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2018 Judo Winter Nationals® Registration
Tournament Date:  Saturday Dec 8th 2018
Felix Event Center Azusa Pacific University
701 E. Foothill Blvd. Azusa, CA 91702 

01 Competitor Information
02 Second Division
03 Address Info
04 Emergency Contact
05 Consent


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WARNING!   WAIVER AND RELEASE OF LIABILITY AND AGREEMENT TO PARTICIPATE

 In consideration of being permitted to participate in any way, including travel to and from the Judo Winter Nationals® or in any Judo tournament, practice, clinic(s), and related events and activities (“Activity”) of the United States Judo Association, United States Judo Federation, USA Judo, Nanka Judo Yudanshakai, California Judo Inc., City of Claremont, Azusa Pacific University, Goltz Judo LLC, and Gary Goltz, I agree:

  1. I understand the nature of Judo activities and believe I am qualified to participate in such Activity. I also understand  the rules governing the sport of Judo.
  2. I further acknowledge that prior to participating, I will inspect the mats, equipment, facilities, competition   pools or divisions, and the elimination or scoring system to be used, and if I believe anything is unsafe or   eyond my capability, I will immediately advise my coach, supervisor, and/or a tournament official of such conditions and refuse to participate.
  3. I acknowledge and fully understand that I will be engaging in a contact sport that might result in serious injury, illness or disease, including permanent disability or death, and severe social and 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, 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, I assume all such risks and accept personal responsibility for the damages following such injury, illness, disease, permanent disability, or death.
  5. I hereby release, waive, discharge and covenant not to sue the United States Judo Association, United  States Judo Federation, USA Judo, Nanka Judo Yudanshakai, California Judo Inc., City of  Claremont, Azusa Pacific University, Goltz Judo LLC, and Gary Goltz, I agree, together with their affiliated clubs, their respective administrators, directors, officers, agents, coaches, and other employees or volunteers of the organization, event officials, medical personnel, other participants, their parents, legal guardians, supervisors and coaches, sponsoring agencies, sponsors, advertisers, and if applicable, owners, lessors, and lessees of premises used in conducting the event, all of whom are hereinafter referred to as "Releasees", from any and all litigation expenses, attorney fees, loss, liability, damage or costs because injury, illness, disease, including permanent disability and death or damage to property, caused or alleged to be caused in whole or in part by the negligent acts or omissions of the Releasees or otherwise to the fullest extent permitted by law

I HAVE READ THE ABOVE WARNING, WAIVER, AND RELEASE, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND KNOWING THIS, SIGN IT VOLUNTARILY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE. I AGREE TO PARTICIPATE KNOWING THE RISKS AND CONDITIONS INVOLVED AND DO SO ENTIRELY OF MY 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 THE REQUIRED CONSENT OF MY PARENT/LEGAL GUARDIAN AS EVIDENCED BY THEIR SIGNATURE BELOW. I INTEND THIS TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THAT THE BALANCE, NOTWITHSTANDING SHALL CONTINUE IN FULL FORCE AND EFFECT.

FOR PARENTS/LEGAL GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18) 

This is to certify that I, as parent/legal guardian with legal responsibility for this participant, do consent and agree to his/her release, as provided above, of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation including litigation expenses, attorney fees, loss, liability, damage or costs which may incur as the result of the minor child’s participation in these programs as provided above, even if arising from their negligence, to the fullest extent permitted by law. I have instructed the minor participant as to the above warnings and conditions and their ramifications.

 

Azusa Pacific University  Participant's Release and Waiver of Liability

 In consideration of being permitted to participate in 2018 Judo Winter Nationals®. (the “Activities”), I hereby voluntarily agree to waive, release and agree not to sue Azusa Pacific University, its officers, employees, agents, or volunteers for any and all claims, damages, costs, attorney's fees, or causes of action which I have or may have in the future, or which third parties have or may have in the future, as a result of injuries or any other damages suffered in connection with the Activities or travel to and from the Activities, arising out of or incident to any negligent act or omission or willful misconduct by Azusa Pacific University, its officers, employees, agents, or volunteers. I knowingly and voluntarily give up valuable legal rights, including the right to sue.

 I understand and agree that there exist risks of harm associated with participating in the Activities which may give rise to bodily injury, and/or property damage. These risks include, but are not limited to, those hazards associated with 2018 Judo Winter Nationals®. I will be engaging in a contact sport that might result in serious injury, illness or disease, including permanent disability or death, and severe social and 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, 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. I understand that I will be responsible for my own transportation. I further understand and agree that there may be risks and dangers not known or reasonably foreseeable at this time. I understand and agree that included within the scope of this waiver and release is any cause of action, arising from the performance of or the failure to perform supervision or control of the Activities, or the failure to warn of existing dangerous conditions not known to or reasonably discovered by Azusa Pacific University, including all acts of negligence of Azusa Pacific University, its officers, employees, agents, or volunteers.  I knowingly and voluntarily assume full responsibility for these risks arising out of or related to my participation in the Activities.

I HAVE CAREFULLY READ, AND I UNDERSTAND, ACKNOWLEDGE AND AGREE TO THIS RELEASE AND WAIVER OF LIABILITY AGREEMENT. I UNDERSTAND THAT I AM GIVING UP VALUABLE LEGAL RIGHTS BY SIGNING THIS AGREEMENT, AND THAT THIS AGREEMENT REPRESENTS A CONTRACT BETWEEN AZUSA PACIFIC UNIVERSITY AND MYSELF. I HAVE AGREED TO SIGN THIS AGREEMENT OF MY OWN FREE WILL.