The
Department of Parks and
Recreation
Central Area
Faye Allen Memorial Kata Championship and Clinic
Tournament Site:
Glenn Dale, Md. 20769
(301) 352-8983
Schedule: Registration 8:00 a.m.-8:30 a.m.
Competition 9:00 a.m.-10:30 a.m.
Demonstrations for Promotions Immediately following Competition
Clinic Begins Immediately following Demonstrations
Break for Lunch Around noon
End of Event 5:00 p.m.
Eligibility: You must be a member of USJI, USJF, or USJA to compete, or participate.
Sanction: Sanctioned by MJI #703.
Tournament Director: Edwin Y Takemori, (410) 431-7360 or Takemorijudo@cs.com
Clinic Topic: How
Kata and Shiai relate to and complement one another.
Head Clinician: Edwin Y. Takemori, Shichidan
International Ju No, Nage and Katame Judge
Master Instructor & National Shiai Coach
Promotion Board Chairman, Maryland Judo, Inc.
Member of Shufu Yudanshakai’s Sr. Promotion & Kodansha
Review Board
Entry Fees*: Pre-registration
must be postmarked by 8/31/2007:
Competition and clinic: $30.00
Competition OR clinic only $20.00
On-Site (Late) Registration:
Competition and clinic: $35.00
Competition OR clinic only $25.00
Promotion Demonstration Only No Fee
A kata team may perform any number katas (Nage, Ju no, or Katame) with one entry (roles may change according to kata). However, if an individual wishes to compete twice in the same kata his/her role must change, or the division must change. This will be considered a second entry for that individual and the participant will be charged accordingly.
Promotion Demonstrations: There is no fee charged for a judoka only doing kata for promotion purposes. This is not part of the competition or clinic. This is a service provided
by
Awards: First, Second, and
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 set of Ju no and Katame; first two sets of Nage.
Intermediate: Both partners must be Ikkyu or below, or one partner may be black belt when the
other is Yonkyu or below. Will perform the first two sets of Ju no and Katame; first four sets of Nage.
Open: Open to any team. Will perform the entire kata.
Note: There is no junior division. 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.
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
FROM ROUTE 50 WEST: (
Take exit 197 north towards
FROM THE
Take the exit for Route 193/Greenbelt Road. At the stop sign
turn left. At the light turn left onto
Hotel Information
1. Best Western
(301)459-1000
2. Holiday Inn
3. Days Inn - Lanham Station
Name: _______________________________________________ Gender: Male/Female
Home Address:________________________________________ E-mail: ___________
______________________________________Phone #:______________
CHECK/COMPLETE ALL THAT APPLY:
________Nage-no-kata Tori:________________________________ Club:_____________________
Rank:
_________ Jr./Sr. JF/JI/JA #: _______________ Exp.
Date: ____
Novice/Intermediate/Open Uke:________________________________ Club:_____________________
Rank:
_________ Jr./Sr. JF/JI/JA #: _______________ Exp. Date: ____
________Katame-no-kata Tori: ________________________________ Club:_____________________
Rank:
_________ Jr./Sr. JF/JI/JA #: _______________ Exp. Date: ____
Novice/Intermediate/Open Uke:_________________________________ Club:_____________________
Rank:
_________ Jr./Sr. JF/JI/JA #: _______________ Exp. Date: ____
________Ju-no-kata Tori:
________________________________ Club:_____________________
Rank:
_________ Jr./Sr. JF/JI/JA #: _______________ Exp. Date: ____
Novice/Intermediate/Open Uke:_________________________________ Club:_____________________
Rank:
_________ Jr./Sr. JF/JI/JA #: _______________ Exp. Date: ____
We
will/will not attend the Kata clinic.
Enclosed
is a fee of $ __________ for participation in ____ Kata(s)/clinic.
Please make checks payable
to “MNCPPC”. VISA or MasterCard are also
accepted.
VISA/MC (Please circle
one)
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
Glenn Dale, Md. 20769
(301) 352-8983
Please use this form if you just attending the clinic.
Name: _______________________________________________ Gender: Male/Female
Home Address:________________________________________ E-mail: _____________
______________________________________Phone #:________________
Club Representing:__________________________________________________________
Rank*: _________ Jr./Sr. JF/JI/JA
#: _______________ Exp. Date: ____
*For rank, please use the name of the rank (i.e.
Rokkyu, Gokyu, etc.) NOT the color of the belt.
Please use this form if you are not planning to compete but
are doing your kata demonstration just for promotion purposes.
Note: There is no fee for just doing the demonstration portion of your promotion exam. This is not part of the competition or clinic.
Name: _______________________________________________ Gender: Male/Female
Home Address:________________________________________ E-mail: ___________
______________________________________Phone #:______________
Rank*:
_________ Jr./Sr. JF/JI/JA #: _______________ Exp.
Date: _______
*For rank, please use the name of the rank (i.e.
Rokkyu, Gokyu, etc.) NOT the color of the belt.
I plan to attend the Fall 2006 promotions and test for the rank of: __________
I will need a kata partner: Yes/No
My kata partner will be: _________________________________________________
I will be demonstrating _________________ Kata doing the ____________ role.
Note: Judoka demonstrating for promotion must sign the waiver printed on the reverse side of this form.
WARNING!
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 of the United States Judo Federation,
United States Judo, Inc., United States Judo Association, Shufu Judo
Yudanshakai, Maryland Judo, Inc., Prince George’s Judo Club, Maryland National
Capital Park and Planning Commission, and Glenn Dale Community Center, 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 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 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, permanent disability, or death.
5. Release, waive, discharge and
covenant not to sue the United States Judo Federation, United States
Judo, Inc., United States Judo Association, Shufu Judo Yudanshakai, Maryland
Judo, Inc., Prince George’s Judo Club, Maryland National Capital Park and
Planning Commission, and Glenn Dale Community Center, 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 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 “releasee”, 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 releasee or otherwise to the fullest extent permitted
by law.
I
HAVE READ THE ABOVE WARNING, WAIVER, AND
RELEASE, UNDERSTAND THAT I GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND
KNOWING THIS, SIGN IT VOLUNTARILY.
CONSISTENT WITH THE BY-LAWS OF USJF, THIS TOURNAMENT MAY INCLUDE CO-ED
COMPETITION FOR AGES 10 AND BELOW 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/GUARDIAN AS EVIDENCED BY THEIR SIGNATURE BELOW.
__________________________________________ _______________________________________ ____________
Participant
Participant’s Signature
Date
FOR
PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE
(UNDER
AGE 18 AT TIME OF REGISTATION)
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 as 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
1997
Form 507,v4.2.1, 2/97