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

Was an email or text message received inviting you or the attendee to register their tickets?

Yes

Great! 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.org

Assign My Tickets

Are You a JA Member?

Yes

I'm Interested

Are You a Legal Adult?

Yes

Please 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

Organization & School Information (Optional)

School Name

Organization

Your Information

First Name

Last Name

Mobile Number

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Select Ticket(s) Types & Competitions

Select 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 Guest

Do You Have Any Food Allergies?

Yes

Please provide food allergy instructions

Select All Competitions You Are Participating In

Sport Jujitsu

Freestyle/Self-defense

None

Provide Your Self-Defense Partner Name

First Name

Last Name

Competition - Your Information

Gender

Shirt Size

Years / Months of Experience

Instructor Name

Weight

Age

List Styles

List Ranks

RELEASE 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.

Yes

Signature Name

First Name

Last Name

Parent or Guardian Signature Name

First Name

Last Name

Your 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.

You may select "Save & Resume" to get a link to return to this registration form.

Assign My Tickets