Obukan Judo Dojo Inc.

Obukan Judo Dojo Inc.
www.obukanjudo.org
Board of Directors
Toshio Ichinoe
Mark Hirota
Rod Conduragis
Jack Elder
Julie Koyama
Laura Reynoldson
John Watters
Officers
President: Rod Conduragis
V. Pres: Mark Hirota
Secretary: Jeff Rooney
Treasurer: Jeff Luther
59th Annual Obukan Judo Shiai and Kata / Onchi Sensei Memorial Tournament
Sponsored by Obukan Judo Dojo, Inc.
Sanctioned by the USJF (#15-04-09)
Tournament date:
Saturday, April 04, 2015
Eligibility: Contestants must be an amateur athlete and must have a current USJF card, USA Judo
or USJA membership card.
Tournament Site:
Information:
PCC Cascade Campus Gym, 600 N. Killingsworth St.
Portland. OR 97217
Mark Hirota or Rod Conduragis
503-208-3035
obukanjudo@yahoo.com
Shiai: Pre-Registration (on or before April 2nd): Enter tournament on-line at obukanjudo.org
by April 2, 2015. Bring printed and signed waiver form to weigh-in. Entry fee is $35 for
the first division and $20 for an additional division.
Walk Up Registration (after April 2nd): After April 2nd, bring printed and signed waiver and
entry form to weigh-in. Entry fee is $50 for the first division and $30 for an additional
division.
Kata: Pre-Registration (on or before April 2nd): Enter tournament on-line at obukanjudo.org
by April 2, 2015. Entry fee is $60 per team for each kata. Teams can enter up to three kata.
Nage no Kata, Katame no Kata and Ju.
Walk Up Registration (after April 2nd): After April 2nd, bring printed and signed waiver and
entry form to weigh-in. Entry fee is $60 per team for each kata. Teams can enter up to
three kata. Nage no Kata, Katame no Kata and Ju.
Weigh Ins: April 3rd, 6-8:30 PM and April 4th, 7:30 AM- 9:00 AM
Officials Meeting:
Officials, coaches and managers, Saturday 9:00 AM. Head Referee: Joan
Miller-PJC. NW Class “R” certification is available by the NWYDK Referee Committee.
Competition Start: Kata starts at 8:30 AM, Shiai starts at 10:00 AM
Officers
President: Rod Conduragis
V. Pres: Mark Hirota
Secretary: Jeff Rooney
Treasurer: Jeff Luther
Board of Directors
Toshio Ichinoe
Mark Hirota
Rod Conduragis
Jack Elder
Julie Koyama
Laura Reynoldson
John Watters
Obukan Judo Dojo Inc.
www.obukanjudo.org
Kata Format
o Eligible teams include all female, all male and mixed pairs.
o Teams may compete in one or more kata, though an individual may only compete in each kata
once.
o Changes in the above may be made at the discretion of the Tournament Committee.
o First, Second and Third place will be awarded in each kata.
Current IJF rules with the following modifications:
Junior Divisions
Division
Age
Match
Time
ShimeWaza
KansetsuWaza
Blue Gi
Mandatory
Medical
Rules
Gi Fit @
Bantam*
Interm 1
Interm 2
8 and
under
9 and 10
yrs
11 and
12 yrs
Senior Divisions
Juv A
Cadet
15, 16
and 17
yrs
13 and
14 yrs
SR
Novice
Brown
Belt
Black
Belt
Veterans
35 yrs+
3 min
3 min
3 min
3 min
4 min
over 17
yrs
Men= 5
min,
Wome
n= 4
min
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
Pre2003
Current
IJF
Yes
Pre2003
Current
IJF
Yes
Pre2003
Current
IJF
Yes
Pre2003
Current
IJF
Yes
Pre2003
Current
IJF
Yes
Current
IJF
Current
IJF
Yes
Current
IJF
Current
IJF
Yes
Current
IJF
Current
IJF
Yes
Current
IJF
Current
IJF
N/A
N/A
Men= 5
min,
Women=
4 min
Men= 5
min,
Women
= 4 min
Men= 3
min,
Women
= 3 min
*-Bantam divisions could be co-ed, depending on the numbers of entries.
@ -2014 Judo Gi rule for fit enforced (increased sleeve length and top cross over). IJF Approved Judogi
not required.
Contest area: 8 meters x 8 meters
Safety area: 3 meters with 4 meters between contest areas.
Obukan Judo Dojo Inc.
www.obukanjudo.org
Board of Directors
Toshio Ichinoe
Mark Hirota
Rod Conduragis
Jack Elder
Julie Koyama
Laura Reynoldson
John Watters
Officers
President: Rod Conduragis
V. Pres: Mark Hirota
Secretary: Jeff Rooney
Treasurer: Jeff Luther
Shiai Format
o Divisions with 6 or more contestants will use a modified double elimination bracket, the
champion will not have a loss.
o Divisions with 5 or less contestants will use a pool bracket
o Changes in the above may be made at the discretion of the Tournament Committee.
o No contestant may move down an age group.
o First, Second and Third place will be awarded to the Divisions indicated below.
Shiai Age and Weight Divisions
Bantam * (8 and Under)
Light, Middle and Heavy
Intermediate 1 (9 and 10 yrs)
Light, Middle and Heavy
Intermediate 2 (11 and 12 yrs)
Light, Middle and Heavy
Juvenile A (13 and 14 yrs)
Light, Middle and Heavy
Cadet (15, 16 and 17 yrs)
Light, Middle and Heavy
th
Senior Novice (Up to 4 Kyu)
Light, Middle and Heavy
Brown Belt
Light, Middle and Heavy
Black Belt
Light, Middle and Heavy
Veterans (35 yrs +)
Light, Middle and Heavy
*Bantam divisions could be co-ed, depending on the numbers of entries.
