judo promotion application - the atjaatja.org/atja_judo/docs/atja_judo_promotion_package.pdf ·...

ATJA Promotion Application 3/20/2014

American Traditional Jujutsu Association Judo Promotion Application P.O Box 1613, Hilliard, OH, USA 43026 Telephone: (614) 279-9939 Email: [email protected] Web site: www.atja.org

Please complete all sections, print or type clearly.

1. Promotion fees are $15 for all Kyu ranks, $75 for Shodan and $100 for Nidan and above. 2. Time in grade for promotion request should be as defined in ATJA Judo Manual. 3. Applicants must be current ATJA members, or include the ATJA membership application form. 4. Make all checks Payable to ATJA and mail to: PO Box 1613, Hilliard, OH 43026. 5. Attach the ATJA Dan and Kyu Rank Judo Exam, fully completed and signed. 6. All ATJA Black Belts must have a current Background Screening. Submit a request, if needed.

Candidate Name: Telephone:

Address: Email:

City: Age: Birth Date:

State: Zip: Membership # Expiration:

Club Name Sensei Name: Sensei Rank

Background Screening Effective Date (if required): ________________

Promotion Fee submitted: $ (Note: If Kyu fee prepaid, enter Prepaid)

Promotion Information:

Present Rank/Date: Testing Rank/Date:

Judo Examination Pass _____ Fail _____ Date ________________

Vocabulary/Knowledge Test Pass _____ Fail _____ Date ________________

Promotion Points Earned: ________ Required: ________ TiG (Attach Exam, Knowledge & Vocabulary Test, and Promotion Point sheet to this application. ATJA membership must be

active for the Time-in-Grade period (submit request for waiver, if required)).

Special notes or consideration:

Seniors(17+Yrs)BeltColor NormalTimeinGrade* PromotionPoints MinimumAge(Yrs)

Rokkyu 6K Yellow 4Mos 7 13Gokyu 5K Orange 5Mos 11 13Yonkyu 4K Green 6Mos 15 13Sankyu 3K Brown 7Mos 20 13Nikyu 2K Brown 8Mos 22 13Ikkyu 1K Brown 9Mos 24 13Shodan 1D Black 2Yrs 33 16Nidan 2D Black 3Yrs 70 18Sandan 3D Black 4Yrs 156 21Yodan/Yondan 4D Black/Black&Red 5Yrs 252 25Godan 5D Black/Black&Red 6Yrs 360 30Rokudan 6D Black/Red&White 7Yrs 480 36Shichidan 7D Black/Red&White 8Yrs BoDApproval 43Hachidan 8D Black/Red&White 9Yrs BoDApproval 51Kudan 9D Red 10Yrs BoDApproval 60Judan 10D Red 10Yrs BoDApproval 70

Juniors(416Yrs)Rank BeltColor NormalTimeinGrade Points MinimumAge(Yrs)Junior1stDegree JR01 YellowBelt 3Mos 4 4Junior2ndDegree JR02 YellowBelt* 3Mos 5 5Junior3rdDegree JR03 OrangeBelt 4Mos 6 6Junior4thDegree JR04 OrangeBelt* 4Mos 7 7Junior5thDegree JR05 GreenBelt 4Mos 8 8Junior6thDegree JR06 GreenBelt* 4Mos 9 9Junior7thDegree JR07 BlueBelt 5Mos 10 10Junior8thDegree JR08 BlueBelt* 5Mos 11 11Junior9thDegree JR09 PurpleBelt 5Mos 12 12Junior10thDegree JR10 PurpleBelt* 5Mos 13 13Junior11thDegree JR11 BrownBelt 6Mos 14 14Junior12thDegree JR12 BrownBelt* 6Mos 15 15

ATJAJudoPromotionRequirementsTimeinGrade,PointsandAge

ForpromotionintheArtofJudoundertheATJAJudoProgram,allrequirementsmustbemet.TheserequirementsincludeminimumTimeinGrade,Age,PromotionPointsandpassingbothaphysicalDemonstrationExamandawrittenVocabulary&KnowledgeTest.AllBlackBeltcandidatesforpromotionmustsubmitaformalrequestforpromotionusingtheATJAJudoPromotionApplicationformandhaveacurrentBackgroundScreening.

Rank

*Note:Juniorranksmayuseastripetoindicateahigherlevelofabeltofthesamecolor

* 8 Extra Points reduces TiG by 1 month

PromotionPointsmaybeearnedthroughJudoCompetition,ServicetoJudoorothermeansasapprovedbytheATJAJudoCommittee.AlistofapprovedwaystoearnpointscanbefoundontheATJAwebsite(www.atja.org).

