Tournament Date: Saturday 21st & 28th October 2006
Venue Clacton Leisure Centre
Off Vista Road
Clacton on Sea
Essex
CO15 6DB
Eligibility Players must be a minimum of 8 years of age. There is no upper age
limit. All players must hold a full Judo licence
Registration Friday Oct 20th at 16.30
Divisioning Friday Oct 20th at 16.30
Closing Date Saturday 7th October 2006
Entry Fee £10.00
Cheques made payable to: - Judo for All
Spectators £2.00 Payable on the day
Send
Entry to Mrs Jean Cleere E-Mail:-
16 Slade Road
Stokenchurch
High Wycombe
Bucks
HP14 3QH
Link to Entrance details as a word Document
Tendring International Festival of Judo 2006(Formerly Clacton International) Entry Form |
Please complete the form fully in BLOCK CAPITALS.
Address: .. ...
...
.. .
Postcode: ... .
Telephone No:
Date of Birth: Age (yrs):
Club: . .. .
Country: .....................................................................................
Judo Licence No: .. ..
Judo Grade: . ..
Disability:
Weight (kg): Judo Contest level (1-5): .
Starting Position:
|
Standing |
Kneeling |
Sitting |
|
LEVEL 1 (Good player) |
| A judoka who
can train and compete with mainstream players on club level. This
athlete has a good understanding of the meaning and goal of the competition. CRITERIA: This judoka is capable of taking part in Tendring International Festival of Judo 2006 Championships. |
|
LEVEL 2 (Medium/Good player) |
| A judoka who
can train and take part in light competition (RANDORI) with
mainstream players. This athlete understands the meaning and goal of
the
competition.
CRITERIA: This judoka is capable of taking part in Championships and Tournaments. |
|
LEVEL 3 (Medium Player) |
| A judoka who
can take part in training with mainstream players but only competes in
special competitions with athletes of the same level. CRITERIA: This judoka understands most of the rules, meaning and goal of the competition. |
|
LEVEL 4 (Medium/Weak Player) |
| An athlete who
is only capable of taking part in special training and competitions.
This athlete needs guiding during the competition but understands most of
the rules and goal of a competition. CRITERIA: This judoka needs guiding during the competition but understands most of the rules and goal of a competition. |
|
LEVEL 5 (Weak Player) |
| An athlete
who is only capable of taking part in special training and competitions with
specialist care. This athlete needs a lot of guidance during the
competition. The competition is adjusted to the athletes. This athlete
competes in games of romps on the ground (ne-waza) mainly for safety
reasons. CRITERIA: This judoka needs a lot of guidance during the competition. The competition is adjusted to the judokas in games of romps form. |
|
Declaration |
|
Important - Please note that the club coaches or officials must not sign entry forms.
Declaration (all applicants)
I certify that I have read and that I understand the conditions governing entry to the above event and I agree to abide by them. I understand that to give false information with regard to grade, age etc, will automatically disqualify me and such false declaration will be brought to the attention of the Board of Directors. I also understand that my entry is accepted on the condition that all information supplied on this form will be held on computer and my entry is accepted only upon my agreeing to this.
|
|
Signature: .
Date: .
|
|
|
|
Medical Declaration (all applicants under 16 years)
I the undersigned being the parent/legal guardian of
. ..
Hereby give my permission to allow him/her to be treated as and when necessary by the medical team on duty at the championships.
|
|
Parent / Guardian Signature: .
Date:
|
|
Medical Release Form (Athletes) |
|
Tournament Tendring International Festival of Judo 20, 21 and 22 of October 2006 held at Clacton Leisure Centre. |
| Athletes Full Name: |
| Contact person in case of Emergency: |
| Telephone Number: |
|
Health Information |
|||
|
Down Syndrome |
Yes |
No |
|
|
If Yes, x-ray done for check of ATLANTO-AXIAL instability
|
|||
|
RESULT: |
Yes |
No |
|
| Bleeding problem | Yes | No | |
| Diabetes | Yes | No | |
| Heart Problems | Yes | No | |
| Recent Contagious Disease | Yes | No | |
| Kidney Problem | Yes | No | |
| Epilepsy | Yes | No | |
| Vision Problem | Yes | No | |
| Hearing Problem | Yes | No | |
| Allergies | Yes | No |
|
Immunizations |
|||
| Tetanus | Yes | No | Date |
| Polio | Yes | No | Date |
Medication .
Restrictions / Comments :
I have examined the above-mentioned athlete, and certify, based on that examination, that there is no medical evidence, which would preclude the athletes participation in judo for the forthcoming tournament.
A physicians signature is only needed if this is the athletes first Special Needs tournament. parents can fill in if attended events before.
Physicians Name: ... ..... ..
Address ..
.. .. ..
.. ....
Tel ... .
Physicians Signature .... ....
Date ...
Return the completed form by: Friday 18th August 2006
TO: Mrs. Jean Cleere.
16 Slade Road, Stokenchurch, High Wycombe, Bucks. HP14 3QH
Any classified medical information required by the organising
committee will be used only during the competition. To ensure the privacy of the athletes all classified medical information will be destroyed immediately after the tournament.
|
Release Form (Athletes) |
Name of Parent / Guardian: . .
Name of Athlete: ... .
I am above mentioned athletes parent/guardian and I hereby confirm that he/she has my authorisation to participate in the British Judo Association Tournament held on October 20th 21st and 22nd 2006
I further confirm and warrant that to the best of my knowledge and belief that the athlete is able to participate in the Judo Tournament.
In permitting the athlete in participating, I am specifically granting my permission to the BJA, to use the athletes likeness, name, voice and words in television, radio, film, newspaper, magazines and other media and in any form for the purpose of advertising of communicating the purposes and activities of the BJA and / or for applying for funds to support these purposes.
If a medical emergency should arise during the athletes participation in this tournament, at a time when I am not personally present so as to be consulted regarding the athletes care, I hereby authorise the BJA on my behalf, to take whatever measures are necessary to insure that the athlete is provided with any emergency medical treatment, including hospitalisation, which the BJA deems advisable in order to protect the athletes health and well-being.
I the undersigned am parent/guardian of the above-specified athlete and I
hereby give my permission for ...
to participate at the Tendring International Festival of Judo 2006 Championships.
Signature of parent / guardian
.. . Date
N.B: If an athlete is an adult and legally responsible for him/herself, he/she can sign this form.
I the undersigned am of legal age and agree to the above conditions for participation in this event.
Signature of athlete if of legal age
. .. Date
Please Return the completed form by: SATURDAY 7TH October 2006
TO: Mrs. Jean Cleere.
16 Slade Road, Stokenchurch, High Wycombe, Bucks. HP14 3QH
E-Mail:-