PRESENTS THE
17th ANNIVERSARY OF
“THE ROCK & ROLL CAPITAL OF THE WORLD”
JUDO TOURNAMENT
Sunday September 23th, 2012
Cloverleaf Recreation Center
8525 Friendsville Road
Lodi, Ohio 44254
(330)-948-1323
Electronic Scoring !
Concession Stand !
Featuring
Junior, Senior, Master & Kata
Competition
Medals will be awarded for 1st, 2nd, & 3rd
for Shiai and Kata Competition
Spectators Free
Register for the Rock & Roll Tournament
Saturday 9/22 at the All Women’s Judo Championships
and pay Pre-registration prices.
" ROCK & ROLL CAPITAL OF THE WORLD "
17th ANNIVERSARY JUDO TOURNAMENT
DATE:
Sunday, September 23, 2011
LOCATION:
Cloverleaf Recreation Center
8525 Friendsville Road
Lodi, Ohio 44254
(330)-948-2300
SANCTION:
OJI:
ELIGIBILITY:
All contestants must provide a valid U.S.J.F.,
U.S.J.I., or U.S.J.A. card. Foreign contestants
must have the proper ID from their home country.
Membership registration available at the site.
NOTE:
09-23-12,
SCORING:
Modified Double Elimination (4 or more in a division)
Round Robin (3 or less in a division)
MATCH TIMES:
Sr. Men & Women Black & Brown Division 5 min.
all other Divisions 3 min.
RULES:
The current rules of the International Judo Federation (IJF)
as modified.
1.
2.
3.
4.
GOLDEN SCORE will apply to ALL DIVISIONS.
NO Kansetsu waza allowed in Junior Division
Shime waza allowed for 13 yrs. of age and up
Kansetsu waza allowed in all senior divisions
regardless of age.(min. age for Sr. div. is 17)
5. Must be in Judo Gi to receive your Trophy
6. Current IJF Medical Rules – All Divisions
7. Blue & White belts required.
Junior Boys:
Age
6 & under Light Middle and Heavy
9/10
Light Middle and Heavy
13/14
Light Middle and Heavy
Age
7/8
Light Middle and Heavy
11/12 Light Middle and Heavy
15/16 Light Middle and Heavy
Junior Girls:
Age
6 & under Light and Heavy
9/10
Light and Heavy
13/14
Light and Heavy
Age
7/8
11/12
15/16
Light and Heavy
Light and Heavy
Light and Heavy
Masters:
30-39 Years and older Light, Middle, Heavy
40 + Years and older Light, Middle, Heavy
Senior Men:
White & Green, Brown Belt, Black Belt
(Brown Belt may enter Black Belt Div.)
-132, -145, -161, -178, -198, -220, +220
Senior Women:
White & Green, Brown & Black Belts
-106, -114, -125, -139, -154, -172, +172
Kata:
AWARDS:
Nage No Kata, Katame No Kata, Ju No Kata,
Goshinjutsu, Itsutsu No Kata - Mixed (coed) teams OK.
Individual Competition - 1st, 2nd, & 3rd awards.
Medals for Junior and Senior Divisions.
Kata Competition Medals for 1st and 2nd place teams
Best Technique
Award for Senior & Junior division
Fighting Spirit Award for Senior & Junior division
Note: Individual Awards will be awarded right after the division
concludes. Special Awards at the end of Jr.& Sr. division.
ENTRY FEES: Pre-Registration by September 18
1. Same person entering more than one division
1st division $35. each additional is $15.
2. Family entries (must be from same family)
1st member $35. each additional is $ 15.
Kata Teams
1st Kata $40, additional Kata’s $20
Registration at Tournament Site
1. Same person entering more than one division
1st division $45. each additional is $20.
2. Family entries (must be from same family)
1st member $45. each additional is $ 20.
Kata Teams
1st Kata $50, additional Kata’s $30
SATURDAY’S REGISTRATION AND WEIGH IN DEADLINES:
Division
-------Jr.’s 6-10 & Kata
Jr.’s 11-16
Master
Seniors & Grappling
TOURNAMENT
DIRECTORS:
E-Mail:
Registration/Weigh in
--------------------8:00 9:00 a.m.
