日本ブラジリアン柔術連盟 第 9 回 関 東 柔 術 選 手 権 9th Kanto Jiu-Jitsu Championship 2 0 1 5 /05/31台東リバーサイドスポーツ セン タ ー Registration Name ID Number Sex M/F 〒 Address Date of Birth / / (age ) Nationarity Tel Cellular Academy name Academy ID Age division Belt Weight division Juvenile (athletes born in 1998 and 1999) White Rooster Adult (athletes born in 1997 and before) Blue Light Feather Master 1 (athletes born in 1985 and before) Purple Feather Master 2 (athletes born in 1979 or before) Brown Light Black Middle Medium Heavy Heavy Super Heavy Ultra Heavy Open Class Recognizance I agree to the rules set forth by a tournament host and to compete with the qualities of good sportsmanship. I will follow the tournament host regarding their selection procedure of participants and abide by the rules and regulations. I agree not to sue the tournament host, or any related organizations for an accident, injury, death, and posttraumatic syndrome that happened during the tournament. I have read and understood the above statement and I, hereby, agree to participate in the tournament at my own risk. I give up any rights to the tournament host for copyrights related to the tournament. I also agree to the public display of any personal information through brochures, official results, etc. Signature Date / / / / ※If you are 20 years old or younger, the signature of parents/guardians is required. The guardian's signature Date
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