SCHEDULE:
Friday
April 17, 1998
AWARDS:
Individual awards for 1st, 2nd & 3rd place finishers are custom made
heavy 3' Olympic style Swamp
medals for division participants. Certificates
will be given to every JUNIOR participant. Team awards 1st, 2nd,
and 3rd place very large team trophies
awarded for junior and senior teams. (10 pts for 1st, 6 pts
for 2nd, 2 pts for 3rd place will determine team total points.
SANCTIONED:
by LJCI & USJA. USJI/LJCI & USJA registration
forms available at tournament site during event registration.
Sanction # LJCI-97-006
ELIGIBILITY:
USJF, USJI, LJCI, USJA MEMBERS With current insurance-proof
must be with entry or shown at registration (no exceptions) membership
card or USJA print-out. Competitors under age of 18 must send or
bring proof of age (COPY OF BIRTH CERTIFICATE).
Masters must show driver's license as proof of age. USJI
& USJA registration available on site.
NOTICE: all waivers, including the warning, wavier and release of liability must be properly completed and signed and must accompany the entry form to this tournament in consideration of acceptance to participate in this tournament. Parent or guardian only are authorized to sign for minors.
DIRECTIONS TO MEET:
JUNIOR BOYS
SENIOR DIVISIONS senior entries from 15 states IN PAST YEARS
SENIOR MEN'S SANKYU/BLACK- IFJ Standard divisions in pounds as well as open.
SENIOR MEN'S NOVICE (YONKYU & UNDER) IJF standard divisions in pounds( THE NOVICE DIVISION GENERALLY HAS BETWEEN 4-15 ENTRIES PER DIVISION)
SENIOR WOMEN
new IJF standard weighs in pounds & OPEN
(THIS MEET ALWAYS HAS MANY OF FEMALE ENTRIES.)
MEN'S MASTERS (35-45)
L,M,H (LAst YEAR 22 ENTRIES)
MEN'S MASTERS (45+)
LIGHT, HEAVY (NEW DIVISION THIS YEAR)
(DIVISIONS MAY BE ADJUSTED ACCORDING TO AGE AND WEIGHT)
WOMEN'S MASTERS (35-UP)
DIVISIONS TO BE DETERMINED AT SITE
NAGE NO KATA-
This is a mixed division men, women or both
KATAME NO KATA-
This is a mixed division men, women or both
NATIONAL REFEREE HOUSING:
ADDRESS________________________________________________________
CITY__________________________STATE________ZIP_______
EMAIL____________@_______________
FAX__________________________
REFEREE'S CERTIFICATION CLINIC:
Table worker (timer,
scorekeeper, pairing and Supervisor) certification
Clinic Thursday 16th at 3:30pm-5:30pm.
I would like to become certified as a LJCI TSP certified $3.00____
scorekeeper ___ Pairing personnel_____ timekeepers
tablesupervisor______ t-shirt_____
Name_______________________________________________________
ADDRESS________________________________________________________
________________________________________________________________
CITY
STATE ZIP
EMAIL___________________________________________
T-SHIRTS:
MAY BE PRE-ORDERED FOR $15.00 EACH
I wish to pre-order a T- shirt in adult size S_____
m______
L_______XL_____ XXL___
I am enclosing $ 15.00 per shirt /_______________TOTAL
ENCLOSED
NAME___________________________________________________________________
1998 SWAMP JUDO CLASSIC ENTRY FORM
Complete & mail with entry fee to:
Make Checks payable to: JUDO CLUB at USL, 225
Cajun Dome blvd. Lafayette, La 70506
Send separate entry form for each division.
JR Boys____
Jr. GIRLS____
MASTERS MEN 35yrs____
M Master 45+ yr. ___
WOMENS Masters____
SENIOR WOMEN___
NOVICE yonkyu/ senior MEN_______
SENIOR B/BLACK MEN ______
Nage No KATA___ Partners
Name_________________________________________________
Katame No Kata ____ Partner's Name________________________________________________
NOTE: ALL ENTRIES POSTMARKED
AFTER MARCH 28 TH. WILL BE 25$ SHIAI OR $ 40.00 per KATA TEAM ENTER
NAME ___________________________________________________________________
(LAST)
(FIRST)
(MIDDLE)
ADDRESS_____________________________________________________________
_____________________________________________________________________
(CITY)
(STATE)
(zip)
PHONE___________________________________SEX_________ AGE_________DATE OF BIRTH________
AFFILIATION (CIRCLE ONE)
USJI
LJCI
USJA
USJF
NUMBER_______________________________Coach
_____________________________________________
RANK:______________________________ CLUB: ___________________________________________________
email address:_________________@_____________ KATA PARTICIPANT INDICATE PARTNER:
IMPORTANT: NO ENTRIES WILL BE ACCEPTED WITHOUT PROPERLY SIGNED WAIVER AND RELEASE OF LIABILITY AGREEMENT TO PARTICIPATE Certificate regarding Non- black belt contestants
I, _________________________________, a Judo Instructor,
who has been awarded the rank of shodan or higher, under the auspices of
United States Judo, Inc., hereby certify 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 these Championships.
_________________________________
signature of judo Instructor
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 1997 Swamp judo classic Invitational tournament
and related events and activities of United States Judo, Inc., United States
Judo Association, United States Federation, Louisiana Judo Council, Inc.
The University of Southwestern Louisiana, The Judo Club at The University
of Southwestern Louisiana. 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 scoring system to be used, and if I believe anything is unsafe or beyond my capability, I will immediately advise my coach or 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 or economic losses due to not only my own 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 reasonably foreseeable at this time.
4. Knowing the risks involved in the sport of Judo, I assume all such risk 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, Louisiana Judo Council, Inc., The University
of Southwestern Louisiana, The Judo Club at The University of Southwestern
Louisiana, together with their affiliated clubs, their respective administrator,
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
to conduct the event, all of whom are hereinafter referred to as
"releasee", from any and all claims, demands, losses, or damages on account
of injury, including permanent disability and death or damage of property,
caused or alleged to be caused in whole or in part by the negligence of
the releases or otherwise to the fullest extent permitted by law.
I HAVE READ THE ABOVE WARNING , WAVIER
AND RELEASE, UNDERSTAND THAT I GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT,
KNOWING THIS, SIGN IT VOLUNTARILY. I AGREE TO PARTICIPATE KNOWING THE RISKS
AND CONDITIONS INVOLVED AND DO SO ENTIRELY ON MY OWN FREE WILL.
__________________________________________________________________________________
Participant's printed name
Participant's Signature
(Date)
FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER THE AGE OF 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 Releases from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, even, if arising from negligence, to the fullest extent permitted by law. I have instructed the minor participant as to the above warning and conditions and their ramifications.
__________________________________________________________________________________
(Parent / Guardian's printed name)
Parent/Guardian's Signature
(Date)
R€est extent permitted by law. I have instructed the
minor participant as to the above warning and conditions and their ramifications.
__________________________________________________________________________________
(Parent / Guardian's printed name)