Divisions will be based on age or rank and actual weight. Based on available contestants, every
attempt will be made to ensure fair competition for all contestants.
If a contestant moves up to a division by their own choice, they will be subject to the rules
for that division.
If a contestant moves up to a division, at the request of the Tournament Committee and
with their concurrence, they will be identified and subject only to the rules pertaining to
their original age/rank division.
Board of Directors
Toshio Ichinoe
Mark Hirota
Rod Conduragis
Jack Elder
Julie Koyama
Laura Reynoldson
John Watters
Obukan Judo Dojo Inc.
www.obukanjudo.org
Officers
President: Rod Conduragis
V. Pres: Mark Hirota
Secretary: Jeff Rooney
Treasurer: Jeff Luther
ENTRY FORM
59th Annual Obukan Judo Shiai and Kata / Onchi Sensei Memorial Tournament
April 04, 2015, Sanctioned by the USJF (#15-04-09)
Contestant’s Name: _______________________________________________________
Address: ________________________________________________________________
City:_______________________ State:__________ Phone:_______________________
Age:__________
Male:_____
Weight:__________
Female:_____
Rank:__________
Dojo/Club:______________________________________________________________
USJF, USA Judo or USJA Card Number:____________ Expiration Date:_______________
In consideration of your accepting this entry, I , intending to be legally bound hereby for myself, my heirs,
executors and administrators, waive the release any and all rights or damages that I may have against the
Obukan Judo Dojo Inc. and the member clubs, officials and members of the Northwest Yudanshakai, or
United States Judo Federation for any and all injuries suffered by me at said event.
______________________________________________
_______________________
Signature of Contestant
Date
______________________________________________ _______________________
Signature of Parent or Guardian (if under 18 years of age)
Date
If assistance/accommodation is needed (check off appropriate box):
Vision loss / Blindness
Hearing Loss / Deafness
Type of assistance /accommodation requested or name of person assisting:
________________________________________________________________
CERTIFICATE REGARDING NON-BLACK BELT CONTESTANT
I, ____________________, a judo instructor who holds the judo rank of ____________ (must be
Shodan or higher) under the auspices of a nationally recognized organization, who is currently
registered with a national Judo Organization, hereby certify that, ___________________, a nonblack belt competitor is competent to participate in the 59th Annual Obukan Judo Shiai and Kata /
Onchi Sensei Memorial Tournament
______________________________________________
Instructor’s Signature
______________________
Date
____________________
Organization
____________________
Expiration Date
____________________
Registration Number
WARNING!
WAIVER AND RELEASE OF LIABILITY AND AGREEMENT TO PARTICIPATE
(Including Limited Co-Ed Competition for Age 10 and Under for USJF Sanction)
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 (“Activity”) of the United States Judo Federation, Inc., USA Judo/United States
Judo, Inc., United States Judo Association, Inc., Northwest Judo Yudanshakai, Inc., Obukan Judo Dojo, and
the PCC Cascade Campus Gym, I agree:
1. I understand the nature of Judo activities and believe I am qualified to participate in such Activity. I also understand the
rules governing the sport of Judo.
2. I further acknowledge 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. I acknowledge and fully understand that I will be engaging in a contact sport that might result in serious injury, illness or
disease, 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, illness, disease, permanent disability, or death.
5. I hereby release, waive, discharge and covenant not to sue the United States Judo Federation, Inc., USA
Judo/United States Judo, Inc., United States Judo Association, Inc., Northwest Judo Yudanshakai, Inc.,
Obukan Judo Dojo, and the PCC Cascade Campus Gym, together with their affiliated clubs, their respective
administrators, directors, officers, agents, coaches, and other employees or volunteers of the organization, event officials, medical
personnel, other participants, their parents, legal 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 litigation expenses, attorney fees, loss, liability, damage or costs on account of injury, illness,
disease, including permanent disability and death or damage to property, caused or alleged to be caused in whole or in part by the
negligent acts or omissions of the Releasees or otherwise to the fullest extent permitted by law.
I HAVE READ THE ABOVE WARNING, WAIVER, AND RELEASE, UNDERSTAND THAT I HAVE GIVEN
UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND KNOWING THIS, SIGN IT VOLUNTARILY AND
WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE. CONSISTENT WITH THE BY-LAWS
OF USJF, THIS TOURNAMENT MAY INCLUDE CO-ED COMPETITION FOR AGES 10 AND UNDER IN
COMPARABLE AGE/WEIGHT DIVISIONS WHERE THERE IS AN INSUFFICIENT NUMBER OF GIRLS
FOR NON-CO-ED AGE/WEIGHT DIVISIONS. I HAVE READ AND UNDERSTAND THE TOURNAMENT
ANNOUNCEMENT CONCERNING THESE SPECIAL DIVISIONS. 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/LEGAL GUARDIAN AS EVIDENCED BY THEIR
SIGNATURE BELOW. I INTEND THIS TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL
LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF
THIS AGREEMENT IS HELD TO BE INVALID THAT THE BALANCE, NOTWITHSTANDING SHALL
CONTINUE IN FULL FORCE AND EFFECT.
__________________________________
Participant
______________________________
Participant’s Signature
_________________
Date
FOR PARENTS/LEGAL GUARDIANS OF PARTICIPANTS OF MINORITY AGE
(UNDER AGE 18 AT TIME OF REGISTRATION)
This is to certify that I, as parent/legal 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 including litigation expenses, attorney fees, loss, liability, damage or costs which may incur as the result
of the minor child’s 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/Legal Guardian
______________________________
Parent/Legal Guardian’s Signature
_________________
Date
Form 514, V6.0.0, 090818