Release form for Adults (Competitors 18 yrs old and older)

NOTICE: This is a legal document which must be properly completed and signed or your entry

will not be accepted. PLEASE READ CAREFULLY. It affects your rights. If you do not

understand it. obtain legal advice before signing.

RELEASE, INDEMNITY, WARRANTY, AND ASSUMPTION OF RISK

IN CONSIDERATION OF the acceptance of my entry to compete in and/or my being permitted to participate in the

East Region Training Session (hereinafter referred to as "this event"), I hereby release, remise and forever discharge,

and agree to indemnify and save harmless The Ontario Judo Black Belt Association, The East Region, the organizers

of this event, their respective officers, executives, directors, officials, agents, servants and representatives

(hereinafter referred to as "the Releases") from and against all claims, actions, costs, expenses and demands in

respect of death, injury, loss or damage to my person or property, howsoever caused, arising out to or in connection

with my competing or participating in this event and notwithstanding that the same may have been caused by,

contributed to or occasioned by the negligence, breach of contract, breach of a common duty of care as an occupier

of premises, or otherwise, of or by the Releases or any of them.

I agree to assume all risks, both known and unknown, and all consequences thereof, arising out of or in connection

with my competing or participating in this event. I agree to adhere to all rules, regulations and conditions of this

event.

I CERTIFY THAT:

1. I am in good physical condition and I have no injury, disease or disability nor have I injected or ingested

anything that would impair my performance or physical condition or increase the likelihood of injury in

competing or participating in this event.

2. No physician, nurse, therapist, trainer, coach, manager or other person has advised me not to compete or

participate in a body contact sport or in this event.

3. I am familiar with the sport of judo and the nature of a judo contest. I am aware that there is a high risk of

injury by the very nature of the sport.

THIS DOCUMENT SHALL BE BINDING UPON MYSELF, MY HEIRS, EXECUTORS, ADMINISTRATORS,

ASSIGNS AND PERSONAL REPRESENTATIVES.

I have read this document and I understand it fully.

SIGNATURE:______________________________________

DATE:_____________________________________________