Date: Saturday October 30, 2021 2021 OPEN JUDO

2021NEVADAOPEN JUDOCHAMPIONSHIPDate:Saturday October 30, 2021Location:Slam Academy: 1095 Fielders StreetHenderson, NV 89011TournamentDirector:Marcus Martin – (702) 461 5043Head Referee:Chris SadokaSanction #:USA Judo # 0050Registration: NevadaJudoAssociation.Org (Only available online)TRICK OR SWEEP!Entry Fee 70 Pre-registration (Early Bird)Prior to October 24, 2021,11:59pmLate Registration 90After date & time above 20 for each additional division(Either up in weight, rank, and/or age)Check-in/On-site Registration/Weigh-in TimesApproximate*Start Times:5 – 106:30 am – 8:00 am9:00am*11 – 168:30 am – 9:30 am 11:30 am*10:00 am – 12:00 pm 2:00 pm*All other agesReferee Meeting 7:30 – 8:30amOpening Ceremony 8:45am PROMPTLYAwards:1st Place, 2nd Place, 3rd Place in each divisionAll proceeds gotowards NevadaJudo Association a501(c)(3) non-profitorganizationUSA Judo Sanction # 0050The Tournament Director reserves the right to make modificationsto the rank, weight & age divisions to make competition inuncontested divisions. WHITE JUDO GI IS MANDATORY, NOJU-JITSU GIS ALLOWED BRING YOUR OWN BLUE ANDWHITE BELTS.

Eligibility1. Proof of current ATJA, USJF, USJA or USA Judo membership cards must be presented day-of tournament.a. Any contestant unable to present a current and valid registration card will be required topurchase or renew membership prior to acceptance of the entry form for this tournament.b. USA Judo registration will be available on-site.2. Minimum age of five (5) years old on the day of the competition.3. Signed certificate regarding non-black belt contestants (Attached).4. Signed consent for weight change (Attached).5. Signed SafeSport Policy/Waiver & release of liability & agreement to participate (Attached).RulesWHITE JUDO GI IS MANDATORY, NO JU-JITSU GIS ALLOWED BRING YOUR OWN BLUE AND WHITE BELTS.All matches will be conducted using the current International Judo Federation Contest Rules with the followingmodifications:1. Pre-2003 medical rules will be applied to all age groups under 16 and seniors (17 ) not brown belt orabove2. Modified Double Elimination Bracket format for groups 5 or more3. Round Robin for groups for groups 4 or less4. Contest area shall be 7x7 meters with required minimum 3 meter safety area.5. Double knee drop seio-nage WILL BE allowed for all divisions.6. Any competitor who suffers a concussion (as determined by the medical staff) and/or who losesconsciousness from head impact will not be allowed to continue competing in the tournament that dayin any division. If a competitor suffers such an injury, they are strongly advised to obtain a medicalrelease from their personal physician before returning to train and compete in judo.7. Players who are choked out are NOT allowed to continue to compete in the tournament.8. Golden Score (In case of no score in original match)a. 1 min for 10yr oldb. 2 min for 11-16 yr oldc. Unlimited for senior & master divisions9. Match Times:a. 5-6 yr old 2 minsb. 7-16 yr old & Masters (30 yr old) 3 minsc. All other ages 4 mins10. Choking Techniques (Shime-waza)a. 13 yr old and up11. Arm Lock Techniques (Kansetsu-waza)a. Senior Advance (Brown Belt ) and above ranksWomen: (all ranks): 17 years old. (Weight divisions to be determined by registration). (Note: Modifications tostandard weight divisions may be made to insure competition.)Advance: (Brown & Black Belt) Men: 17 years old (Weight divisions to be determined by registration). NationalWeight Divisions will be used if there is sufficient registrations.Novice: (White-Green Belt) Men: 17 years old (Weight divisions to be determined by registration).Masters: 30 years old. Age & weight divisions to be determined by registration.Junior Girl’s and Boy’s Division: Divided by weights to be determined by registration [2 year divisions (i.e., 5-6, 78, etc.) are normally used, dependent upon registration.] Minimum age: 5 years old. (Note: Juniors who are atleast 15 years old may also compete in the Senior Division for the additional fee & will compete under SeniorRules; Masters may also compete in the Senior Divisions for the additional fee. (Blue & Purple Belt Juniors willcompete in the Advanced Senior Division. No junior will compete against anyone more than 15% heavier,unless requesting to be moved up from an uncontested division by the coach or parent).USA Judo Sanction # 0050

CERTIFICATE REGARDING NON-BLACKBELT CONTESTANTSI a judo instructor, who has been awarded the Judo rank of Shodanor higher, under the auspices USJF, USJA, and USJI hereby certify that (Print Nameof Contestant) although not have been awarded the rank of Shodan or higher, is of sufficient aptitude and skillin Judo to compete in this competition.Judo Instructor (print name):Signature of Instructor:Rank:Rank obtained through:**If assistance /accommodation is needed: CheckVision Loss/Blindness Hearing Loss/DeafnessType of assistance/accommodation requested or name of personassistingUSA Judo Sanction # 0050

CONSENT FOR WEIGHT CHANGE(Contestant is Under the Age of 18)We (I), The Undersigned Parent(s) or Legal Guardian(s) of :Have been informed of the method of competition for the Nevada Open Judo Championships and approvethat may either move up into another weight bracket or higher age or rankbracket but a similar same weight division.Parent(s)/Judo Instructor (print name):Date SignedUSA Judo Sanction # 0050Signature of Parent(s)/Judo Instructor

