2017_AMA_Jujitsu-Entry-Form_Nationals

AMA
‘ALL STYLES’
NATIONAL
CHAMPIONSHIPS
1st & 2nd July 2017
Seniors & Juniors
Closing date 20th June 2017
BURY CASTLE LEISURE
CENTRE
BOLTON STREET,
Bury
Nr Manchester
Lancs
BL9 0EZ
COMPETITION INFORMATION:
NO ENTRIES ON THE DAY
 0044(0)161 763 5599
 0793 928 9711 (mobile)
email: [email protected]
Entry Forms can be emailed from
[email protected]
BUDO-UK FOR ALL YOUR MARTIAL ARTS EQUIPMENT
[email protected]
SPORT JU-JITSU CATEGORIES (WCJJO rules)
SATURDAYS EVENTS:
Sport Ju Jitsu Weights - 15yrs & Under ‘Back to Back’
JN5
JN1
Girls -40kgs
Boys -35kgs
JN2
Girls 50+kgs
Girls Open Weight
JN6
Boys -50kgs
Girls -50kgs
JN3
JN7
Boys 50+kgs
JN4
JN8
Boys Open Weight
SUNDAY EVENTS:
Sport Ju Jitsu Weights - 16yrs+
Female Ind Weight Division –58kgs
JN9
JN13
Male Ind Weight Division –75kgs
JN10
Female Open Weight
Female Ind Open
Back to Back
JN14
Male Ind Weight Division –82kgs
Female Ind Weight Division 58+kgs
JN11
JN15
Male Ind Weight Division 82+kgs
JN12
JN16
Male Open Weight
JN17
Male Ind Open Back
to Back
Sport Ju Jitsu Masters Divisions
Female Masters Ind Open Weight 30yrs+
JN18
JN20
Male 40yrs+ Masters Weight Division
SATURDAYS EVENTS:
‘The Dawn Royle Memorial Cup’
Demonstration/Kata Teams 3 person
DKA51
Open Age & Style
3 minutes max time allowed min ppl Demo x 3
WKA18
Weapons Kata Open Age & Style
3 minutes max time allowed
MKA9
Musical Kata Open Age & Grade
3 minutes’ max time allowed
EVENT FEES:
Total Number of Teams Demonstrations @ £25.00
_______
@ £25
Total Number of Individuals @ £15.00
‘Only With Entry Form’
DAY FAMILY TICKET – 2 x Adults & 2 x Children
Camera & Video Pass @ £5.00
_______
@ £15
Total Fees enclosed
______
@ £20
______
@ £5
£_____
N.B- * Discounted entry Fees: Individual Competitors entering 3 x events £40 – 4 x events £50 – 5 x events £60
BUDO-UK FOR ALL YOUR MARTIAL ARTS EQUIPMENT
[email protected]
SPECTATORS SUNDAY Adults £8.00 - Children & OAP’s £6
NAME OF CLUB / ORGANISATION: .....................................................................................................................
PLEASE WRITE NAMES OF OFFICIALS FROM YOUR GROUP BELOW:
JUDGE, REFEREE, RECORD OR TIMEKEEPER.
NAME
QUALIFICATION Ref/Judge/Timekeeper STYLE:
COMPETITION GUIDELINES
●
Entry forms must be signed by the official Association or Club coach only. Entry forms with out a signed declaration, will
not be permitted to take part in the championships. Included again this year is a Team Demonstration, which consists of
minimum 3 persons or a maximum of 5 persons. Any safe demonstration can be performed ( no sharp are pointed
weapons) The demonstration can include as suggestions: Team Kata with or without Bunkai, Ippon Demonstrations Club
training routines, Self Defence etc. The maximum time allowed is 4 mins per demonstration. This event is in Memory of
its founder Dawn Royle.
Jujitsu events will commence on Saturday 1st July at 1000hrs on two areas with Children’s events, then Weapons and
Demonstrations. On Sunday 2nd July at 9.30am the Snr Ind Jujitsu categories will commence.
●
The minimum number of competitors per event category and the cancellation of events is at the discretion of the
organisers. Open categories may be entered as well as their respected weight categories.
●
All Students who are competing must be fully insured and must have their licences at hand to be checked on the day if
required.
●
All competitors should be aware that all the Styles are run to rules based on their World Federation or National
Federation. Slight amendments by the Organisers and Chief Referee’s may be necessary for a safe running of the
championships. Competitors event tickets will be in use on the day and will be required when you register at the tables
for each event, they will have your event and which area you should be on , these must be checked when you receive
them via your coach. Any discrepancies must be dealt with on receipt of the coaches park and notified to the main
control table.
Any spectator/competitor or coach infringing the above rules will be asked to leave the sports hall, no refund will be given, and
the name of the club concerned will be reported to their association Executive. Disqualification may be invoked when a
contestant or delegations act in a way which harms the prestige of the AMA. We do try to run events to time but unfortunately
all competitions do experience slight problems. Your help and attention is needed on all the above points, so everyone may enjoy