Version2.3 Revised03/20/2014

ATJA Judo Program Point System

Event Attendance Class Attendance 1 point per 10 classes Camp/Clinic Attendance (Minimum 1 hour/session) 1 point per session Demonstration (Local Event) 1 point per session

Competition/Tournaments (Shiai/Kata) Level of Competition Entry Wins 1st Place 2nd Place 3rd/4th Place Intra-Club Tournament 1 point 1/5 point 1 point 1/2 point 2/5 point Local Tournament Entry (Includes two or more clubs) 2 points 2 points 2 points 1 point 1/2 point State/Regional 3 points 3 points 4 points 2 points 1 point International C (Am-Can, Pacific Northwest, etc.) 6 points 6 points 8 points 6 points 4 points National (Senior, Collegiate, High School Junior) 8 points 8 points 10 points 8 points 6 points International B (Pan-Am, Pacific Rim, Kano Cup, etc.) 10 points 10 points 20 points 18points 16 points International A (Olympics, world Championships) 16 points 16 points 30 points 26 points 22 points Service to Judo Shiai or Kata Tournaments

Referee/Judge Head Referee/Judge Hosting/Directing Other

Tournament Assistance Level of Competition Head Assistant

Intra-Club 1 point 0 point 2 point 1 point 1/2 point Local (two or more clubs) 2 points 4 points 4 points 2 point 1 point State/Regional 3 points 6 points 6 points 4 points 2 points National/International C 5 points 10 points 8 points 6 points 3 points International B 8 points 16 points 10 points 8 points 4 points World/Olympic/International A 12 points 20 points 20 points 10 points 5 points

Camps/Clinics Hosting/Directing AssistantDirector ClinicianLocalCamp/Clinic 2pointspersession 1pointspersession 4pointspersessionState/RegionalCamp/Clinic 3pointspersession 2pointspersession 5pointspersessionNational/InternationalCamp/Clinic 4pointspersession 3pointspersession 6pointspersession

Certifications(PointsperYear)

RefereeCertification Kata/KataJudgeCertification RankExaminerCertificationLocal 1pointperYear LevelC 2pointsperYear National 4pointsperyearRegional1 2pointsperYear LevelB 4pointsperYear Senior 5pointsperyearRegional2 3pointsperYear LevelA 6pointsperYear Master 6pointsperyearRegional3 4pointsperYear (Perkata) ExaminermustbeactiveNational1 5pointsperYear (minimum2examinations/year)National2 6pointsperYearNational3 7pointsperYearPanAmericanC 8pointsperYearInternationalB 10pointsperYearInternationalA 13pointsperYear

Ver 2.7

ATJA Judo Program Point System

Service to Judo (Contd) OrganizationalServiceMemberofanATJACommittee 1pointperyearChairmanofanATJACommittee 2pointsperyearMemberofanATJABoard 2pointperyearChairmanofanATJABoard 3pointsperyearATJABoardofDirectors(Member) 3pointperyearATJABoardofDirectors(Officers) 5pointsperyear

CharteredClubSensei Head AssistantClassCClub(59ATJAmembers) 8points 2pointsClassBClub(1019ATJAmembers) 10points 4pointsClassAClub(2029ATJAmembers) 12points 6pointsBronzeStarClub(3049ATJAmembers) 16points 8pointsSilverStarClub(5069ATJAmembers) 24points 12pointsGoldStarClub(70+ATJAmembers) 32points 16points

CoachingCompetitors CoachTournamentTeamEntry(Atleastsixcompetitors) 2pointpereventProducingState/RegionalChampion 4pointsperChampionProducingInternationalCChampion 6pointsperChampionProducingInternationalCPlaceWinner 4pointsperWinnerProducingJuniorNationalChampion 4pointsperChampionProducingJuniorNationalPlaceWinner 6pointsperWinnerProducingSeniorNationalChampion 12pointsperChampionProducingSeniorNationalPlaceWinner 8pointsperChampionProducingInternationalBChampion 16pointsperChampionProducingInternationalBPlaceWinner 12pointsperChampionProducingWorld/OlympicChampion 24pointsperChampionProducingWorld/OlympicPlaceWinner 16pointsperChampion

Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total Attendence

Points Earned

Total Points

Total Sessions Points Earned

Total Points

Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total Attendence

Points Earned

Total Points

Date Entry Points

Place Points

EventLevel

Points Earned

Total Points

Date EventLevel

Points Earned

Version 1.0 Dated 02/19/2014 Total Points

Points for Refereeing/Judging/Assisting/Hosting at EventsName of Tournament/Clinic & Location Duty or Position

Points for Competition Events (Other than Intra-Club) Name of Tournament & Location

Points for Intra-Club Competition (Points as per Point Systemor as Club Sensei Directs)

ATJA Judo Record Form

Name: __________________________________ Rank: _______________

Total Points: _______ Start Date: ___________ End Date: ___________Use this record ford to record promotion points for Judo promotion. Refer to the designated points for each event as described in the ATJA Judo Promotion Point System. The latest Point System can be found on the ATJA web site.

Points for Class Attendence (1 point/10 classes)

Camp/Clinic/Demonstration Attendance or ClinicianDate(s) Name of event

Year ______ Points Earned

Total Points

Date Team Points

Place Points

EventLevel

Points Earned

Total Points

Date Points

Total Points

Name (Printed): Name (Printed):

Name (Signd): Name (Signd):

Name of Event.Service or Qualifying Event & Location (if appropriate)Other Points Earned of overflow from other sections

Name of Tournament & LocationCoaching Competition Teams/Individuals

Certification, Service orClub Position

Year ______ Year ______ Year ______ Year ______Level orClub Size

Points for Certification(s), Club Instructor/Assistant Instructor, Other Service

ApplicantI certify that the points listed herein are recorded correctly and in accordance with the ATJA Judo Promotion Point System.

