Judo Tournament Pre-Registration
Please enter information about the competitor on this form. You will receive a copy of your responses by email.
Email address *
First Name of Competitor *
Your answer
Last Name of Competitor *
Your answer
Birth Date of Competitor *
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/
DD
/
YYYY
If competitor is a minor, name of parent or guardian authorizing participation
Your answer
USA Judo, USJF, or USJA Member Number. You must have a current membership in order to compete in this tournament. *
Your answer
Membership expiration date *
Your answer
Cell phone number, where we can reach you on the day of the tournament.
Your answer
Home Address *
Your answer
City, State, Zip *
Your answer
POWER OF ATTORNEY. If competitor is under the age of 18, and his/her parent will NOT be present at the tournament, we require a power of attorney. This POA is located on page 4 of the '2018_LandofLakesOpen' form which can be downloaded from www.midwayjudo.com. The form must be printed, signed, and sent with the competitor.
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