509 631695 Fax: +44 (0)1509 631680

More information

American Football Association, Inc. Endorsed General Liability Insurance Program Available: January 1, 2015 to January 1, 2016

American Football Association, Inc. Endorsed General Liability Insurance Program Available: January 1, 2015 to January 1, 2016 American Football Association, Inc. Endorsed General Liability Insurance Program Available: January 1, 2015 to January 1, 2016 This insurance program is available for amateur teams & leagues that are members

More information

3004 S. Rancho Dr. Las Vegas, NV. 89102 * PH: 702-220-5614 * www.tevakanui.com

3004 S. Rancho Dr. Las Vegas, NV. 89102 * PH: 702-220-5614 * www.tevakanui.com 2009/2010 Policy Agreement I have received a copy of the 2009/2010 studio policy and current class schedule. I agree to adhere to all studio policies as contained in this document and explained to me.

More information

Texas A&M University-Corpus Christi Youth Program Medical Emergency Information/Consent for Treatment

Texas A&M University-Corpus Christi Youth Program Medical Emergency Information/Consent for Treatment Texas A&M University-Corpus Christi Youth Program Medical Emergency Information/Consent for Treatment Youth s name: Address: Date of birth: Parent/guardian phone: Home Work Pager/Cellular Medical Information

More information

Iowa AAU Basketball IOWA AAU 2013 SEASON

Iowa AAU Basketball IOWA AAU 2013 SEASON Iowa AAU Boys Basketball 1 November 2012 Iowa AAU Basketball IOWA AAU 2013 SEASON IOWA AAU WEBSITE FOR ALL AAU INFORMATION aauiowa.org NATIONAL AAU WEBSITE FOR INTERNET REGISTRATION AND FOR BASKETBALL

More information

ARCADIA YOUTH RODEO ASSOCIATION, INC. 124 Heard Street, Arcadia, Florida 34266 863-494-2014 2015-2016 SEASON MEMBERSHIP APPLICATION

ARCADIA YOUTH RODEO ASSOCIATION, INC. 124 Heard Street, Arcadia, Florida 34266 863-494-2014 2015-2016 SEASON MEMBERSHIP APPLICATION 2015-2016 SEASON MEMBERSHIP APPLICATION MEMBER INFORMATION: BACK TAG # ISSUED: MEMBER NAME: ADDRESS: CITY: STATE: ZIP: HOME PHONE: CEL #: E-MAIL ADDRESS: (Please send newsletter via: Mail E-Mail ) DATE

More information

Finals will be shown live on streaming video. Check www.usopenjudo.com for details.

Finals will be shown live on streaming video. Check www.usopenjudo.com for details. 2016 U.S. Open Jr, Sr & Veterans Judo Championships 28 th Annual US Open Junior Championship! Held under the Sanction of USA JUDO (United States Judo, Inc.) July 22, July 23, July 24, 2016 Hosted by: Sponsored

More information

Polar Bear Girls Youth Hockey

Polar Bear Girls Youth Hockey Polar Bear Girls Youth Hockey 2015 Tournament Registration Form: Palouse Care Cup Girls Hockey Tournament Feb. 6 th 8 th, 2015 $600 Register: Please complete the information below and return with a team

More information

AFRICAN OPEN REGULATIONS TUNIS 2015

AFRICAN OPEN REGULATIONS TUNIS 2015 AFRICAN OPEN REGULATIONS TUNIS 2015 Organizer: Tunisian Judo Federation El MENZAH 1004 Tunis Tel: 0021671753122 Fax: 0021672755794 Email: tunisie.judo@planet.tn Dates: 17-18 January 2015 Entry: Entry into

More information

APPLICATION TO PARTICIPATE AS A MEMBER OF A USA INLINE HOCKEY TEAMS Team Selection made by Resume Only

APPLICATION TO PARTICIPATE AS A MEMBER OF A USA INLINE HOCKEY TEAMS Team Selection made by Resume Only APPLICATION TO PARTICIPATE AS A MEMBER OF A USA INLINE HOCKEY TEAMS Team Selection made by Resume Only XIV FIRS Senior Women/Junior Men Inline Hockey World Championships Rosario, Argentina Arrival - Saturday,

More information

SANTA BARBARA SCHOOL DISTRICTS, SECONDARY EDUCATION INDEPENDENT STUDY PHYSICAL EDUCATION. HOLD HARMLESS AGREEMENT (Agency/Instructor/Coach)

