The Maryland-National Capital Park and Planning Commission

Department of Parks and Recreation

Central Area

Prince George’s Judo Club

Faye Allen Memorial Kata Championship and Clinic

Saturday, March 3, 2001

Tournament Site: Glenn Dale Community Center

11901 Glenn Dale Blvd.

Glenn Dale, Md. 20769

(301) 352-8983

Registration: 8:00a.m. - 8:30 a.m.

Failure to provide a current USJF/JI/JA membership card will eliminate you from competition!

Competition: 9:00a.m.-11:a.m.

Clinics: A 2-hour clinic will be held on two katas after lunch following the competition

at 12 noon-2 p.m., and 2-4p.m.

Eligibility: You must be a member of USJF, USJI, or USJA to compete, or participate.

Entry Fees: In-County Out-of-County

Pre-registration-must be postmarked by 2/24/2001:

One Kata or Division (per team) $40.00 $48.00

Each additional Kata (per team) $30.00 $36.00

On-Site (Late) Registration:

One Kata or Division (per team) $50.00 $60.00

Each additional Kata (per team) $40.00 $48.00

Clinic Only (Per Person) $15.00 $18.00

“Out of County” refers to teams or individuals residing or originating in counties other than Prince George’s and Montgomery County, Maryland

Awards: First, Second, and Third Place awards for each division will be given.

Sanction: Sanctioned by USJF # .

Tournament Director: Edwin Y Takemori (410) 431-7360

Nage-no-Kata, Katame-no-Kata, and Ju-no-Kata Divisions:

Novice: Both partners must be Yonkyu or below, or one partner may be a brown belt when

The other is a white belt. Will perform the first five techniques only.

Intermediate: Both partners must be Ikkyu of Below, or one partner may be black belt when the

Other is Yonkyu or below. Will perform the first ten techniques only.

Open: Open to any team. Will perform the entire kata.

Note: Junior kata competitors holding junior ranks count as senior yonkyu and below

When determining divisions. Junior competitors holding senior ranks should use

Their senior ranks when determining divisions.

Faye Allen Kata Championship & Clinic

Entry Form

Name: _______________________________________________ Gender: Male/Female

Club:________________________________________________________ Age:_____

Home Address:____________________________________________ Rank*: ________

______________________________________Phone #:______________

USJF/USJI/USJA #:___________________________________Exp. Date:___________

· For rank, please use the name of the rank (i.e. Rokkyu, Gokyu, etc.) NOT the color of the belt.

CHECK/COMPLETE ALL THAT APPLY:

________Nage-no-kata Tori/Uke Novice/Intermediate/Open

Partner:___________________________________

________Katame-no-kata Tori/Uke Novice/Intermediate/Open

Partner:___________________________________

________Ju-no-kata Tori/Uke Novice/Intermediate/Open

Partner:___________________________________

_________Kata Clinic Only

Enclosed is a fee of $ __________ for participation in ____ Katas. In-County/ Out-of-County

Please make checks payable to “MNCPPC”. VISA or MasterCard are also accepted.

Payment must be received per team! Multiple payments per team will not be accepted!

VISA/MC (Please circle one) **$25 Minimum Charge**

Card number: ____________________________________________Exp. Date:_____________

Signature: ______________________________________

Make Checks or Money Orders payable to: “M-NCPPC”

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

Faye Allen Memorial Kata Championship

Prince George’s Judo Club

Glenn Dale Community Center

11901 Glenn Dale Blvd.

Glenn Dale, Md. 20769