2014Inland Empire Judo Classic
Spokane,Washington
SaturdayMay 24, 2014
Spokane Convention Center
Ballroom 100BC
334WSpokaneFallsBlvd
Spokane,Washington99201
USJFSanction: 14-05-08
TournamentPointofContact: BretMiche,TournamentDirector
15817NFairviewRdMead,WA99021
(509)868-4973(before10pm)
2014InlandEmpireJudoClassic
Tournament Director:Bret Miche Tournament Head Referee: Barbara Shimizu
TechnicalAdvisor:Bob Harder
Hospitality(food):Josephine Harder
Tournament Date:Saturday, May 24, 2014Competition Start: Juniors begin 10:00AM TournamentSite: Spokane Convention Center, Ballroom 100BC
334 WSpokane Falls Blvd
Spokane,Washington99201
Tournament Type:Modified Double Elimination for 6 or more contestant pools, round robin for 5 or less
Referee/Coach Meeting:9:00 AM
Northwest Judo Yudanshakai Meeting: Will follow competition at Sukiyaki Inn
Rules:IJF rules with the following modifications:
1. Shime-waza allowed for 13 years old and above.
2. Kansetsu-waza allowed in Brown and Black divisions only.
3. Blue & White judo-gis are required for all senior divisions. Optional for Juniors.
4. Current IJF medical rules apply to all divisions.
5. 2014 IJF rules will be tested except judo gi requirements.
6. Under 10 male/female - Coed competition dependent upon the number of entries.
Note: Brackets and Match Cards will be completed Friday night based on registration and Friday night check in information.
Divisions may be adjusted and or combined as required based on actual entries. Coaches, instructors, and parents will have anopportunityto review the categories and confirmtheir child’s/athlete’s suitability for participation.
Registration Info:Entry Fee: $35, Second entry $20, Checks Payable to Pacific Judo Academy
Surface mail postmarked bySaturday, May 17th
Email, Phone Entry accepted untilWednesday May 21st
Surface Mail: Bret Miche 15817 N Fairview Rd, Spokane, WA 99021
Email Preferable:
Phone before 10PM: (509) 868-4973
$5 charge for any changes to existing entries after Wednesday, May 21st
NO LATE ENTRY ALLOWED.
Weigh-In:Friday, May 23rd, 5:00-8:00 PM
Double Tree Hotel, 322 N Spokane Falls Ct.
Saturday, May 24th, 7:00-8:30 AM
Convention Center
ELIGIBILIT: USJF, USA Judo, USJA, or Judo Canada cards will be checked at weigh in/registration. Those without a current card must register at the tournament. USJF membershipapplications will be available for $50.00, plus $2.00 handling fee.
AGE AND WEIGHT DIVISIONS: Please note these divisions are guidelines only and may be modified according to number and weight of the entries at tournament director’s discretion. If a player moves up to a division by their own choice, they will be subjected to the rules of that division.
JUNIOR BOYS AND GIRLSM/F Ages 5-6 / Light / Medium / Heavy
M/F Ages 7-8 / Light / Medium / Heavy
M/F Ages 9-10 / Light / Medium / Heavy
M/F Ages 11-12 / Light / Medium / Heavy
M/F Ages 13-14 / Light / Medium / Heavy
M/F Ages 15-16 / Light / Medium / Heavy
SENIOR NOVICE DIVISION
LIGHT / MEDIUM / HEAVYSENIOR BROWN & BLACK BELT DIVISION
LIGHT / MEDIUM / HEAVYMASTERS DIVISION 40 yrs+ (Brackets will be made according to number of entries)
The DoubleTree by Hilton Spokane City Center
Welcomes
The 2014 Inland Empire Judo Classic!
In the heart of downtown, the DoubleTree by Hilton Hotel Spokane City Center puts you right in the middle of the action. Connected by sky-bridge to the Spokane Convention Center, this stylish and comfortable hotel is within walking distance of a vibrant district of shops and restaurants. Get a great night's sleep on the comfortable bed. Indulge in a delicious signature DoubleTree chocolate chip cookie, our special welcoming gift to you, when you check in at this Spokane hotel.