Sensei/ExaminerI certify I have reviewed and approve these points as described for promotion in accordancewith the ATJA Judo Promotion System

Name: __________________________ Rank Testing For:__________________List #1 6K 5K 4K 3K 2K 1K 1D 2D 3D 4D 5D 6D

4 8 8 8 8 8 8 8 8 8 8 8Pass Fail Comments Pass Fail Comments

De-ashi-harai _____________________________ O-soto-gari _____________________________Hiza-guruma _____________________________ O-goshi _____________________________Sasae-tsurikomi-ashi _____________________________ O-uchi-gari _____________________________Uki-goshi _____________________________ Seoi-nage _____________________________

List #2 6K 5K 4K 3K 2K 1K 1D 2D 3D 4D 5D 6D0 0 4 6 8 8 8 8 8 8 8 8

Pass Fail Comments Pass Fail CommentsKo-soto-gari _____________________________ Okuri-ashi-harai _____________________________Ko-uchi-gari _____________________________ Tai-otoshi _____________________________Koshi-guruma _____________________________ Harai-goshi _____________________________Tsurikomi-goshi _____________________________ Uchi-mata _____________________________


Pass Fail Comments Pass Fail CommentsKo-soto-gake _____________________________ Hane-goshi _____________________________Tsuri-goshi _____________________________ Harai-tsurikomi-ashi _____________________________Yoko-otoshi _____________________________ Tomoe-nage _____________________________Ashi-guruma _____________________________ Kata-guruma _____________________________


Pass Fail Comments Pass Fail CommentsSumi-gaeshi _____________________________ Utsuri-goshi _____________________________Tani-otoshi _____________________________ O-guruma _____________________________Hane-makikomi _____________________________ Soto-makikomi _____________________________Sukui-nage _____________________________ Uki-otoshi _____________________________

AmericanTraditionalJujitsuAssociationJudoKyuandDanExam

Page1Score___________

TachiWazaGokyonoWazaDaiIkkyo

TachiWazaGokyonoWazaDaiSankyo

TachiWazaGokyonoWazaDaiNikyo

TachiWazaGokyonoWazaDaiYonkyo

Version3.2 Page1of7 revised01/11/14


Pass Fail Comments Pass Fail CommentsO-soto-guruma _____________________________ Ushiro-goshi _____________________________Uki-waza _____________________________ Ura-nage _____________________________Yoko-wakare _____________________________ Sumi-otoshi _____________________________Yoko-guruma _____________________________ Yoko-gake _____________________________


Pass Fail Comments Pass Fail CommentsObi Otoshi _____________________________ Daki Wakare _____________________________Seoi Otoshi _____________________________ Hikikomi Gaeshi _____________________________Yama Arashi _____________________________ Tawara Gaeshi _____________________________Osoto Otoshi _____________________________ Uchi Makikomi _____________________________


Pass Fail Comments Pass Fail CommentsMorote Gari ______________________________ Uchi Mata Gaeshi _____________________________Kuchiki Taoshi _____________________________ Hane Goshi Gaeshi _____________________________Kibisu Gaeshi _____________________________ Kani Basami _____________________________Uchi Mata Sukashi _____________________________ Osoto Makikomi _____________________________Daki Age _____________________________ Kawazu Gake _____________________________Tsubame Gaeshi _____________________________ Harai Makikomi _____________________________Kouchi Gaeshi _____________________________ Uchi Mata Makikomi_____________________________Ouchi Gaeshi _____________________________ Sode Tsurikomi Gosh_____________________________Osoto Gaeshi _____________________________ Ippon Seoinage _____________________________Harai Goshi Gaeshi ______________________________



TachiWazaGokyonoWazaDaiGokyo

TachiWazaHabukaretaWaza

TachiWazaShinmeishoNoWaza


List #8 6K 5K 4K 3K 2K 1K 1D 2D 3D 4D 5D 6DRenwakuWaza 0 2 3 4 5 7 9 10 12 16 18 18

Pass Fail Pass Fail

#1Anythreethrowcombination#1Forwardthrowtorearthrow #2Anythreethrowcombination

#1Anyfourthrowcombination#2Anyfourthrowcombination#1Anythrowtopin#2Anythrowtopin#1Anythrowtoarmbar#2Anythrowtoarmbar#1Anythrowtochoke#2Anythrowtochoke


Pass Fail Pass Fail

(CombinationTechniques)

#2Forwardthrowtoforwardthrow

#2Forwardthrowtorearthrow#1Rearthrowtoforwardthrow

#2Rearthrowinresponsetorearthrow#1Sacrificethrowinresponsetoforwardthrow

#2Sacrificethrowinresponsetorearthrow#2Anyarmbarinresponsetothrow

#2Roundoffdefenseinresponsetothrow



#2Forwardthrowtosacrificethrow#1Rearthrowtosacrificethrow

#2Sacrificethrowinresponsetoforwardthrow#1Sacrificethrowinresponsetorearthrow

#2Turnoutdefenseinresponsetothrow

#2Rearthrowtoforwardthrow

#1Roundoffdefenseinresponsetothrow

#1Rearthrowinresponsetorearthrow

#2Forwardthrowinresponsetoforwardthrow#1Forwardthrowinresponsetorearthrow#2Forwardthrowinresponsetorearthrow#1Rearthrowinresponsetoforwardthrow#2Rearthrowinresponsetoforwardthrow

KaeshiWaza(CounterTechniques) #1Forwardthrowinresponsetoforwardthrow

#1Turnoutdefenseinresponsetothrow

#1Jumparounddefenseinresponsetothrow#2Jumparounddefenseinresponsetothrow#1Hipblockdefenseinresponsetothrow#2Hipblockdefenseinresponsetothrow#1Stepawaydefenseinresponsetothrow#2Stepawaydefenseinresponsetothrow#1Anyarmbarinresponsetothrow