SANTA BARBARA SCHOOL DISTRICTS, SECONDARY EDUCATION INDEPENDENT STUDY PHYSICAL EDUCATION. HOLD HARMLESS AGREEMENT (Agency/Instructor/Coach) SANTA BARBARA SCHOOL DISTRICTS, SECONDARY EDUCATION INDEPENDENT STUDY PHYSICAL EDUCATION HOLD HARMLESS AGREEMENT (Agency/Instructor/Coach) (Agency/Instructor/Coach) hereby agrees to defend, indemnify and

More information

MEMBERSHIP/BOAT SUPPORT APPLICATION

MEMBERSHIP/BOAT SUPPORT APPLICATION MEMBERSHIP/BOAT SUPPORT APPLICATION Family memberships include no more than two adults per household and their unmarried rowing children under the age of 21 (or currently enrolled in school up to age 23).

More information

REGISTRATION & MEDICAL FORM

REGISTRATION & MEDICAL FORM REGISTRATION & MEDICAL FORM NAME ADDRESS CITY PROV POSTAL TELEPHONE E-MAIL CLUB BIRTH DATE DD/ MM / YYYY AGE (on Dec. 31, 2011) GENDER: M F MB MEDICAL # For Office Use Only: Plate number: Category: Amount

More information

UNIVERSITY OF HOUSTON

UNIVERSITY OF HOUSTON JAMES DICKEY'S UNIVERSITY OF HOUSTON 2014 MEN'S BASKETBALL CAMPS CAMP FEATURES Expert instruction from Houston Basketball staff and student-athletes Outstanding lectures Grouping of all players by ages

More information

North Dakota College Tour

North Dakota College Tour North Dakota College Tour University of North Dakota North Dakota State University Minnesota State University, Moorhead Friday, October 31 - Saturday, November 1, 2014 Open to Sophomores, Juniors, and

More information

All Students - Please complete items 1-5 All paperwork must have original signatures and be readable. No partial submissions will be accepted.

All Students - Please complete items 1-5 All paperwork must have original signatures and be readable. No partial submissions will be accepted. Independent Study Physical Education (I.S.P.E.) The following items must be on file before your Independent Study application is complete. (1) Complete the online I.S.P.E. contract (keep a copy for your

More information

NATIONAL COLLEGE TABLE TENNIS ASSSOCIATION REGULATIONS AND COMPETITION RULES

NATIONAL COLLEGE TABLE TENNIS ASSSOCIATION REGULATIONS AND COMPETITION RULES NATIONAL COLLEGE TABLE TENNIS ASSSOCIATION REGULATIONS AND COMPETITION RULES TABLE OF CONTENTS I. MEMBERSHIP Who Can Be a Member? Membership Requirements Membership Status Membership Fees II. ELIGIBILITY

More information

CHICAGO RUNNING TOURS & MORE, LLC WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT PLEASE REVIEW THOROUGHLY BEFORE SIGNING

CHICAGO RUNNING TOURS & MORE, LLC WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT PLEASE REVIEW THOROUGHLY BEFORE SIGNING CHICAGO RUNNING TOURS & MORE, LLC WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT PLEASE REVIEW THOROUGHLY BEFORE SIGNING The undersigned, in consideration of being permitted to participate

More information

Junior European Judo Cup Leibnitz 2016

Junior European Judo Cup Leibnitz 2016 Leibnitz 2016 IJF World Junior Tour Leibnitz/AUSTRIA May 28 & 29, 2016 Attention! Kindly check the programme! Heavy weight women & light weight men on Day 1 Light weight women & heavy weight men on Day

More information

SASKATCHEWAN WATERSKI ASSOCIATION 2008 POLICY MANUAL

SASKATCHEWAN WATERSKI ASSOCIATION 2008 POLICY MANUAL SASKATCHEWAN WATERSKI ASSOCIATION 2008 POLICY MANUAL The purpose of the following articles in the policy manual is to provide guidelines for executive use. These articles do not form part of the By Laws

More information

2015 ADF School Medical/Insurance Information & Liability Waivers INSURANCE INFORMATION

2015 ADF School Medical/Insurance Information & Liability Waivers INSURANCE INFORMATION These forms must be completed and signed in all appropriate places by the participant, the participant s physician, and if under age 18, by the participant s legal guardian. The medical information we

More information

TARLETON SPORTS MEDICINE. Student-Athlete Medical Information

TARLETON SPORTS MEDICINE. Student-Athlete Medical Information TARLETON SPORTS MEDICINE Student-Athlete Medical Information TARLETON STATE UNIVERSITY ATHLETICS DEPARTMENT Box T-0080 Stephenville, TX 76402 254-968-9178 254-968-9674 FAX www.tarletonsports.com Dear Parent

More information

California Polytechnic State University, Pomona Vietnamese Student Association. Family. Honor. Tradition.