Enjoy gourmet coffee and tea from the in-room service while enjoying river, park and/or city views. Indulge in aged, hand-cut prime beef seared to perfection at Spencer’s for Steak and Chops. Work out in the fitness center, featuring modern cardio equipment and weights, or swim in the heated outdoor pool followed by a relaxing soak in the hot tub.
We have created a special rate just for you!
To book a reservation and receive the special discounted rate for the 2014 Inland Empire Judo Classic of $99.00 + tax for a two queen bedded guestroom, visit the Personalized Group Webpage found at ,or call the Hotel room reservation department at our toll-free number 1-800-222-TREE or 1-509-744-2363, and request the group rate for Pacific Judo Academy. To receive this rate, rooms must be booked by Friday, May 9, 2014.
ENTRY FORM
2014 Inland Empire Judo Classic
USJFSanction# 14-05-08
Name
(Please Print)
AddressCity
State Zip Code Phone ()
Birth Date Age Sex
Weightlbs. or kg.Division Rank/Belt Color
Membership Card No. Expiration Affiliation
Judo Club Instructor
Participant’s Signature
Parent’s Signature (minorunderage18 years)
CERTIFICATEREGARDINGNON-BLACKBELT &BLACKBELT CONTESTANTS
I , a Judo Instructor,who has been
awarded the Judo rankofShodanorhigher,recognizedbyaNational Judo Federation, herebycertifythat , although not having been awarded the Judo rankofShodan or higher, is of sufficient aptitude and skill in Judoto compete in these Championships.
A COPY OF MY PROOF OF RANK (copy of my RankCertificate or my USJI membership card having the verification symbol “(V)” printed following my rank) is attached.
(Signature of BlackBeltJudo Instructor)
If assistance/accommodation is needed (please check off appropriate category)
Vision Loss/Blindness HearingLoss/Deafness
Type of assistance/accommodation requestedor name of person assisting
WARNING!
WAIVERANDRELEASEOFLIABILITYANDAGREEMENTTOPARTICIPATE (IncludingLimitedCo-EdCompetitionforAge10andUnderforUSJFSanction)
Inconsiderationofbeingpermittedtoparticipateinanyway,includingtraveltoandfrom,inanyJudotournament,practice, clinic,andrelatedeventsandactivities(“Activity”)oftheUnitedStatesJudoFederation,Inc.,USAJudo/UnitedStates Judo,Inc.,UnitedStatesJudoAssociation,Inc.,NorthwestJudoYudanshakai,Inc.,WashingtonStateJudo, Inc.,SpokaneConventionCenter,SpokanePublicFacilitiesDistrict,andthePacificJudoAcademy,I agree:
1.I understandthenatureofJudoactivitiesandbelieveI amqualifiedtoparticipateinsuchActivity. I alsounderstandthe rulesgoverningthe sport ofJudo.
2. Ifurtheracknowledgethatpriortoparticipating,Iwillinspectthemats,equipment,facilities,competitionpools ordivisions,andtheeliminationorscoringsystemtobeused,andifIbelieveanythingisunsafeorbeyondmycapability, Iwillimmediatelyadvisemycoach,supervisor,and/oratournamentofficialofsuchconditionsandrefusetoparticipate.
3. IacknowledgeandfullyunderstandthatI willbeengagingina contactsportthatmightresultinseriousinjury,illnessor disease,includingpermanentdisabilityor death,andseveresocialandeconomiclossesduenotonlyto myownactions,inactions ornegligence,butalsototheactions,inactions,ornegligenceofothers,therulesofthesportofJudo,orconditionsofthe premisesorofanyequipmentused.Further,Iacknowledgethattheremaybeotherrisksnotknowntomeornotreasonably foreseeableatthis time.
4. KnowingtherisksinvolvedinthesportofJudo,Iassumeallsuchrisksandacceptpersonalresponsibility forthe damagesfollowingsuchinjury,illness,disease,permanentdisability,ordeath.
