Sanctioned by the USJA. USJI and USJF current members welcome.
TOURNAMENT DIRECTOR: Dr. Don Tyrell
Telephone: (865) 689-5733;
Day of Tournament: (865) 207-5933
Email: dtyrell@comcast.net
LOCATION: HEALTH, PHYSICAL EDUCATION, AND RECREATION BUILDING
1914 Andy Holt Ave.; Knoxville, TN 37996
RULES – Current IJF Rules. Rules may be modified for the safety of the contest. The Golden Score Rule will be in effect
SCORING – Modified Double Elimination. Round Robin if fewer than four entries
MATCH TIMES – Juniors – 3 minutes; Senior Men and Senior Women –
5 minutes; Masters – 3 minutes
AWARDS – 1st, 2nd, and 3rd place medals in each weight division
ENTRY FEE - $20.00 per Division, Additional Divisions $10.00. Make checks payable
to Martial Arts Club
DIVISIONS – Masters – seeding depending on entries
Senior Men – 6th Kyu – 4th Kyu (White Belt– Green Belt);
3rd Kyu and above (Brown and Black Belt)
Senior Women – 6th Kyu – 4th Kyu (White Belt – Green Belt);
3rd Kyu and above (Brown and Black Belt)
Note: All Senior Divisions will be divided into light, medium and
Heavy. Additional brackets may be added.
Boys: 5- 6; 7-8; 9-10; 11-12; 13-14; 15-16 Girls: 5-6; 7-8; 9-10; 11-12-; 13-14; 15-16 All Youth Divisions will be divided into light, medium and Heavy. Additional brackets may be added.
*Open Division and Kata Competition if there is an interest
** Tournament Director reserves the right to add, delete or modify any Division
Stay on I-40 to Exit 387 (Seventeenth Street). As you exit get into the right lane. Turn right onto Seventeenth Street. As you are going up over the hill on Seventeenth Street, get into the left lane (or else you will be forced to make a right turn you don’t want at Cumberland). As you go along Seventeenth Street, go through two stop and go lights, one Stop sign, another Stop and Go light. (This is Cumberland Ave.). Keep going straight. (Do not turn on Cumberland). Seventeenth Street becomes Melrose Place at Cumberland. Continue winding up hill and stay on road with yellow line. You will dead end at Andy Holt Avenue. Turn right on Andy Holt Ave. Turn left at Pat Head Summit (your first left).
HYPR Building (Health, Physical Education and Recreation) is the first building on your right. Park on street or there is a parking lot one-half block further on your left. Enter building on Pat Head Summit side. Room 202B is on the first floor. If you get lost, ask for the room with the rock climbing wall.
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 related events and activities of the United States Judo Inc., United States Judo Association, United States Judo Federation, University of Tennessee, University of Tennessee Martial Arts 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 participation, I will inspect the mats, equipment, facilities, competition pools or divisions, and the elimination or scoring system to be used, and if I believe that 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 loss 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, 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 Association, United States Judo, Inc., Unites States Judo Federation, University of Tennessee, University of Tennessee Martial Arts 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 and coaches, sponsoring agencies, sponsors, advertisers, and, if applicable, owners, lessors, and lessees of the premises used in conducting the event, all of whom are hereinafter referred to as "release," from any and all claims, demands, losses, or damage 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 release or otherwise, to the fullest extent permitted by law.
6. Additionally agree that as parents or legal guardians of minor participants (age 17 and below), will instruct the minor participants to the above warnings and conditions and their ramifications, and that they consent to the minor's participation.
I HAVE READ THE ABOVE WARNING, WAIVERS AND RELEASE, UNDERSTAND THAT I GIVE UP SUBSTANTIAL RIGHTS BY SIGNING, AND KNOWING THIS, SIGN IT VOLUNTARILY. I AGREE TO PARTICIPATE KNOWING THE RISKS AND CONDITIONS INVOLVED, AAND DO SO ENTIRELY OF MY OWN FREE WILL.
_________________________________ ________________________________ _____________
Participant (please print) Participant's Signature Date
_________________________________ ________________________________ ______________
Parent/Guardian (please print) Parent/Guardian's Signature Date
_________________________________ ________________________________ ______________
Parent/Guardian (please print) Parent/Guardian's Signature Date
NAME________________________________________JUNIOR_________ SENIOR
ADDRESS______________________________________________________
TELEPHONE____________________ AGE_____ BIRTHDATE___________
WEIGHT___________ SEX_________ RANK________________________
REGISTRATION CARD NUMBER (ONLY ONE NEEDED)
USJA___________ USJI___________ USJF_____________
CLUB__________________________ COACH______________________
EMAIL ADDRESS FOR CLUB__________________________________
FEE PAID: UTMA MEMBER (NO FEE) ____ UT STUDENT (1/2 FEE)______
ALL OTHERS (FULL FEE)____________ AMOUNT PAID______________
INSURANCE EXPIRES (DATE)________________
WAIVER SIGNED__________________
NOTE: MUST HAVE A SEPARATE FORM FOR EACH DIVISION ENTERED
THIS FORM IS FOR: FIRST SECOND THIRD DIVISION (CIRCLE ONE)
Junior Girls: 5 & 6, 7 & 8, 9 & 10, 11 & 12, 13 &14, 15 &16
Junior Boys: 5 & 6, 7 & 8, 9 & 10, 11 & 12, 13 & 14, 15 & 16
Senior Women Novice: Light ____ Medium ____ Heavy ____ Open ____
Senior Women Advanced: Light ____ Medium ____ Heavy ____ Open ____
Senior Men Novice: 132 ___ 145 ___ 161 ___ 178 ___ 198 ___ 220
Senior Men Advanced: 132 ___ 145 ___ 161 ___ 178 ___ 198 ___ 220
Masters Men _____ Masters Women ____
UNIVERSITY OF TENNESSEE MARTIAL ARTS CLUB
I___________________________, A JUDO INSTRUCTOR HOLDING THE JUDO RANK OF SHODAN OR HIGHER WHICH HAS BEEN AWARDED THROUGH THE AUSPICES OF UNITED STATES JUDO, INC., UNITED STATES JUDO ASSOCIATION, OR, UNITED STATES JUDO FEDERATION, HEREBY CERTIFY THAT THE CONTESTANT LISTED ABOVE, ALTHOUGH NOT HAVING BEEN AWARDED THE JUDO RANK OF SHODAN OR HIGHER, IS OF SUFFICIENT APTITUDE AND SKILL IN JUDO TO COMPETE IN THIS TOURNAMENT AT THE UNIVERSITY OF TENNESSEE.
SIGNATURE OF JUDO INSTRUCTOR______________________________________________
CLUB______________________________________________________
DATE______________________________________________________