9:00 - 10:00 a.m.
10:00 - 11:00 a.m.
11:00 - 12:00 p.m.
Joe Schmidt
2498 Center Road
Hinckley, Ohio 44233
(330) 273-1573
[email protected]
HEAD REFEREE:
TBA
KATA JUDGES:
TBA
REFEREE MEETING:
9:00 - 9:45 a.m.
Compete
------10:00 a.m.
11:00 a.m.
12:00 p.m.
1:00 p.m.
Michael Mooney
11226 Frederick Lane
Twinsburg, Ohio 44087
440-376-1376
[email protected]
Cloverleaf Recreation Center
525 Friendsville Road - Lodi, Ohio 44254
Hotel Info:
Host Hotel:
Comfort Inn
4949 Park Ave. West
Seville, OH 44273
http://www.comfortinn.com/hotel-seville-ohio-OH096/Hotel-Map
Remember you must Mention “Judo Championship” when you reserve.
Rate also includes hot breakfast in the morning. All rooms are equipped with Refrigerators, microwaves, coffee
makers, irons and blow dryers. Amenities include wireless internet, heated Jacuzzi jet pool (nice big real
pool), exercise room and laundry room for your convenience.
Rates: $60/night + Tax, 2 adults or 2 adults with children (additional adult’s 18yrs. +$10 ea.).
Suites: $85.00/night + Tax, 2 adults or 2 adults with children (additional adult’s 18yrs. +$10
ea.).
Per Antoinette Wendzicki, General Manager Rate will be honored if you chose to come in Thursday
or stay Sunday
http://maps.yahoo.com/#mvt=m&lat=41.039335&lon=81.916465&zoom=14&q1=8525%20Friendsville%20Rd%2C%20Lodi%2C%20OH%2C%2044254&
q2=4949%20Park%20Ave.%20West%2C%20Seville%2C%20OH&gid2=15630948
Register for the
Rock & Roll Tournament
Saturday 9/22 at the
All Women’s Judo Championships
and pay Pre-registration prices.
Hosted by: International Women’s Judo Alliance & Chu To Bu Judo Club
Sanctioned by U.S.J.A: 12-058
Please join us for the 8th Annual All Women’s Judo Championships in Lodi,
Ohio. We aim to provide you first class service and facilities for this premier W
all Female Judoka, National and International.
All Referee Male and Female welcome to officiate
8TH AWC SATURDAY, SEPT. 22,
2012
Registration & Weigh in
7:00 – 8:30 am
Referees Meeting
9:00 am
Opening Ceremonies
10:30 am
~ Coaches, Technical and Referee clinic
and certification continued throughout Ev
~Special Guests~
Head Kata Judge and Clinician (Kime no Kata)