#2Anychokeinresponsetothrow#1Anychokeinresponsetothrow

#1Forwardthrowtoforwardthrow

#1Rearthrowtorearthrow#2Rearthrowtorearthrow#1Forwardthrowtosacrificethrow

#2Rearthrowtosacrificethrow



Pass Fail Pass Fail

KesaGatame KuzurekesagatameYokoshihoGatame KuzureYokoshihoGatameKamishihoGatame KuzurekamishihogatameKatagatame UkiGatameTateshihogatame SankakuGatameUshiroKesaGatame MakuraKesaGatame

List #11 6K 5K 4K 3K 2K 1K 1D 2D 3D 4D 5D 6DShimeWaza 1 2 3 4 5 6 10 12 14 14 14 14

Pass Fail Pass Fail

Namijujijime SodegurumajimeGyakujujijime KatatejimeKatajujijime RyotejimeHadakajime TsukkomijimeOkurierijime TomoejimeKatahajime DoJimeJikokuJime MorotejimeSankakujime JigokuJime

List #12 6K 5K 4K 3K 2K 1K 1D 2D 3D 4D 5D 6DKansetsuWaza 0 1 2 3 4 5 6 8 10 12 12 12

Pass Fail Pass Fail

Udegarami AshigaramiUdehishigijujigatame UdehishigiashigatameUdehishigiudegatame UdehishigitegatameUdehishigihizagatame UdehishigisankakugatameUdehishigiwakigatame OtherUdehishigiharagatame Other



OsaekomiWaza


List #13 6K 5K 4K 3K 2K 1K 1D 2D 3D 4D 5D 6DFusegi 1 2 3 4 5 6 8 10 12 14 14 14

Pass Fail Pass Fail

KesaGatameEscape#1 KatagatameEscape#2KesaGatameEscape#2 TateshihogatameEscape#1YokoshihoGatameEscape#1 TateshihogatameEscape#2YokoshihoGatameEscape#2 ShimeWazaescape#1KamishihoGatameEscape#1 ShimeWazaescape#2KamishihoGatameEscape#2 KansetsuWazaescape#1KatagatameEscape#1 KansetsuWazaescape#2

List #14 6K 5K 4K 3K 2K 1K 1D 2D 3D 4D 5D 6DHairiWaza 0 1 3 5 6 7 8 10 12 12 12 12

Pass Fail Pass Fail

Hands&KneesTop#1 Hands&KneesBottom#1Hands&KneesTop#2 Hands&KneesBottom#2Hands&KneesTop#3 Hands&KneesBottom#3LegsAroundTop#1 LegsAroundBottom#1LegsAroundTop#2 LegsAroundBottom#2LegsAroundTop#3 LegsAroundBottom#3

List #15 6K 5K 4K 3K 2K 1K 1D 2D 3D 4D 5D 6DUkemiWaza 2 4 4 4 4 4 4 4 4 4 4 4

Pass Fail Pass Fail

MaeUkemi Forwardfall YokoUkemi SidefallUshiroUkemi Backwardfall ZempoKaiten ForwardJudoroll

List #16 6K 5K 4K 3K 2K 1K 1D 2D 3D 4D 5D 6DDemonstration 3 6 7 9 10 10 10 10 10 10 10 10

Pass Fail Pass Fail

Ayumi Ashi How to tie beltTsugi Ashi How and when to bowTai Sabaki How to sit properlyShizen Hon Tai Shizen Jigo TaiDirections of off balancing How to referee a match




List #17 6K 5K 4K 3K 2K 1K 1D 2D 3D 4D 5D 6DKumi Kata 0 0 0 0 0 0 1 2 3 3 3 3Gripping Forms Pass Fail Comments

Standard Grip _____________________________ Back Grip _____________________________High Lapel Grip _____________________________ Over Shoulder Grip _____________________________Low Lapel Grip _____________________________ Double Sleeve Grip _____________________________Sleeve Grip _____________________________ Cross Grip _____________________________Collar Grip _____________________________ Belt Grip _____________________________

List #18 6K 5K 4K 3K 2K 1K 1D 2D 3D 4D 5D 6DKata 0 0 0 0 0 0 1 1 2 3 3 4

Pass Fail Pass Fail

NagenoKata KiminoKataKatamenoKata KoshikinoKataKodokanGoshinJutsuKata ItsutsunoKataJunoKata GonoSennoKataRenrakunoKata SeiryokuZenyoKokuminTaiiku


Pass Fail Comments Pass Fail Comments#1 _____________________________ #3 _____________________________#2 _____________________________ #4 _____________________________

List #20 6K 5K 4K 3K 2K 1K 1D 2D 3D 4D 5D 6DTeaching 0 0 0 0 0 0 0 1 1 1 1 1

Pass Fail Comments______________________________________________________________________________________________________________________________________________________________________________

List #21 6K 5K 4K 3K 2K 1K 1D 2D 3D 4D 5D 6DPresentation 0 0 0 0 0 0 0 0 1 1 1 1

Pass Fail Comments______________________________________________________________________________________________________________________________________________________________________________



KappoFirstAid


6K 5K 4K 3K 2K 1K11.2 24.8 36 48 57.6 68.8

1D 2D 3D 4D 5D 6D88 104.8 124 140.8 148.8 155.2

Page Score12

/ Date: 3456

/ Date:

