Register Tickets Please note: Registration is for an individual whose tickets were already purchased and then assigned to you. JA Convention 2023 Registration Registration*Please note: All participants under 17 are considered youths.Registration for SPORTS JUJITSU closes on November 6, 2023. If you wish to register for sports jujitsu after this date, you may be placed in an open division. Registration for other events will remain open until the evening before the event. Have ticket(s) have been purchased? Yes NoWas an email or text message received inviting you or the attendee to register their tickets? Yes NoGreat! You are all set to register for the JA 2023 Convention.*Please note: Tickets must be first purchased and then assigned to the attendee before registering. Purchase Event Tickets*Please note: You cannot submit this registration until the ticket(s) are purchased and then assigned to the attendee for this registration. If you are the purchaser of your tickets, click the "Assign My Tickets" button below to assign tickets to yourself and then submit your registration. Please look for the email and text message that was sent to you from info@jujitsuamerica.org that has the "Assign Attendee" instructions. If you were not the purchaser of the tickets, you will need to notify the purchaser that they need to assign the tickets to you or the attendee of this registration by following the instructions sent to them by info@jujitsuamerica.orgAssign My TicketsPreviousNextAre You a JA Member? Yes No I'm InterestedAre You a Legal Adult? Yes NoPlease note: If you are not a legal adult. A parent or legal guardian must read, understand, agree, and sign the "Release Agreement" at the end of this registration. Are You Part of Another Organization? Yes NoOrganization & School Information (Optional)School NameOrganizationPreviousNextYour InformationFirst NameLast NameEmailMobile NumberAddressAddress Line 1Address Line 2CityStateZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwePreviousNextSelect Ticket(s) Types & CompetitionsSelect all associated tickets purchased for your individual attendance Adult Full Pass Adult Full Pass + Banquet Youth Full Pass Youth Full Pass + Banquet Banquet Seminars Sport Jujitsu Freestyle/Self-defense Convention Instructor Instructor GuestDo You Have Any Food Allergies? Yes NoPlease provide food allergy instructionsSelect All Competitions You Are Participating In Sport Jujitsu Freestyle/Self-defense NoneProvide Your Self-Defense Partner NameFirst NameLast NamePreviousNextCompetition - Your InformationGender- Select -FemaleMaleShirt SizeYears / Months of ExperienceInstructor NameWeightAgeList StylesList RanksPreviousNextRELEASE AGREEMENT: For and in consideration of my participation in the foregoing event sponsored by Jujitsu America, I intend to be legally bound, hereby myself, my heirs, and administrators, to waive and release any and all rights to damage or claims against the said organization, its governing body, officials, and members for injuries or rights to damages suffered by me directly or indirectly as a result of attending, participating in, practicing for, traveling to or from such event, or against Jujitsu America, Tiger Claw, The Greensboro Inn, governing body, staff members, or instructors. I further certify that I am in proper health and physical condition to participate in such activities.I have read, understood, and agree with the above "Release Statement" and by selecting "Yes" my signature represents my agreement to this statement. YesPreviousNext Signature NameFirst NameLast Name Parent or Guardian Signature NameFirst NameLast NameYour Signature Sign Here *Please note: You cannot submit this registration until the ticket(s) are purchased are then assigned to the attendee for this registration. If you are the purchaser of your tickets, click the "Assign My Tickets" button below to assign tickets to yourself and then submit your registration. Please look for the email and text message that was sent to you from info@jujitsuamerica.org that has the "Assign Attendee" instructions. If you were not the purchaser of the tickets, you will need to notify the purchaser that they need to assign the tickets to you or the attendee of this registration by following the instructions sent to them by info@jujitsuamerica.org You may select "Save & Resume" to get a link to return to this registration form.Assign My TicketsSave & ResumeSubmit Registration Previous