CERTIFICATION AND WAIVER

Member Name *
Member Name
Note: This is NOT your membership number. You can find this order number in the confirmation e-mail that was sent to you after you submitted your application. It is a 5-digit number beginning with 000. For help finding it, please e-mail suczewskisumo@gmail.com.
Please type your full legal name in the box below. I CERTIFY THAT THE INFORMATION ON THE USSF MEMBERSHIP APPLICATION REFERENCED ABOVE IS TRUE, AND THAT THE APPLICANT IS ELIGIBLE TO BE A MEMBER IN ACCORDANCE WITH THE RULES OF THE UNITED STATES SUMO FEDERATION, INC. AND I CERTIFY THAT ONE OF THE FOLLOWING STATEMENTS IS TRUE: (1) I, THE APPLICANT, HEREBY STATE THAT I AM 18 YEARS OF AGE OR OVER AND AGREE TO RELEASE, WAIVE AND DISCHARGE, TO THE GREATEST EXTENT PERMITTED BY LAW, THE UNITED STATES SUMO FEDERATION, INC. (USSF) FROM OR FOR ALL CLAIMS, DEMANDS AND CAUSES OF ACTIONS OR ANY OTHER LIABILITIES WHICH MAY ARISE BY VIRTUE OF INJURIES OR DAMAGES CAUSED IN CONNECTION WITH OR ARISING OUT OF MEMBERSHIP WITH THE USSF, AND THE ACTION OR LACK THEREOF OF THE USSF. I AGREE THAT I KNOW AND UNDERSTAND THE RISK INVOLVED IN THE SPORT OF SUMO, AND DO HEREBY ASSUME THESE RISKS AND ACCEPT THE RESPONSIBILITY FOR ANY DAMAGES OR INJURIES BY ENGAGING IN THE CONTACT SPORT OF SUMO. OR (2) I HEREBY STATE THAT I AM THE PARENT(S) OR LEGAL GUARDIAN OF THE APPLICANT, A MINOR. I STATE THAT I HAVE READ AND UNDERSTAND THE FOREGOING WAIVER AND RELEASE OF LIABILITY AGREEMENT. I HAVE EXPLAINED TO THE APPLICANT THAT HE/SHE IS GIVING UP SUBSTANTIAL RIGHTS BY SIGNING OR SUBMITTING THE APPLICATION, AND INSTRUCTED HER/HIM OF THE RAMIFICATIONS, AND THAT I/WE CONSENT TO THE APPLICANT’S BECOMING A MEMBER OF THE USSF AND PARTICIPATING IN SUMO PRACTICES, CLINICS AND EVENTS SANCTIONED OR SPONSORED BY THE USSF.