CERTIFICATE REGARDING JUNIOR AGE CONTESTANT'S ATHLETIC, TECHNICAL KNOWLEDGE AND ABILITY TO COMPETE IN THE SAITO CUP COMPETITION

To be completed for contestants competing in the Saito Cup Competition.

Name of Competitor:	Age:

WARNING!

WAIVER AND RELEASE OF LIABILITY AND AGREEMENT TO PARTICIPATE

AS A CONTESTANT IN THE SAITO CUP COMPETITION

In consideration of being permitted to participate in any way, including travel to and from, in any Judo tournament, practice, clinic, and related events and activities of Alaska Judo, Inc., United States Judo, Inc., United States Judo Federation, Northwest Judo Yudanshakai, United States Judo Association, their respective affiliated clubs, and the Mat-Su School District, I hereby:

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

2.	Acknowledge that the Saito Cup competition matches male students from each Judo team attending the Alaska State Judo Championships, who choose to participate in the Saito Cup competition, by age classes only, regardless of weight or judo rank. Age classes used are 6-8, 9-10, 11-12, 13-14, and 15-16.

3.	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 or supervisor and/or tournament officials of such condition(s) and refuse to participate.

4.	Acknowledge and fully understand that I will be engaging in a contact sport that might result in serious injury, 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.

5.	Knowing the risks involved in the sport of Judo, I assume all such risks and accept personal responsibility for the damages following such injury, permanent disability, or death.

6.	Release, waive, discharge and covenant not to sue the Alaska Judo, Inc., United States Judo , Inc., the United States Judo Federation, the Northwest Judo Yudanshakai, the United States Judo Association, and the Mat-Su School District, 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 in conducting the event, all of whom are hereinafter referred to as "releasee", from any and all claims, demands, losses, or damages on account of injury, including permanent disability and death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releasee or otherwise to the fullest extent permitted by law.

7.	Parents or legal guardians of Saito Cup participants acknowledge that their legal dependant is, upon the recommendation of his/her Judo instructor (or coach), capable of competing against other judo competitors in the Saito Cup competition regardless of differences in weight or Judo rank.

Participant	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 form 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.

Guardian	Guardian's Signature	Date