/ Date:

SummaryandSignaturePage


Pass/Fail:

PassingScore(80%)

Examiner#1(Printed):

TestTotalPassingscore

Examiner#1(Signature):

Examiner#1(Rank/Examiner):

TesteeName(Printed):

TesteeName(Signature):








Tachi WazaPass Fail L/U NAGE WAZA THROWING TECHNIQUES

JR01 OGOSHI MAJOR HIP THROW JR01 O SOTO GARI MAJOR OUTSIDE REAPING THROW JR02 HIZA GURUMA KNEEWHEEL THROW JR02 IPPON/MOROTE SEOINAGE SHOULDER THROW JR03 DEASHIHARAI ADVANCED FOOT SWEEPJR03 OUCHIGARI MAJOR INSIDE REAPING THROWJR04 SASAE-TSURIKOMIASHI PROPPINGLIFTING FOOT SWEEPJR04 UKIGOSHI FLOATING HIP THROWJR05 TAIOTOSHI FORWARD BODY DROP THROWJR05 KOSOTOGARI MINOR OUTER REAPING THROWJR06 HARAIGOSHI SWEEPING LOIN THROWJR06 KOUCHIGARI MINOR INNER REAPING THROWJR07 KOSHIGURUMA HIP WHEEL THROWJR07 UCHIMATA INNER THIGH SWEEPJR08 KOSOTOGAKE MINOR OUTER DASH THROWJR08 TSURIGOSHI LIFTING HIP THROWJR09 OKURIASHIHARAI SLIDING FOOT SWEEPJR09 TOMOE NAGE SOMERSAULT THROWJR10 TSURIKOMIGOSHI PROPPINGLIFTING HIP THROWJR10 ASHIGURUMA LEG WHEEL THROWJR11 YOKO OTOSHI LATERAL DROP THROWJR11 TANIOTOSHI VALLEY DROP THROWJR12 UKIOTOSHI FLOATING DROP THROWJR12 KATA GURUMA SHOULDER WHEEL THROWJR12 SOTO MAKI KOMI OUTER WINDING THROW

Pass Fail L/U RENWAKU WAZA COMBINATION TECHNIQUES JR03 OGOSHI MAJOR HIP THROW JR04 IPPON/MOROTE SEOINAGE SHOULDER THROW JR06 4K HIZA GURUMA KNEEWHEEL THROW JR08 3K DEASHIHARAI ADVANCED FOOT SWEEPJR10 2K OUCHIGARI MAJOR INSIDE REAPING THROWJR11 O SOTO GARI MAJOR OUTSIDE REAPING THROW JR12 UCHIMATA INNER THIGH SWEEP

Pass Fail L/U KAESHI WAZA COUNTER TECHNIQUES JR02 6K OGOSHI MAJOR HIP THROW JR04 5K O SOTO GARI MAJOR OUTSIDE REAPING THROW JR05 IPPON/MOROTE SEOINAGE SHOULDER THROW JR06 HIZA GURUMA KNEEWHEEL THROW JR07 DEASHIHARAI ADVANCED FOOT SWEEPJR08 KOUCHIGARI MINOR INNER REAPING THROWJR10 2K TSURIGOSHI LIFTING HIP THROWJR11 UCHIMATA INNER THIGH SWEEPJR12 TAIOTOSHI FORWARD BODY DROP THROW

NOTE: JUNIOR BELT COLOR IN PARANTHESIS IF DIFFERENT FROM ADULT BELT COLORVersion 1.4

Level

Level

5K

3KBROWN(BLUE)

5KORANGE

Level

2KBROWN

(PURPLE)

1KBROWN

ATJA Judo Kyu Curriculum(This form may be used instead of the ATJA Judo Kyu &

Dan Exam for Kyu ranks. Dan Ranks must use the ATJA Judo Kyu & Dan Exam)

6KYELLOW

4KGREEN

Testee Name: __________________________________________ Date: _________________Current Rank: _____________________ Passed Rank : _______________________Testor: ___________________________ Sensei Approval: _______________________

1K

1K

4K

3K

Pass Fail L/U OSAEKOMI WAZA HOLDING TECHNIQUES JR01 KESA GATAME SCARF HOLDJR02 YOKOSHIHO GATAME SIDE LOCKING 4 CORNER HOLDJR04 5K KAMISHIHO GATAME UPPER 4 CORNER HOLDJR06 4K KUZURE KESA GATAME MODIFIED SCARF HOLDJR08 3K KUZURE YOKOSHIHO GATAME MODIFIED SIDE 4 CORNER HOLDJR10 2K KATA GATAME SHOULDER HOLD

Pass Fail L/U FUSEGI WAZA HOLDING ESCAPE TECHNIQUES JR01 6K KESA GATAME #1 SCARF HOLD ESCAPEJR02 5K YOKOSHIHO GATAME #1 SIDE LOCKING 4 CORNER HOLD ESCAPEJR04 4K KAMISHIHO GATAME #1 UPPER 4 CORNER HOLD ESCAPEJR06 3K KESA GATAME #2 SCARF HOLD ESCAPEJR08 2K YOKOSHIHO GATAME #2 SIDE LOCKING 4 CORNER HOLD ESCAPEJR10 1K KATA GATAME SHOULDER HOLD ESCAPE