California Polytechnic State University, Pomona Vietnamese Student Association. Family. Honor. Tradition. California Polytechnic State University, Pomona Vietnamese Student Association Family. Honor. Tradition. ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM Name of Activity or Event: CAL POLY POMONA VSA WINTER

More information

Mission Statement. Participant Guidelines

Mission Statement. Participant Guidelines Mission Statement The Hoover Boxing Program's mission is to provide Hoover Middle School students a structured and positive environment where kids can remain active and safe during unstructured hours such

More information

Students will have an instructor of record for this course. The instructor s requirements include:

Students will have an instructor of record for this course. The instructor s requirements include: Guidelines for Receiving MBA Internship Credit Internships are important for students to gain experience before starting or while completing their studies in the MBA program. They can be rewarding and

More information

Initial. Registration Packet. Summer Academy June 3 rd to August 30 th Z M G. www.zmgtennis.com. HP and TTT Registration Form 1 ZMG Tennis, LLC

Initial. Registration Packet. Summer Academy June 3 rd to August 30 th Z M G. www.zmgtennis.com. HP and TTT Registration Form 1 ZMG Tennis, LLC Registration Packet Summer Academy June 3 rd to August 30 th Z M G www.zmgtennis.com HP and TTT Registration Form 1, LLC Enrolment Process prides its self on offering everything essential in the development

More information

2015 ONTARIO PROVINCIAL TAEKWON-DO CHAMPIONSHIPS

2015 ONTARIO PROVINCIAL TAEKWON-DO CHAMPIONSHIPS 2015 ONTARIO PROVINCIAL TAEKWON-DO CHAMPIONSHIPS SATURDAY OCTOBER 17 2015 HABER COMMUNITY CENTRE 3040 TIM DOBBIE DRIVE, BURLINGTON, ONTARIO COLOUR BELT COMPETITIONS START AT 9:00 AM HOSTED BY RAI S TAEKWON-DO

More information

ARIZONA STATE TAEKWONDO ASSOCIATION, INC. Page 1

ARIZONA STATE TAEKWONDO ASSOCIATION, INC. Page 1 ARIZONA STATE TAEKWONDO ASSOCIATION, INC. Page 1 Dear Taekwondo Athletes, Coaches, Officials and Supporters: The Arizona State Taekwondo Association would like to personally invite you to the 2015 Arizona

More information

PARTICIPANT AGREEMENT RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT

PARTICIPANT AGREEMENT RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT PARTICIPANT AGREEMENT RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT I, the undersigned, on behalf of my minor child: ( Participant ), hereby acknowledge that Participant has

More information

2016 USA SHOOTING SHOTGUN NATIONAL CHAMPIONSHIPS COLORADO SPRINGS, CO JULY 10-19, 2016

2016 USA SHOOTING SHOTGUN NATIONAL CHAMPIONSHIPS COLORADO SPRINGS, CO JULY 10-19, 2016 2016 USA SHOOTING SHOTGUN NATIONAL CHAMPIONSHIPS COLORADO SPRINGS, CO JULY 10-19, 2016 WHATS NEW Due to high demand, it is now required that everyone making entry into our 2016 USAS Shotgun National Championships

More information

Please list below any medical conditions and/or allergies the DBA Faculty should be

Please list below any medical conditions and/or allergies the DBA Faculty should be 2015-2016 Registration Form Name Of Child(ren): Date of Birth: Address Where Child Resides: Mailing Address (if different from above): Home Phone Number: Please check next to whom the child resides with:

More information

2016 USA Shooting Shotgun Olympic Trials Part II Tillar, Arkansas May 16-25, 2016 OFFICIAL PROGRAM

2016 USA Shooting Shotgun Olympic Trials Part II Tillar, Arkansas May 16-25, 2016 OFFICIAL PROGRAM 2016 USA Shooting Shotgun Olympic Trials Part II Tillar, Arkansas May 16-25, 2016 OFFICIAL PROGRAM CONDUCTED BY USA Shooting Competitions Division 1 Olympic Plaza Colorado Springs, CO 80909 Telephone:

More information

Emerald Hills Junior Golf Camp - Summer 2016. 938 WILMINGTON WAY REDWOOD CITY, CA 94062 www.playemeraldhills.com E-Mail - jrgolf.ehgc@gmail.