5. I hereby release, waive, discharge and covenant not to sue the United States Judo Federation, Inc., USA Judo/UnitedStatesJudo,Inc.,UnitedStatesJudoAssociation,Inc.,NorthwestJudoYudanshakai, Inc., WashingtonStateJudo,Inc.,SpokaneConventionCenter,SpokanePublicFacilities District,andthe PacificJudoAcademy,together with their affiliated clubs, their respective administrators, directors, officers, agents, coaches,andotheremployees orvolunteers oftheorganization, eventofficials,medicalpersonnel, otherpartiicpants, their parents,legalguardians,supervisorsandcoaches,sponsoringagencies,sponsors,advertisers,andifapplicable,owners,lessors, andlesseesofpremisesusedinconductingtheevent,allofwhomarehereinafterreferredtoas"Releasees",fromanyandall litigationexpenses,attorneyfees,loss,liability,damageorcostsonaccountofinjury,illness,disease,includingpermanent disabilityanddeathordamagetoproperty,causedorallegedtobecausedinwholeorinpartbythenegligentactsoromissions ofthe Releaseesorotherwisetothe fullestextentpermittedbylaw.
IHAVEREADTHEABOVEWARNING,WAIVER,ANDRELEASE,UNDERSTANDTHATIHAVEGIVEN UPSUBSTANTIALRIGHTSBYSIGNINGIT, ANDKNOWINGTHIS,SIGNITVOLUNTARILYAND WITHOUTANYINDUCEMENTORASSURANCEOFANYNATURE. CONSISTENTWITHTHEBY-LAWS OFUSJF,THISTOURNAMENTMAYINCLUDECO-EDCOMPETITIONFORAGES10 ANDUNDERIN COMPARABLE AGE/WEIGHT DIVISIONSWHERETHEREISANINSUFFICIENT NUMBEROFGIRLS FORNON-CO-EDAGE/WEIGHTDIVISIONS.I HAVEREADANDUNDERSTANDTHETOURNAMENT ANNOUNCEMENTCONCERNINGTHESESPECIALDIVISIONS.IAGREETOPARTICIPATEKNOWING THERISKSANDCONDITIONSINVOLVEDANDDOSOENTIRELYOFMYOWNFREEWILL.I AFFIRM THATI AMATLEAST18YEARSOFAGE,OR,IFI AMUNDER18YEARSOFAGE,I HAVEOBTAINED THEREQUIRED CONSENT OFMYPARENT/LEGAL GUARDIAN ASEVIDENCED BYTHEIR SIGNATUREBELOW.IINTENDTHISTOBEACOMPLETEANDUNCONDITIONALRELEASEOFALL LIABILITYTOTHEGREATESTEXTENTALLOWEDBYLAWANDAGREETHATIF ANYPORTIONOF THISAGREEMENTIS HELDTOBEINVALIDTHATTHEBALANCE,NOTWITHSTANDINGSHALL CONTINUEINFULLFORCEANDEFFECT.
Participant Participant’s SignatureDate
FORPARENTS/LEGALGUARDIANSOFPARTICIPANTSOFMINORITYAGE(UNDERAGE18ATTIMEOFREGISTRATION)
ThisistocertifythatI,asparent/legal guardianwithlegalresponsibility forthisparticipant, doconsentandagreeto his/herrelease,asprovidedabove,ofalltheReleasees,and,formyself,myheirs,assigns,andnextofkin,Ireleaseand agreetoindemnifyandholdharmlesstheReleaseesfromanyandallliabilitiesincidenttomyminorchild’sinvolvement orparticipationincludinglitigationexpenses,attorneyfees,loss,liability,damageorcostswhichmayincurastheresult oftheminorchild’sparticipationintheseprogramsasprovidedabove,evenifarisingfromtheirnegligence,tothefullest extent permitted by law. Ihave instructed the minor participant as to the above warnings and conditions and their ramifications.
______
______
Parent/LegalGuardianParent/LegalGuardian’sSignatureDate
Form514, V6.0.0, 090818