Frances Glaze
Chief Referee and Clinician
TBA
Competitor Clinician
TBA
Technical Certification Clinician: Deborah Fergus
Pre-Registration is requested by 9/14/12
REFEREE/TECHNICAL AND KATA CLINICS –
AFTER THE AWC TOURNAMENT
+-4:00pm to 8:00pm at tournament site
VENUE
Cloverleaf Recreation Center
8525 Friendsville Rd
Lodi, Ohio 44254
R&R SUNDAY, SEPT. 23, 2012
17TH ROCK AND ROLL
The Rock and Roll Capitol
of the World Judo
Tournament will take place
at the same Venue Sept. 23,
2012. See Flyer at the end.
REGISTRATION INFORMATION
Pre-Registration Shiai (plus Open) ends 9/14/12
On Site Registration Shiai (plus Open)
Pre or on- site additional divisions no charge
Pre-registration Kata (pair) any number of Kata
On Site Registration Kata (pair) ) any number of
Kata
Novice Kata (pair) (includes up to two Kata**)
Current IWJA Members Discount
$ 40.00
$ 50.00
$ 40.00
$50.00
$ 20.00
-$10.00
Clinic registration (shiai / kata contestants, workers
and Referee)
Clinic registration (non shiai / kata contestants,
workers and Referee)
$ 10.00
$ 40.00
All funds USD
Pre-registration by mail or credit card ends 09/14/12
Mail to DEBORAH L. FERGUS 2006 Wickwire Rd. Benton Harbor, MI 49022
Make checks payable to IWJA (postmarked by 09/14/12) [email protected]
DIVISIONS
JUNIOR (AGES)
SENIOR
MASTERS (AGES)
6-8 yr
9-10
11-12 13-14 15-16
White - Green
Brown - Black
30-39 yr
40-49
50-59
60+
Light / Middle / Heavy categories in each
Light / Middle / Heavy categories in each
Light / Middle / Heavy categories in each
Open Divisions for 6-12 and 13-16 years
Open Division for 17 years and Up
Open Division for 30 years and up
Pooling may be adjusted on site to accommodate numbers at the discretion of the tournament director.
Nage no Kata
Tournament Director
Deb Fergus
[email protected]
269 208 1068
Katame no Kata
KATA
Ju no Kata
Tournament Director
& Registrar
Julee Cope
[email protected]
Goshin-Jutsu
Kime no Kata
Tournament Liaison
Louise Ullman
[email protected]
“THE ROCK & ROLL CAPITAL OF THE WORLD”
JUDO TOURNAMENT 2012 Registration Form
Send Pre-registration forms and entry fees made payable to
Chu To Bu Judo Club, Inc. 11226 Frederick Lane Twinsburg, Ohio 44087
Circle ONE of the following: Juniors – Seniors - Masters
(KATA) Ju no Kata - Katame no Kata - Nage no Kata – Goshinjutsu – Itsutsu no Kata
(Submit separate form for each division you want to enter)
Please Print Clearly
(Kata Partner: ________________________________)
Name: ______________________________________ Date of Birth: _____________
Address: _________________________________________ Rank: _____________
City: __________________________________ State: _______ Zip: ____________
Division:
Male _____
Female _____
Phone #: (____) _____-____________
Current Age ___ E-MAIL Address ___________________ School ____________
Club: _________________________ Instructor’s Name: ______________________
USJI#: ___________ USJF#: ____________ USJA#: ___________ Expires: ____
Certificate Regarding Non-Black Belt Contestants
I, _____________________, a Judo Instructor, who holds the Judo
rank of Shodan or higher, which has been awarded under the
auspices of the United States Judo Federation, United States
Judo Association, or United States Judo, Inc., hereby certifies
that the above Contestant, although not having been awarded the
Judo rank of Shodan or higher, is of sufficient aptitude and
skill in Judo to compete in the above described event.
____________________________________
Signature of Judo Instructor
Please note Judo Insurance must be current. The Tournament Director reserves the right to make
any changes necessary for the successful operation of the event.
Please remember to sign the Waiver on the reverse side of this form.
FOR OFFICIAL USE ONLY:
M / F
AGE: ___ INSURANCE: ___ WEIGHT: ______ DIVISION:_______
DOB: ____________
RANK: __________________
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, the 2012 Rock & Roll
Capital of the world Judo Tournament and related events and activities of United States Judo, Inc., United
States Judo Association, United States Judo Federation, Ohio Judo, Inc., City of Lodi, Cloverleaf
Recreation Center, Chu To Bu Judo Club, Inc. and the American Judo and Self Defense Club, 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 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 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 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 and discharge and covenant not to sue the United States Judo, Inc., United States Judo
Association, United States Judo Federation, Ohio Judo, Inc., City of Lodi, Cloverleaf Recreation Center,
Chu To Bu Judo Club, Inc, and the American Judo and Self Defense Club 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, 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 hereafter referred to as "releasee", from any and all claims, demands, losses, or
damages on account of injury, including permanent disability or death or damage to property, caused or alleged to
be caused in whole or in part by the negligence of the releasee 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 ON 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
_______________________________
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 Releases, 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)
________________________________
Parent/Guardian's Signature
__________
Date