Emerald Hills Junior Golf Camp - Summer 2016. 938 WILMINGTON WAY REDWOOD CITY, CA 94062 www.playemeraldhills.com E-Mail - jrgolf.ehgc@gmail. OUR CAMPS ARE FOR GIRLS AND BOYS (AGES 5 THRU 14) Visit our website at Junior Golf Camp (9:00am 12:30pm) We start camp early (8:45am) on Monday for check-in and orientation. The camp is designed for beginners

More information

OFFICIAL PROGRAM. 22 nd Annual USA Shooting National Championships Shotgun

OFFICIAL PROGRAM. 22 nd Annual USA Shooting National Championships Shotgun OFFICIAL PROGRAM 22 nd Annual USA Shooting National Championships Shotgun June 9-18, 2015 International Shooting Park/Ft. Carson Colorado Springs, CO CONDUCTED BY USA Shooting Competitions Division 1 Olympic

More information

South Heights Christian Classes Family Registration & Class Enrollment Form 2nd Semester 2015-2016

South Heights Christian Classes Family Registration & Class Enrollment Form 2nd Semester 2015-2016 South Heights Christian Classes Family Registration & Class Enrollment Form 2nd Semester 2015-2016 NAMES: Last Parents Email address: (must be included before processing will occur) New families: complete

More information

Child and Youth Group. Volunteer Waiver Form

Child and Youth Group. Volunteer Waiver Form Child and Youth Group Volunteer Waiver Form VOLUNTEER WAIVER WARNING OF RISK, WAIVER, RELEASE OF ALL CLAIMS AGREEMENT Please read this form carefully and be aware that, in participating, you will be waiving

More information

Culinary Arts Academy Admission Application

Culinary Arts Academy Admission Application Culinary Arts Academy Admission Application Institute for Hospitality & Tourism Education and Research 3000 N.E. 151st Street, KCC 3RD FL North Miami, FL 33181-3000 Please download, complete and save the

More information

World Judo Championships

World Judo Championships 4th IJF Grand Masters World Judo Championships Women and Men INDIVIDUAL / TEAM COMPETITION November 8-11, 2012 Miami-Doral, Florida USA Rules and Regulations Entry Packet Technical information 1. Organization

More information

Mafiaoza s Jingle Contest Rules and Registration Form

Mafiaoza s Jingle Contest Rules and Registration Form Mafiaoza s Jingle Contest Rules and Registration Form Summary of Contest Patrons, customers and friends of Mafiaoza s are invited to submit an original jingle for the Mafiaoza s jingle contest. A panel

More information

Motorcycle RiderCourse WAIVERS

Motorcycle RiderCourse WAIVERS Motorcycle RiderCourse WAIVERS General Instructions All pages must be completed and signed. If you have any questions, call (231) 591-5819. Mail completed forms to: Motorcycle Rider Courses, Ferris State

More information

Santa Barbara Unified School District Independent Study Physical Education (ISPE) Criteria and Guidelines

Santa Barbara Unified School District Independent Study Physical Education (ISPE) Criteria and Guidelines Criteria and Guidelines To qualify for ISPE a student must have a Grade Point Average (GPA) of 2.0 and no conduct violations. In addition, the student must meet the following criteria: The student is an

More information

Santa Monica College Administrative Regulation - Students Activities and Student Conduct

Santa Monica College Administrative Regulation - Students Activities and Student Conduct Santa Monica College Administrative Regulation - Students Activities and Student Conduct (AR5319-091481) Extracurricular Trips Arrangements for trips by clubs and other non-athletic extracurricular activity

More information

3.1 Mode Single Elimination Tournament System. (K.O. system)

3.1 Mode Single Elimination Tournament System. (K.O. system) DUTCH MASTERS 2014 Invitation 1. Organization 1.1 Promoter Taekwondo Club Papendrecht, Mr. Rakesh Gajadhar 1.2 Supervisor Dutch Taekwondo Federation 1.4 Information Tournament Director : Mr. Rakesh Gajadhar

