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Inscripcion Renata Caldas
Inscripcion Renata Caldas
(DO NOT USE for Golden Score Event, Veterans or Senior Tournament)
OFFICIAL ENTRY FORM
16131 N.W. 12 Street; Pembroke Pines, FL 33028
Last Name (Family Name, Surname): First Name:
A M B U L U D I || T A T I A N A
Street Address:
M A R I A N O E S T R E L L A
City: State Zip Code:
A Z U A Y || 0 7 || 5 9 3
Country:
E C U A D O R
Judo Club:
T E A M P R A D O J U D O
Coach’s Name:
O S C A R P R A D O
Telephone (Voice) (MANDATORY): Fax:
0 9 9 - 9 4 8 - 1 2 1 2 || - -
USA Judo, USJF, USJA or ATJA Member Number (US Athletes**): Date of Birth (month/day/year):
|| 0 6 / 0 1 / 2 0 1 2
Email Address (MANDATORY):
o s c a r _ p r a d o j u @ h o t m a i l . c o M
2022 US Open Championship JUNIORS ONLY!
Circle the category and gender in which you wish to compete. Circle One Category only!
If competing in more than 1 category, submit a separate entry form and fee for each category.
Enter estimated weight in kilograms. Note that this is a preliminary declaration of weight. The athlete’s measured weight
at weigh-in will determine the competition division.
Bantam-1 Bantam-2 Bantam-3 Bantam-4 Bantam-5 Bantam-6 Intermediate
Born 2017 Born 2016 (2017) Born 2015 (2016) Born 2014 (2015) Born 2013 (2014) Born 2012 (2013) Born 2010-2011 (2012)
Juvenile Cadet IJF Junior (Year of birth) of younger
Born 2008-2009 (2010) Born 2005-2007 (2008) Born 2002-2007 (2008) athletes who move up in age.
Elimination Systems: Round Robin for divisions of 5 or fewer; Modified Double Elimination for all others.
Refer to Page 9 for complete details of these elimination systems.
Rules:
1. First one to score wins.
2. Time Limits: 5 minutes for Bantam-1, Bantam-2, Bantam-3 Categories; No time limits for all other
Categories.
Eligibility:
Athletes MUST COMPETE in the Junior Championship of the. U.S. Open Judo Championship in order to be
eligible for the Golden Score Tournament.
The Golden Score Tournament IS NOT a USA Judo point event, but medals won
WILL count for the $1,000 team award grant.
Judo Club:
Coach’s Name:
Circle One:
Male Female
Please mail the appropriate entry fee (refer to page 6) payable to 2022 U.S. Open Judo Championship or add fee to credit card
charge request form, this entry form and all other documents, fully completed and signed in the appropriate places, to Melinda
Navarro at the address listed at the top of this entry form. Athletes MUST compete in the Junior Championship in order
to be eligible to compete in the Golden Score Tournament. DO NOT send in this entry form unless you register
for the Championship!!
** US Citizens: If you are not a current member of USA Judo, USJF, USJA or ATJA please circle:
Will bring current membership card to event Will purchase membership at event
This party will be free of charge to all Athletes, Coaches, Referees, and Tournament Officials.
Parents and family of the athletes are also invited, free admission to those staying at the Official
tournament hotel if space is still available.
To help us in planning and to ensure your admission to the party, please enclose this form with
your athlete’s application.
❑ Family Members
❑ Friends