Pass Fail L/U SHIME WAZA CHOKING TECHNIQUES JR01 6K HADAKA JIME NAKED CHOKEJR02 5K NAMI/KATA/GYAKU JUJI JIME NORMAL/HALF/REVERSE CROSS CHOKEJR04 4K OKURI ERI JIME SLIDING LAPEL CHOKEJR06 3K KATAHA JIME SINGLE SHOULDER CHOKEJR08 2K RYOTE JIME BOTH HANDS LAPEL CHOKEJR10 1K SANKAKU JIME TRIANGLE (FIGURE 4) CHOKE

Pass Fail L/U KANSETSU WAZA ARM LOCKING TECHNIQUES N/A 5K UDE GARAMI BENT ARM LOCKN/A 4K UDE HISHIGI UDE GATAME STRAIGHT ARM LOCKN/A 3K UDE HISHIGI JUJI GATAME CROSS ARM LOCKN/A 2K UDE HISHIGI HIZA GATAME KNEE ARM LOCKN/A 1K UDE HISHIGI SANKAKU GATAME TRIANGLE (FIGURE 4) LOCK

Pass Fail L/U HAIRI WAZA ENTRY TECHNIQUES INTO KATAME WAZAJR04 5K HANDS & KNEES TOP #1 JR05 HANDS & KNEES BOTTOM #1JR06 LEGS AROUND TOP #1 JR07 LEGS AROUND BOTTOM #1JR08 HANDS & KNEES TOP #2 JR09 HANDS & KNEES BOTTOM #2JR10 LEGS AROUND TOP #2JR11 1K LEGS AROUND BOTTOM #2

Pass Fail L/U UKEMI WAZA FALLING TECHNIQUES JR01 KOHO UKEMI BACK FALLSJR02 YOKO UKEMI SIDE FALLSJR03 MAE UKEMI FRONT FALLSJR04 ZENPO KAITEN FORWARD ROLLS

Pass Fail L/UJR01 HOW & WHEN TO BOWJR02 HOW TO SIT PROPERLYJR02 HOW TO TIE BELTJR03 TSUGI ASHI FOLLOW FOOT MOVEMENTJR04 AYUMI ASHI NORMAL FOOT MOVEMENTJR04 TAI SABAKI BODY TURNINGJR06 4K SHIZEN HON TAI BASIC NATURAL STANCEJR07 SHIZEN JIGO TAI BASIC DEFENSIVE STANCEJR08 DIRECTIONS OF OFF BALANCING

JR010 2K HOW TO REFEREE A MATCH

Level

Level

2K

Level

4K

KatameWaza

6K

Level

Level

5K

DEMONSTRATE

3K

3K

5K

Level

Level

6K

6K

ATJA Judo Program Judo Knowledge and Vocabulary Exam

1

Name: ___________________________ Current Rank: ____________ Date: ________________

All must answer the following for both the Knowledge section and the Vocabulary section on a separate answer sheet. Answer in order until directed to stop for the level being tested for is reached. Make sure you type your name clearly on the answer sheet. Knowledge questions. All Start Here: 1 .Who was the founder of Judo? 2. What is the name of the school he founded? 3. What is the date of the founding of Judo? 4. What was unarmed combat called in Japan before Judo? 5. How long have unarmed combat martial arts been practiced in Japan? 6. What is the name of your Judo club? JR01 Stop Here 7. Name the three parts of a Judo throw in English, and Japanese. 8. Name the three parts of unarmed combat in English and Japanese. JR02 and 6K Stop Here 9. Name the two divisions of throwing techniques in English and Japanese. JR03 Stop Here 10. Name the three divisions of standing throwing techniques in English and Japanese. 11. Name the two divisions of sacrifice techniques in English and Japanese. JR04 and 5K Stop Here 12. Name the three divisions of mat techniques in English and Japanese. 13. Name three of the six men who attained the rank of 10th Degree Black Belt. JR05 Stop Here 14. What are the two principles of Kodokan Judo as defined

by Dr. Kano? 15. What is the ultimate goal of Judo as defined by Dr. Kano? All Stop Here for knowledge portion of exam Vocabulary Questions (write the Japanese word for the following): 1. Knee 2. Hip or waist 3. Hand 4. Foot 5. Big or major 6. Little or minor 7. Lock or hold 8. Falling methods or ways 9. Wheel 10. Begin! 11. Stop! 12. Hold-down! (Referees call) 13. Hold-down broken! (Referees call) 14. Don't move! (Referees call) 15. Continue! (Referees call in the case of two contestants who have been frozen by the ref. with the command "Don't move!") 16. Knee Wheel throw 17. Major Hip throw 18. Scarf Hold JR01 Stop Here

Judo Knowledge and Vocabulary Exam American Traditional Jujutsu Association Judo Program

2

19. Shoulder 20. Side 21. Throw 22. Reap 23. Corners (as in hold-downs) 24. Inside 25. Outside 26. Fundamental or basic 27. Natural 28. Defensive 29. Time is up! (ref.'s call) . 30. I surrender! 31. Fundamental natural posture 32. Fundamental defensive posture 33. Shoulder throw 34. Major Outside Reaping throw 35. Side Hold 36. Sixth class (kyu) Judo rank JR02 Stop Here 37. Sweep 38. Forms of off balancing 39. Forms of gripping one's opponent 40. Note! (Slight penalty given by referee) 41. Caution! (moderate penalty given by referee) 42. Warning\ (severe penalty given by referee) 43. Loss by violation of the rules! (Referees call) 44. One point! (Referees call) 45. Almost one point! (half-point. Referees call) 46. Almost one-half point! (Referees call d)

