Stanford Kids Judo Tournament
Hosted by Stanford Judo Club Team
www.stanford.edu/group/judo
Tournament Director and Head Coach: Raul Tamayo – 415-828-2662
Assistant Director: Rochelle Nguyen – rnguyen1@stanford.edu
Date: Sunday, January 21, 2007
Time: Registration and Weigh-in begin at 9:00am
Tournament begins at 10:00am
Location:
(driving directions on reverse side)
Eligibility: White, yellow, and orange belts under the age of 15 with current USJF, USJI, or USJA membership
Entry Fee: $20.00 per contestant (make checks payable to Stanford Judo Club)
Format: Pool system in various age, weight, and rank categories to be determined by the Head Coach to optimize competition and safety
Match Time: 2 minutes
Contest Rules:
• Pre 1994 Contest Rules regarding Safety Zone and Out of Bounds Area
• Pre 2003 IJF Medical Rule
• No Kani-Basami (flying scissors)
• No Double knee drop Seoi-Nage in 12 and under
• No Shime waza (chokes) in divisions of 12 years and under
• No Kansetsu Waza (Armbars)
• We will be using the “Golden Score” process for determining winners in a tied match.
Scoring: Most wins; ties broken by Points: Ippon 10 pts., Waza-ari 7 pts., Yuko 5 pts., Koka 3 pts.
Awards: Medals will be awarded to 1st, 2nd, and 3rd place. Additional awards will be presented to all competitors.
Driving Directions:
From
- Take HWY 101 south
- Exit onto
- Go Straight until Embarcadero/El Camino intersection
- Go Straight through intersection to get onto Galvez St. (Embarcadero becomes Galvez)
- Keep Left on Galvez
- Turn Left onto
- Parking lot is on the Right just after the cross walk between Maples Pavilion and the tennis courts
Tournament is at
Map of parking lot and
Stanford Kids Judo Tournament
Jan 21, 2007
Official Use Only
CHK. # __________
VERIFY: _________
Contestant Weight: _________
________________________________________________________________________
OFFICIAL ENTRY FORM
PLEASE PRINT ALL INFORMATION:
NAME: _____________________________________________________DATE OF BIRTH: _____/_____/_____
FIRST LAST
SEX: ______________ AGE: ____________ WEIGHT: ______________ RANK (BELT COLOR): ____________
How long have you been practicing Judo: __________ Yrs. ______________ Months
JUDO CLUB: ________________________________________________ INSTRUCTOR: ___________________
USJF #: ______________ Expiration Date: ______________
USJA #: ______________ Expiration Date: ______________
USJI #: ______________ Expiration Date: ______________
HOME ADDRESS: _____________________________________________________________________________
CITY: _______________________________________________ ZIP: ____________________________________
TELEPHONE: _____________________________ NAME OF PARENT: _________________________________
EMERGENCY CONTACT NAME: ________________________________________________________________
EMERGENCY CONTACT PHONE NUMBER: ______________________________________________________
WARNING!
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 Association, Inc., California Judo, Inc., Stanford Judo Club Team, Stanford University, Stanford Club Sports, and Stanford University Department of Athletics, Physical Education, and Recreation, 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 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 Federation, Inc., United States Judo Association, Inc., California Judo, Inc., Stanford Judo Club Team, Stanford University, Stanford Club Sports, and Stanford University Department of Athletics, Physical Education, and Recreation, 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 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 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 Parent/Guardian’s Signature Date