More information

K I D S C A M P 2 0 1 4

K I D S C A M P 2 0 1 4 K I D S C A M P 2 0 1 4 June 9-12 8 a.m. 4 p.m. Grades 3-12 Fee: $50 Join us for a fun-filled learning experience! For an application packet Please stop by the Ben Hill-Irwin Campus at 667 Perry House

More information

DC SCORES Registration Checklist

DC SCORES Registration Checklist DC SCORES STUDENT REGISTRATION PACKET Dear Families, Welcome to DC SCORES! Enclosed you will find the materials necessary to enroll your child in DC SCORES for the 2013 2014 school year. Please carefully

More information

CONSENT TO PARTICIPATE IN SCHOOL-SPONSORED SPORTS

CONSENT TO PARTICIPATE IN SCHOOL-SPONSORED SPORTS CONSENT TO PARTICIPATE IN SCHOOL-SPONSORED SPORTS THIS FORM CONTAINS THE CONDITIONS UNDER WHICH YOUR CHILD MAY PARTICIPATE IN THE STRATFORD SCHOOL SPORTS PROGRAM(S). PLEASE ENSURE YOU READ IT CAREFULLY

More information

VIVA! Peer Tutors 2012 Health Literacy Video Contest COPYRIGHT FORM

VIVA! Peer Tutors 2012 Health Literacy Video Contest COPYRIGHT FORM COPYRIGHT FORM Every entrant must complete and submit this form together with ALL OTHER FORMS. Please do not send separately. All forms must be received by March 19, 2012. Please complete this form and

More information

2016 NEW MEXICO STATE USA SHOOTING AIR RIFLE JUNIOR OLYMPIC STATE QUALIFIER

2016 NEW MEXICO STATE USA SHOOTING AIR RIFLE JUNIOR OLYMPIC STATE QUALIFIER 2016 NEW MEXICO STATE USA SHOOTING AIR RIFLE JUNIOR OLYMPIC STATE QUALIFIER SANCTIONED BY: USA Shooting, 1 Olympic Plaza, Colorado Springs, CO 80909 SPONSORING ORGANIZATIONS: Valencia County 4-H Shooting

More information

Earn money from you racing, from your pictures, Youtube videos and more! Only by posting on DRR Riders Group on Facebook.

Earn money from you racing, from your pictures, Youtube videos and more! Only by posting on DRR Riders Group on Facebook. Earn money from you racing, from your pictures, Youtube videos and more! Only by posting on DRR Riders Group on Facebook. Eligibility: All payouts are based on model year Current model year vs non current

More information

GATEWAY DISCOVERY CAMP

GATEWAY DISCOVERY CAMP GATEWAY DISCOVERY CAMP SUMMER 2 0 1 6 REGISTRATION FORM Gateway Science Museum will host three sessions of the Gateway Discovery Camp. All sessions run 9am to 3pm and include daily snacks and lunches.

More information

JUDO. Federation of Australia. PMS 348 PMS 116 2011 Junior Grades Policy (Under 17 years) JUDO FEDERATION OF AUSTRALIA INCORPORATED

JUDO. Federation of Australia. PMS 348 PMS 116 2011 Junior Grades Policy (Under 17 years) JUDO FEDERATION OF AUSTRALIA INCORPORATED JUDO Federation of Australia PMS 348 PMS 116 Junior Grades Policy (Under 17 years) INTRODUCTION At the Judo Federation of Australia Inc. (JFA) Seminar in October 2009, a workshop was run focusing on the

More information

DUTCH MASTERS OPEN. 23 rd of May 2015. Topsportcentrum Rotterdam. All categories and ages will fight on daedo PSS

DUTCH MASTERS OPEN. 23 rd of May 2015. Topsportcentrum Rotterdam. All categories and ages will fight on daedo PSS DUTCH MASTER OPEN 23 rd of May 2015 Topsportcentrum Rotterdam All categories and ages will fight on daedo PSS 1. Organization 1.1 Promoter Taekwondo Club Papendrecht, Mr. Rakesh Gajadhar 1.2 Supervisor

More information

SOMN.org SOMN.ORG. Special Olympics Minnesota Unified Sports: Minnesota Schools

SOMN.org SOMN.ORG. Special Olympics Minnesota Unified Sports: Minnesota Schools SOMN.org SOMN.ORG Special Olympics Minnesota Unified Sports: Minnesota Schools 1 TABLE OF CONTENTS Students with Disabilities & Legal Obligations...3 Starting a Special Olympics Club...4 Unified Sports...5

More information

Street hockey is a dry land variation of ice hockey that can be played all year-round.