47. Slight superiority! (Referees call) 48. Normal walking 49. Sliding foot walking 50. Sitting on the knees 51. Sitting cross-legged 52. Advanced Foot Sweep throw 53. Major Inside Reaping throw 54. Upper Corners Hold JR03 Stop Here 55. To float 56. Lower prop 57. Lift 58. Pull 59. Defense (to an attack) 60. Escape (from a hold-down) 61. Modified (as in hold-downs) 62. Right 63. Left 64. Back falls 65. Forward falls 66. Decision! (ref.'s call for judge's decision) 67. Win by decision! (Referees call l) 68. Entry methods into mat work 69. Floating Hip throw 70. Foot Stop throw (literally Lower Prop Lift Pull Foot) 71. Modified Scarf Hold 72. Fifth class (kyu) Judo rank JR04 and 5K Stop Here


3

73. Body 74. Rolling 75. Front rolling falls 76. Drop 77. Valley 78. Body movement 79. Pivoting or turning the body 80. Technique 81. Counter techniques 82. Attention! 83. Bow! 84. Teacher 85. Practice hall for Judo 86. Judo uniform 87. Judo player 88. Little inside Reaping throw 89. Hip Wheel throw 90. Modified Side Hold JR05 Stop Here 91. Judo uniform sleeve 92. Judo uniform lapel 93. Judo uniform jacket 94. Belt 95. The attacker 96. The defender 97. Repetition attack practice without throwing, done in pairs 98. Alternate throwing practice without resistance 99. Pantomime practice 100. Form practice

101. Free practice 102. Practice in general 103. Posture in general 104. Combination or faking techniques 105. Little Outside Reaping throw 106. Lifting Pulling Hip throw 107. Modified Upper Corners Hold 108. Fourth class (kyu) Judo rank JR06 and 4K Stop Here 109. To slide 110. Way of the warrior 111 .Martial arts 112. Win by forfeit or default of the opponent before a match 113. Win by withdrawal of the opponent during a match 114. Combination win by one-half point from opponent's penalty and one-half point from a score 115. Five stages of technique, the basic syllabus of Kodokan Judo 116. The principle of gentleness or giving way 117. Way of life 118. Warm-up exercises in Judo 119. Cooling-off exercises in Judo 120. Exercises in general 121. Holder of any rank below Black Belt 122. Holder of any Black Belt rank 123. Swallow-flight counter throw 124. Sliding Foot Sweep throw 125. Sweeping Hip throw 126. Shoulder Hold JR07 Stop Here


4

127. Straw Japanese Judo Mats 128. Thigh 129. Shout to gather inner strength 130. Internal force or spiritual energy 131. Rear (in throwing and holding) 132. Kneeling bow 133. Standing bow 134. Tournament 135. Referee 136. Side of the practice or tournament mat reserved for highest rank judo players or officials 137. A point by adding two half points 138. Half-point added makes full point! (Referees call) 139. Favorite technique 140. Instantaneous promotion 141. Body Drop throw 142. Inner Thigh throw 143. Rear Scarf Hold 144. Third class (kyu) Judo rank JR08 and 3K Stop Here 145. To dash the opponent while throwing 146. Step or degree in the Black Belt Judo ranks 147. First degree Black Belt 148. 2nd degree Black Belt 149. 3rd degree Black Belt 150. 4th degree Black Belt 151. 5th degree Black Belt 152. 6th degree Black Belt 153. 7th degree Black Belt 154. 8th degree Black Belt

155. 9th degree Black Belt 156. 10th degree Black Belt 157. Winding pull while throwing 158. Past master of Judo (properly applied only to Dr .Kano 159. Illegal entwining of the leg in the Major Outside Reaping throw 160. Minor Outside Dashing throw 161. Lifting Hip throw 162. Straddling Hold JR09 Stop Here 163. Choke or strangle 164. To spring 165. Avoiding or evasive action 166. A little 167. Two handed (as in shoulder throw) 168. Black Belt Judo association 169. Practice in pairs 170. Win of any type 171. Loss of any type 172. Draw Match! (ref.'s call) 173. Decision (as in self-defense instantaneous decisions) 174. Contest area 175. Seeping Foot Stop throw 176. Springing Hip throw 177. Naked Strangle 178. Sliding Lapel Choke 179. Single Shoulder Choke 180. Second class (kyu) Judo rank JR10 and 4K Stop Here


5

181. Normal 182. Reverse 183. Cross 184. Sacrifice 185. Direct or flat 186. Forms of resuscitation used in Judo 187. "Winner stays out" team contest 188. Man for man, or elimination tournament 189. Maximum efficiency 190. Mutual benefit and welfare 191. Mountain Storm throw 192. Flying Scissors throw 193. Side (lateral) Drop throw 194. Shoulder Wheel throw 195. Normal Cross Choke 196. Half Cross Choke 197. Reverse Cross Choke 198. Arm

199. Crush 200. Circle 202. Armpit JR011 Stop Here 202. Scissor (by the legs; an illegal act in Judo competition) 203. Formal forms of throwing (a pre-arranged routine) 204. Formal forms of holding (a pre-arranged routine) 205. Formal forms of gentleness (a pre-arranged routine) 206. Formal forms of self-defense (a pre-arranged routine) 208. Ancient forms (a pre-arranged routine) 208. Forms of five (a pre-arranged routine) 209. Circle throw 210. Foot Wheel throw 211. Arm Crushing Cross Arm Lock 212. Arm Crushing Normal Arm Lock 213. Arm Crushing Bent Arm Lock 214. Arm Pit Lock 215. First class (kyu) Judo rank All Stop Here