WAIVER AND RELEASE OF LIABILITY - AGREEMENT TO PARTICIPATE –AUTHORIZATION FOR MEDICAL TREATMENTIn consideration of being permitted to participate in any way, including travel to and from, any and all Judo Tournaments,clinics, practices, and related events and activities of United States Judo, Inc. (aka USA Judo), USJA, USJF, ATJA, theNevada Judo Association (NJA), and Sports Leadership and Management of Nevada (SLAM NV) I hereby:1.2.3.4.5.Acknowledge that I am familiar with the sport of Judo and understand the rules governing the sport of Judo.Agree that, prior to participating, I will inspect the mats, equipment, weapons, facilities, competition pools ordivisions, and the elimination or scoring system to be used. If I believe anything is unsafe or beyond my capability, Iwill immediately advise my coach, supervisor and/or an event/activity official of such conditions and refuse toparticipate.Acknowledge & fully understand that I will be engaging in a contact sport that might result in serious injury,including permanent disability or death & severe social & 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, orconditions of the premises or of any equipment or weapons used. Further, I acknowledge that there may be otherrisks not known to me or not reasonably foreseeable at this time.Knowing the risks involved in the sport of Judo, I assume all such risks & accept personal responsibility for alldamages resulting from any such injury, permanent disability, or death. I also grant permission to the event officialsto authorize any necessary medical treatment for me, or in the case of a minor age child, I grant per- mission to theevent officials to authorize any necessary medical treatment for my minor child.Release, waive, discharge & covenant not to sue USA Judo, USJA, USJF, NJA, SLAM NV, together with their affiliatedclubs, their respective officers, administrators, directors, agents, coaches, clinicians, & other employees orvolunteers of the organization(s), event officials, medical personnel, other participants, their parent(s), guardian(s),supervisors & coaches, sponsoring agencies, sponsors, advertisers & if applicable, owners, lessors & lessees ofpremises used to conduct the event, all of whom are hereinafter referred to as Releasee(s), from any & all claims,demands, losses, or damages on account of injury, including permanent disability & 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 fullestextent permitted by law.I have read this Warning - Waiver & Release of liability, understand that I give up substantial rights by signing it &knowing this, sign it voluntarily. I agree to participate knowing the risks & conditions involved & do so entirely ofmy 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 therequired consent of my parent or guardian as evidenced by his/her signature below.SIGNATURE OF PARTICIPANTDATENAME OF PARTICIPANT (PRINT)This is to certify that I, as Parent or Legal Guardian with legal responsibility for this participant, do consent &agree to his/her release, as provided above, of all the Releasees &, for myself, my heirs, assigns & next of kin, Irelease & agree to indemnify & hold harmless the Releasees from any & all liabilities incident to my minor child'sinvolvement or participation in these programs as provided above, even if arising from their negligence, to thefullest extent permitted by law. I have instructed the minor participant as to the above warnings & conditions &their ramifications. In addition, I grant permission to the event officials to authorize any necessary medicaltreatment to my minor child.SIGNATURE OF PARENT/GUARDIANUSA Judo Sanction # 0050DATENAME OF PARENT/GUARDIAN (PRINT)

SafeSport Policy/Minor Athlete AbusePrevention Policy:I, a prospective or current member/licensee/participant of USA Judo or USA Judo event agree to abide by andbe bound by the applicable USA Judo Bylaws, Code of Conduct, competition rules and the SafeSport rules,policies and procedures promulgated by the U.S. Center for SafeSport as they may be amended from time totime. I agree to be subject to the jurisdiction of the U. S. Center for SafeSport and agree that any sanctionsimposed by the Center extend to my participation in all USA Judo events or activities and may be postedpublicly and include information regarding the misconduct involved. The USA Judo SafeSport Handbook canbe found at www.usjudo.org.USA Judo defines “regular contact with minors” as meaningful or direct contact or oversight with minors thatwould be considered frequent, repeated or consistent. By way of example, an adult who will often assist withcoaching/leading classes including minors would be considered “regular contact” with minors and is requiredto complete the SafeSport Online Training/Certification Course.An adult who may “drop in” to coach and/or practice with minors on occasion would not be consideredfrequent, repeated or consistent and would not need to complete the SafeSport Online Training/CertificationCourse. In the spirt of the moral code of judo, USA Judo requires adult members to self-certify whether or notthey considered having “regular contact” with minors based on the aforementioned description. If an adultmember is unsure whether or not they have “regular contact” with minors, USA Judo encourages thoseindividuals (and their clubs) to err on the side of caution and complete the SafeSport Training and Certification.USA Judo, in cooperation with USA Judo Clubs, as the right to randomly review and assess members who mayhave regular contact with minors and require compliance if/when considered necessary by USA JudoLeadership. The USA Judo SafeSport Handbook can be found at www.usjudo.orgUSA Judo Sanction # 0050

clinics, practices, and related events and activities of United States Judo, Inc. (aka USA Judo), USJA, USJF, ATJA, the Nevada Judo Association (NJA), and Sports Leadership and Management of Nevada (SLAM NV) I hereby: 1. Acknowledge that I am familiar with the sport of Judo and understand the rules governing the sport of Judo. 2.