WARNING! WAIVER AND RELEASE OF LIABILITY AND AGREEMENT TO PARTICIPATE

FALSE ALARM/DAMAGES

This form certifies that the Contestant and her/his legal guardian(s) understand that emergency vehicle response to a false alarm may result in serious injury and loss of life, and that fine, imprisonment and other possible legal consequences may result from activating any false alarm in connection with participation in this tournament. In addition, charges assessed for a false alarm or for other damage to tournament and hotel facilities shall, together with all costs and fees incurred with collecting said charges, shall be the responsibility of the responsible Contestant’s parent(s) /legal guardian(s) and home Dojo. This provision has been explained to the Contestant.

Contestant’s Printed Name Contestant’s Signature Date
Parent/Guardian’s Printed Name Parent/Guardian’s Signature Date
Judo Instructor’s Printed Name Judo Instructor’s Signature Date
                               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 2022 US OPEN Judo Championships and related events and activities of United States Judo, Inc. (USA Judo), USJA, USJF, ATJA, Greater Fort Lauderdale/Broward County Convention Center, Marriott Harbor Beach Resort and Spa, Best Western Plus Ocean Side, B Ocean Resort, Tournament Directors, Tournament Organizers, Tournament Staff, Florida Judo, Inc. and YMCA Panther Judo, I hereby:

1.     Acknowledge that I am familiar with the sport of Judo and understand the rules governing the sport of Judo.

2.     Agree 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 beyond my capability, I will immediately advise my coach, supervisor, and/or a tournament official of such conditions and refuse to participate.

3.     Acknowledge and fully understand that I will be engaging in a contact sport that might result in serious injury, including  permanent disability or death, including possible exposure to and illness from infectious diseases (including but not limited to COVID-19, and severe social and economic losses due to not only 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 caused by, arising out of, resulting from or following such injury, permanent disability, or death. I understand that should I elect for myself or my child to participate in a weight or age category outside of his/her “true” weight/age and/or in a category with a significant weight disparity, that the risk of injury, permanent disability or death could be increased.

5.     Release, waive, discharge and covenant not to sue the United States Judo, Inc., the United States Olympic & Paralympic Committee, United States Judo Federation, United States Judo Association, American Traditional Jujutsu Association, Greater Fort Lauderdale Broward County Convention Center, Marriott Harbor Beach Resort and Spa, Best Western Plus Ocean Side , B Ocean Resort, Tournament Directors, Tournament Organizers, Tournament Staff, Florida Judo, Inc., YMCA Panther Judo,  together with their affiliated clubs, their respective administrators, directors, agents, coaches and other employees or volunteers of the organization, event officials, medical personnel, other participants, their parents, guardians, supervisors and coaches, sponsoring agencies, sponsors, advertisers, and if applicable, owners, lessors, and lessees of premises used to conduct the event, all of whom are hereinafter referred to as “releasee”, from any and all claims, demands, losses, actions, causes of actions or damages on account of injury, including permanent disability and death and possible exposure to and illness from infectious diseases (including but not limited to COVID-19,  and damage to property (Collectively, “Liabilities”), caused or alleged to be caused in whole or in part by the acts or omissions of the release, even if arising from their negligence, OR OTHERWISE to the fullest extent permitted by law.

6.     I understand and agree that I may be drug tested at any time, that I am subject to and will abide by the USADA Protocol for Olympic and Paralympic Movement Testing, its Annexes, and the USOPC National Anti-Doping Policies, and that any dispute related to the foregoing will be resolved exclusively in arbitration pursuant to the USADA Protocol. Before taking any medications, check the prohibited status at GlobalDRO.com. Also, be sure to download the Supplement 411 app or visit Supplement411.org to learn how to recognize and reduce the risks related to supplement use. If you have any anti-doping questions, please don’t hesitate to call Athlete Express at (866) 601-2632.

7.     I agree to be filmed and photographed under conditions approved and authorized by USA Judo, to include the use of my name, biographical information, public appearances, interviews, photographs, portrait and motion pictures and television recordings of my judo performance/participation   and grant to USA Judo and Organizers the right to record and make use of the same, and to authorize others to do so in promoting the competition and the success of the judo team on which I compete, to promote the image of USA Judo, its sponsors and advertisers, and the sport of amateur judo, and to fund the activities of the USA Judo.

I HAVE READ THE ABOVE WARNING, WAIVER AND RELEASE, UNDERSTAND THAT I GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND KNOWING THIS, SIGN IT VOLUNTARILY. I AGREE TO PARTICIPATE KNOWING THE RISK 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/GUARDIAN AS EVIDENCED BY THEIR SIGNATURE BELOW.
Participant’s Printed Name Participant’s Signature Date

 

FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION)

This is to certify that I, as parent/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 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.

Parent/Guardian’s Printed Name Parent/Guardian’s Signature Date