Vocabulary Answers1 12 23 34 45 56 6

7a 77b 87c 98a 108b 118c 129a 139b 14

10a 1510b 1610c 1711a 1811b 1912a 2012b 2112c 2213a 2313b 2413c 2514a 2614b 2715 28

Continued on next page

Knowledge Answers

Name: ________________________ Current Rank: ________ Date: ____________

Judo Knowledge and Vocabulary ExamAmerican Traditional Jujutsu Association Judo Program

Answer Sheet (Page 1)

Vocabulary Answers Vocabulary Answers29 6130 6231 6332 6433 6534 6635 6736 6837 6938 7039 7140 7241 7342 7443 7544 7645 7746 7847 7948 8049 8150 8251 8352 8453 8554 8655 8756 8857 8958 9059 9160 92

Continued on next column Continued on next page



Vocabulary Answers Vocabulary Answers93 12594 12695 12796 12897 12998 13099 131

100 132101 133102 134103 135104 136105 137106 138107 139108 140109 141110 142111 143112 144113 145114 146115 147116 148117 149118 150119 151120 152121 153122 154123 155124 156

Continued on next column Continued on next page



Vocabulary Answers Vocabulary Answers157 189158 190159 191160 192161 193162 194163 195164 196165 197166 198167 199168 200169 201170 202171 203172 204173 205174 206175 207176 208177 209178 210179 211180 212181 213182 214183 215184 End of Exam185186187188

Continued on next column



American Traditional Jujutsu Association Membership Application P.O Box 1613, Hilliard, OH, USA 43026 Telephone: (614) 279-9939 Email: [email protected] Web site: www.atja.org

Section 1 - Personal Information (Please complete all sections, print or type clearly)

Circle one: New Member / Renewal Member #:

Name: Home Telephone: ( )

Address: Other Telephone: ( )

City: Age: Gender (Circle one) Male / Female

State: Zip: Birth Date:

Email: Country of Citizenship

Martial Art: Rank: Date of Rank: (List highest rank held)

Martial Art: Rank: Date of Rank: (List other rank held)

ATJA Club Name: ATJA Club #: Instructor:

Section 2 - Membership Fees

Please check your membership plan and indicate the enclosed fee. Sign waiver below and mail to the address above.

Annual Membership: (includes one year's accident and liability insurance) $20 (4 to 16 years old), or $40 (17 years old or older) $

Foreign Addresses: $10.00 (for foreign addresses, other than APO/FPO) $ Total Enclosed (Please make check or money order payable to "ATJA".) $ Section 3 - Waiver of Liability

In consideration of being allowed to participate in any way in the American Traditional Jujutsu Association martial arts program(s), and related events and activities, the undersigned: 1. Agree that the parent(s) or legal guardian(s) will instruct the minor participant that prior to participating, he or she should inspect the facilities and equipment to be used, and if the participant believes anything is unsafe, he or she will immediately advise his or her coach or supervisor of such condition(s) and refuse to participate. 2. Acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions or negligence but the actions, inactions or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time. 3. Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death. 4. Release, waive, discharge and covenant not to sue the American Traditional Jujutsu Association, its officers, its affiliated clubs, their respective administrators, directors, agents, coaches, and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessees of premises used to conduct the event, all of which are hereinafter referred to as releasees from any and all liability to each of the undersigned, his or her heirs and next of kin for any and all claims, demands, losses or damages on account of injury including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releasee or otherwise. The undersigned have read the above waiver and release, understand that they have given up substantial rights by signing it and sign it voluntarily.

Printed Name of Applicant: Signature: Date: Printed Parent/Guardian: Signature: Date: (If Applicant is under 17 years old)

ATJA Form 100B, February 8, 2014--Al1 previous forms are obsolete

AMERICANTRADITIONALJUJUTSUASSOCIATION

NationalBackgroundScreeningConsentForm Applicants Legal Name (printed): ___________________________________________________________ Social Security Number: _________________ Date of Birth: __________ Applicants Address: ____________________________________________ City: ___________________________State: _________Zip: __________ I, _______________________________, authorize and give consent for the above named organization to obtain information regarding myself. This includes the following: Local Criminal background records/information National Criminal background records/information All 50 State Sex Offender Registries Full Address Trace Social Security Verification I the undersigned, authorize this information to be obtained either in writing or via telephone in connection with my application. Any person, firm or organization providing information or records in accordance with this authorization is released from any and all claims of liability for compliance. Such information will be held in confidence in accordance with the organizations guidelines. By signing this document, I am providing the above named Organization my consent for an initial background check as well as any subsequent background checks deemed necessary throughout the length of my assignment with this Organization. PAYMENT INFORMATION: CC#: _______________________________ Exp Date: _______________ 3/4 Digit Code:___________ Type of CC (Sircle one): Visa MC Amex Print Name:__________________________ Date: ______________ Signature:________________________________________________________________

Fax to 866-996-1292, Scan, or Email to [email protected], or

Mail to SSCI, 1853 Piedmont Rd. Suite 100, Marietta, GA 30066

judo promotion application - the atjaatja.org/atja_judo/docs/atja_judo_promotion_package.pdf ·...

Documents