a safe and enjoyable day.
All Teams must book their own Hotel Accomodation in advance.
Burys Premier Inn. 5 Knowsley Street, Bury, BL9 0SW is close to te Sports Centre. +44 871 527 9294
www.premierinn.com
Travelodge at Birch Service station M62 OL10 2QH www.travelodge.co.uk
Alternative Hotel can be found via the web site i.e The Village or Bolholt Hotels.
BUDO-UK FOR ALL YOUR MARTIAL ARTS EQUIPMENT
[email protected]
All entries and Fee’s must be received by Thursday 20th June 2017. Entries after this date will be late
entries at an extra cost of £2 per event. Discounts will not be applicable.
Please include Cheque/Giros with entry form, in Pounds Sterling payable to ‘AMA LTD’ Please print
details of sender on reverse of cheque with full club name. (cheque carry an additional charge of 80p)
AMA NATIONALS ‘ALL STYLES’ CHAMPIONSHIPS
OFFICIAL JUJITSU ENTRY FORM
CLUB NAME :
STYLE :
CONTACT NAME :
TEL. :
E MAIL:
FULL ADDRESS :
POST CODE :
I confirm that all the competitors entered on this sheet have received my advice of and accept the following statement:
"The competitor realises and discharges the organisers and their representatives or agents and all other competitors from all
claims that the competitor or his personal representative may have for any injury (however caused) sustained by the competitor
and for the loss or damage (however caused) to his personal belongings suffered at any time during the course of the
Championships or while on the premises at which the Championships are being held".
Coach sign.....................................................................................PRINTNAME..................... ...........................................
COMPETITORS
FULL
Sex
Exact
Weight
NAME
M/F
(Kilos)
Joe Bloggs
Total
Competitors
M
55kg
From
D.O.B
Grade
Please
Mark
Category List
Your
Number
Below
Team
01/02/99
st
1 dan
JN9
Total
Amount
In £s
Due
15
AMA
LICENCE
NO.
123456
In £'s
Return Entry Form to: AMA National Organiser, 169 Cotswold Crescent, Walshaw Park, Bury, Lancs, BL8 1QL.
Cheques Payable to ‘AMA LTD’ (cheque carry an additional charge of 80p)
BAC - PAYMENTS TO, AMA LTD, sort code: 30-64-19 account number: 13928360
Please photo-copy for extra teams or competitors
BUDO-UK FOR ALL YOUR MARTIAL ARTS EQUIPMENT
[email protected]
JUJITSU WCJJO Rules from Jujitsu Sub Committee [email protected]
Application for use of Photography Equipment
Cost £5 per club, please send this form with the entry form –
ONLY ONE PASS PER CLUB – INFRINGMENTS OF THIS RULE WILL RESULT IN THE CLUB PASS BEING
WITHDRAWN, WITH NO REFUND. OTHER PHOTOGRAPHIC EQUIPMENT MUST NOT BE USED BY CLUB
MEMBERS.
Name: ________________________________________________________________________________
Address: ___________________________________________________________Post Code: __________________
Telephone Numbers: Home __________________Work ________________Mob________________
Official Use only: Details supported by;
Please present on the day when collecting your ID Band:
Photo driving Licence 
Driving Licence

Utility bill

Bank statement

Passport

Other

please specify ________________________________________________
None

Equipment you wish to use_______________________________________________________________
Name of person/s you wish to record ______________________________________________________
Relationship to them ____________________________________________________________________
Reason the images are being recorded _____________________________________________________
Date _______________
Start time _______________Finish time ___________________Area required _________________
Declaration:
I declare that the personal details I have given are correct and that the images I record will only be used for the reasons
stated on this form. I understand that I will have to cease immediately should any person or Event Offical object to or
express concern as to the image recording taking place, until the matter can be investigated.
Print name ________________________
Signature _________________________ Date ___________________
Official use only:
Permission granted by _____________________ Position______________________
Areas permitted __________________________ time allowed __________________
BUDO-UK FOR ALL YOUR MARTIAL ARTS EQUIPMENT
[email protected]
Signed ___________________________________ Date _______________________
BUDO-UK FOR ALL YOUR MARTIAL ARTS EQUIPMENT
[email protected]