Street hockey is a dry land variation of ice hockey that can be played all year-round. Greetings from the Nashville Predators! We are thrilled to introduce you to an exciting grassroots program from the National Hockey League and Nashville Predators. The NHL has organized a league-wide street

More information

Dominican University Intramurals Policies

Dominican University Intramurals Policies Dominican University Intramurals Policies PURPOSE It is the mission of the Dominican University Intramural Program to administer a program of individual and team activities at both a competitive and recreational

More information

2015 Mid-Atlantic Challenged Sports Championships REGISTRATION

2015 Mid-Atlantic Challenged Sports Championships REGISTRATION 2015 Mid-Atlantic Challenged Sports Championships REGISTRATION Athlete Name Last: First: Birth Date: Classification: Track Field Swimming Athletes must be classified before events. WV Challenged Sports

More information

2015 RACE REGISTRATION packet

2015 RACE REGISTRATION packet 2015 RACE REGISTRATION packet First annual Delaware Charity Challenge Saturday, May 2, 2015 Lums Pond State Park Bear, Delaware delawarecharitychallenge.com Saturday, May 2, 2015 Lums Pond State Park 2015

More information

THE KARATE CLUB AT UC RIVERSIDE カリフォルニア 大 学 リバーサイド 校 の 空 手 クラブ

THE KARATE CLUB AT UC RIVERSIDE カリフォルニア 大 学 リバーサイド 校 の 空 手 クラブ THE KARATE CLUB AT UC RIVERSIDE カリフォルニア 大 学 リバーサイド 校 の 空 手 クラブ Welcome Shihans, Senseis, Senpais and fellow Karate-ka Family, Greetings from the Karate Club at UC Riverside, we re proud and pleased to

More information

THOMPSON SCHOOL DISTRICT CHECKLIST FOR ATHLETIC PARTICIPATION. Part A - PARENT PERMIT FOR ATHLETIC PARTICIPATION AND INSURANCE COVERAGE

THOMPSON SCHOOL DISTRICT CHECKLIST FOR ATHLETIC PARTICIPATION. Part A - PARENT PERMIT FOR ATHLETIC PARTICIPATION AND INSURANCE COVERAGE THOMPSON SCHOOL DISTRICT CHECKLIST FOR ATHLETIC PARTICIPATION Check as completed Part A - PARENT PERMIT FOR ATHLETIC PARTICIPATION AND INSURANCE COVERAGE Read and complete with parent or guardian. Release

More information

WESTERN NEW YORK OFFSHORE POWERBOAT ASSOC., INC. 2015 BUFFALO POKER RUN - AUGUST 7-8, 2015

WESTERN NEW YORK OFFSHORE POWERBOAT ASSOC., INC. 2015 BUFFALO POKER RUN - AUGUST 7-8, 2015 WESTERN NEW YORK OFFSHORE POWERBOAT ASSOC., INC. 2015 BUFFALO POKER RUN - AUGUST 7-8, 2015 ASSUMPTION AND ACKNOWLEDGMENT OF RISK AND RELEASE OF LIABILITY WAIVER 1. ALL OF THE UNDERSIGNED, DO HEREBY AFFIRMATIVELY

More information

TEXAS A&M INTERNATIONAL UNIVERSITY

TEXAS A&M INTERNATIONAL UNIVERSITY AGREEMENT FOR WAIVER, INDEMNIFICATION, ASSUMPTION OF RISK AND MEDICAL TREATMENT AUTHORIZATION I,, age, desire to participate voluntarily in all activities of the ( Activity ), which is sponsored or conducted

More information

INTERNATIONAL LEADERSHIP OF TEXAS

INTERNATIONAL LEADERSHIP OF TEXAS INTERNATIONAL LEADERSHIP OF TEXAS ACKNOWLEDGMENT OF RISK, INDEMNITY, WAIVER AND RELEASE OF LIABILITY AGREEMENT, NOTICE OF FINANCIAL RESPONSIBILITY, AND MEDICAL AUTHORIZATION & INFORMATION FORM IN WITNESS

