Arizona Freestyle Judo Scrimmage Application

"*" indicates required fields

Name*
Address*
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I understand that physical injury and related damages are an inherent risk of participation in the sport of Judo and Martial Arts. I expressly assume all such risks. I agree to read and follow the rules and regulations of the Arizona Summer Judo Open (Event). I accept full responsibility for the cost of medical and/or other treatment for any injury or damage which I may sustain. I release, hold harmless, and waive all claims against the facility, promoters, operators, officials, coaches, teams/clubs, and sponsors, individually and/or collectively, for all injury or damage I may sustain while attending or participating in this event, including any claim for negligent supervision, instruction and/or maintenance of the facilities. Arizona Freestyle Judo has the right to refuse entry or admission to anyone. No refunds will be given. Please indicate your acceptance of this waiver. (If under 18 this release & consent must be made by parent or guardian).
I acknowledge I truthfully answered the above questions/information and willing sign this participation waiver prior to participation in this event and hold harmless Coach Decker Martial Arts, Arizona Freestyle Judo, Judo, inc. and Mesa Parks and recreation. Please indicate your acceptance of this waiver. (If under 18 this release & consent must be made by parent or guardian).
I further understand that any pictures taken of the minor child or in connection with this athletic organization may be used by the ARIZONA FREESTYLE JUDO for publicity or promotion without compensation. Please indicate your acceptance of this waiver. (If under 18 this release & consent must be made by parent or guardian).
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