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Maryland National Capital Park and Planning Commission

Parks and Recreation, Central Area

&

Prince George’s Judo Club

 

Development Clinics for

Referees & Technical Officials

 

Sanctioned by Maryland Judo, Inc., Sanction #705

Clinic Director:           Edwin Y. Takemori, Shichidan, National Referee, National Coach, Tournament

                                    Director for over 30 years

Date:                           Saturday, August 11, 2007

Location:                    Glenn Dale Community Center             

                                    11901 Glenn Dale Blvd.

                                    Glenn Dale, Maryland      20769

Registration:               8:30 – 9:00 AM

Fee:                 $ 20.00 for Referee

                        $10.00 for Technical Officials Clinic

                        Note: USJF/USJA/USJI Cards must be presented at registration

Clinicians:      

      Referee Clinic:            Roy Englert, Godan,  IJF Referee, Washington Judo Club

      Technical Officials:   Greg Goebel, Sandan, Chair, MJI Technical Official Committee

 

Eligibility and who should come:

      Referee Clinic:  This clinic is for regional, national or higher referees. Local referees who have refereed for several years and are preparing to take the regional exam should attend this clinic. ‘

      USJF/JI/JA membership required

      Technical Officials:  Parents, injured judoka, friends, family; Anyone interested in learning the finer points of how to score a judo match. Both manual scoring and various electronic systems will be covered.           USJF/JI/JA membership NOT required; anyone may attend.

 

Schedule:

      Registration:                        8:30am to 9:00 am

      Break for lunch                   noon to 1:00 pm

      James Burrell Team Tournament     1:00 pm to 3:00pm

      Break back down into groups for feedback 3:00 pm to no later than 4:30pm

 

For Additional Information Contact:

                        Edwin Y. Takemori, at Takemorijudo@cs.com or 410/431-7360

                        Helen McProuty, at Hmcprouty@earthlink.net or 301/262-0762

Emergency phone contact on clinic day: 202-262-7218

 

 

 

 

Directions:

FROM 95/495 - THE BELTWAY: 

From the Beltway, take exit 20 - Route 450 east towards Lanham. Watch directional signs and stay on 450 east (towards Bowie). Take 450 to Route 193 and turn left (large intersection). Center is approximately 3/4 of a mile down on the left hand side at the flashing light (across from the Glenn Dale Fire Department).

FROM ROUTE 50 WEST: (ANNAPOLIS AREA)

Take exit 197 north towards Bowie. Turn left on Route 450. Turn right on Route 193 - Glenn Dale Boulevard. The center is approximately 3/4 of a mile down on the left side at the flashing light (across from the Glenn Dale Fire Department).

FROM THE BALTIMORE-WASHINGTON PARKWAY/ 295:

Take the exit for Route 193/Greenbelt Road. At the stop sign turn left. At the light turn left onto Greenbelt Road. Go approximately 4 miles - you will cross through the intersection for Route 564. Proceed another mile and the center is on the right at the flashing light (across from the Glenn Dale Fire Department).

 

HOTEL INFORMATION

1.     Best Western--

5910 Princess Garden Parkway Lanham, MD (301)459-1000

2.     Holiday Inn Greenbelt-- 7200 Hanover Drive Greenbelt, MD (301)982-7000

3.     Days Inn - Lanham Station --9023 Annapolis Road Lanham, MD (301)459-6600

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Clinic Entry Form

 

Please check the clinic you are registering for and your level of involvement.

Referee Clinic:         Regional Referee            National Referee              Higher Referee

Technical Official Clinic:           Experienced Scorer         New to Scoring

 

Name: ___________________________________________________________

 

Home Address: ____________________________________________________

 

City: __________________________________  State: ______  Zip: __________-________

 

Phone Number:  (H) ______-______-__________  (W) ______-______-__________

 

Email: _______________________________________________________________

 

Age: ______                Date of birth: ____/____/________                 Sex:      M         F

 

Club Name: __________________________________________________________________

 

USJI/USJF/USJA Number(Circle One): ___________________   Expiration Date: ____/____/____

NOTE:  New and Renewal applications will be taken on site.

 

Rank: ____________________

 

Payment may be made by:

 

CHECK or MONEY ORDER payable to M-NCPPC.

 

Enclosed is a Check or Money Order for $_____________________.

Driver’s License Number:         __________________________________________ State: _________

 

CREDIT CARD (Visa or Master Card Only).

 

Card Number: _______________________________________________________ Exp. ___________

 

 

 

 

 

 

 

 

 

Please mail the completed entry form, waiver and payment to:   

You MUST read and sign the waiver.

Entries will not be accepted without a signed waiver.

WARNING!

WAIVER AND RELEASE OF LIABILITY AND AGREEMENT TO PARTICIPATE

 

In consideration of being permitted to participate in anyway, including travel to and from, in any judo tournament, practice, clinic and other related event and activities of the United States Judo Federation Inc., United States Judo, Inc., United States Judo Association, Inc., Shufu Judo Yudanshakai, Maryland Judo Inc., Maryland-National Capitol Park and Planning Commission, Glenn Dale Community Center, and the Prince George’s Judo 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 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 to not only my own actions, inactions, or negligence, but also 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 in the sport of Judo, I assume all such risks and accept personnel 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 Inc., United States Judo Association Inc., Shufu Judo Yudanshakai, Maryland Judo Inc., Maryland-National Capitol Park and Planning Commission, Glenn Dale Community Center, and the Prince George’s Judo 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, guardians, supervisors, coaches, sponsoring agencies, sponsors, advertisers, and if applicable, owners, lessors, lessees of the premises used to 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 the law.

I HAVE READ THE ABOVE WARNING, WAIVER, AND RELEASE, UNDERSTAND THAT IF I GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND KNOWING THIS, SIGN IT VOLUNTARILY. I AGREE TO PARTICIPATE KNOWING THE RISK 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 PARTICPANTS 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 to the above warnings and conditions and their ramifications.

 

___________________________                  ______________________________                        _____________

Parent/Guardian                                                Parent/Guardian’s Signature                               Date

 

U.S. Judo Association, U.S. Judo Federation, Inc., U.S. Judo, Inc.                                                © February 1998