More information

NEW STUDENT REGISTRATION

NEW STUDENT REGISTRATION NEW STUDENT REGISTRATION High Performance: Academy Prep: Early Childhood: $20.00 registration fee (includes 2 Academy T-shirts) $20.00 registration fee (includes 2 Academy T-shirts) $10.00 registration

More information

San Antonio Tennis Academy

San Antonio Tennis Academy A Six Sigma Standard- The relentless and rigorous pursuit for near perfection 2014 Summer Tennis Camps at San Antonio Christian School Bronze Summer Camp- (ages 8-14 & intro-intermediate High School) 1

More information

ECKERD COLLEGE RELEASE AND WAIVER: CAMP PROGRAMS PARTICIPANTS

ECKERD COLLEGE RELEASE AND WAIVER: CAMP PROGRAMS PARTICIPANTS ECKERD COLLEGE RELEASE AND WAIVER: CAMP PROGRAMS PARTICIPANTS Summer Watersports Camp All-Sports Camp Baseball Camp Basketball Camp Golf Camp Sailing Camp Soccer Camp Softball Camp Tennis Camp Volleyball

More information

notice of race 1.1 The regatta will be governed by the rules as defined in The 2013-2016 Racing Rules of Sailing (RRS).

notice of race 1.1 The regatta will be governed by the rules as defined in The 2013-2016 Racing Rules of Sailing (RRS). NOTICE OF RACE 1 RULES... 2 ADVERTISING... 3 ELIGIBILITY AND ENTRY... 4 FEES... 5 REGISTRATION... 6 SCHEDULE... 7 MEASUREMENT and INSPECTION... 8 SAILING INSTRUCTIONS... 9 VENUE... 10 FORMAT... 11 THE

More information

Selah Fire Department Yakima County Fire District # 2

Selah Fire Department Yakima County Fire District # 2 Volunteer Application Packet 2014 Web Application 206 West Fremont Avenue - Selah, Washington 98942 Chief Gary Hanna Business Phone (509) 698-7310 Fax (509) 698-7317 Volunteer Firefighter Thank you for

More information

2014 TOTAL WIMPS ODE

2014 TOTAL WIMPS ODE TARC PROUDLY PRESENT THE 2014 TOTAL WIMPS ODE Equestrian Park Curtin Sunday 26 th October, 2014 TARC is pleased to present our annual One Day Event for the less confident rider (aka The Wimps). There will

More information

Thailand Open Karate-do Championship 2015

Thailand Open Karate-do Championship 2015 Pre-Pre-Entry Form Please submit by March 31, 2015 Country / Club Name of Federation Address Telephone Fax E-mail Will participate Yes No IF YES, PLEASE SPECIFY THE NUMBER OF: Delegation Leader Referee

More information

5k Run/Walk hosted by the Rochester Hills Government Youth Council

5k Run/Walk hosted by the Rochester Hills Government Youth Council 5k Run/Walk hosted by the Rochester Hills Government Youth Council to benefit the Saturday, June 13, 2015 Bloomer Park Rochester Hills, Michigan 8:30 a.m. 10:30 a.m. Registration Brochure Blessings in

More information

Name of Coach: Qualifications: (Attach resume) Please list qualifications and experiences relating to coaching this activity:

Name of Coach: Qualifications: (Attach resume) Please list qualifications and experiences relating to coaching this activity: University of California, Irvine Campus Recreation CLUB SPORTS VOLUNTEER COACH AGREEMENT PLEASE PRINT LEGIBLY Name of Sport Club: Year: Name of Coach: Home Address: Daytime Phone #: Cell Phone #: E-mail

More information

EXTRA CURRICULAR POLICIES, PROCEDURES AND GUIDELINES

EXTRA CURRICULAR POLICIES, PROCEDURES AND GUIDELINES EXTRA CURRICULAR POLICIES, PROCEDURES AND GUIDELINES Extra Curricular Activity Extra curricular activity is defined as any activity outside the regular school curriculum and includes, but is not limited

More information

THOMPSON SCHOOL DISTRICT CHECKLIST FOR ATHLETIC PARTICIPATION

THOMPSON SCHOOL DISTRICT CHECKLIST FOR ATHLETIC PARTICIPATION THOMPSON SCHOOL DISTRICT CHECKLIST FOR ATHLETIC PARTICIPATION Check As Completed All forms returned to the school office. Revised 6/12/15 Part A PARENT PERMIT FOR ATHLETIC PARTICIPATION AND INSURANCE COVERAGE

More information