The 10th European Transplant and Dialysis Sports Championships are held in Cagliari, Italy on 17.–24.6.2018. The Games are open for all kidney, liver, heart, lung, pancreas, bonemarrow transplant recipients and dialysis patients.
The Games are a multi-sport event. The sports are volleyball, badminton, tennis, table tennis, cycling, petanque, swimming, darts, golf, virtual triathlon, mini-marathon and athletics. Social sport of the Games is floorball. Athletes are divided into age groups (18–29, 30–39, 40–49, 50–59, 60–69, 70+)

Previous Games
2000 Athens, Greece
2002 Balatonaliga, Hungary
2004 Ljubljana, Slovenia
2006 Pécs, Hungary
2008 Wurzburg, Germany
2010 Dublin, Ireland
2012 Zagreb, Croatia
2014 Krakow, Poland
2016 Vantaa, Finland

European Transplant & Dialysis Sports Championships Rules
(revised oct 2015)

1 Conditions of Entry
Entry is open to all recipients of life supporting allografts and/or bone marrow transplants from other individuals or species and to people who are currently receiving dialysis treatment. Athletes must either have been transplanted for at least six months prior to the deadline for the submission of medical forms or be on dialysis treatment for at least six months prior to the first day of the Championships, be medically fit and have trained in the events in which they have entered.
Ideally, each nation will have selected its best athletes and ensure that they are medically fit and without significant complications of chronic organ failure or immunosuppressive therapy (transplant recipients) or of dialysis therapy (people on dialysis).

2 The Registration Process
All participants must be registered via the Official Championships website. Hard-copy registration forms will be available for team managers to use within their teams and each registration must be verified by the relevant team manager to ensure that the participant is legitimate and that all forms have been completed correctly prior to final submission to the Local Organising Committee (LOC).
Medical Form
An ETDSF medical certificate for each athlete must be submitted to the Local Organising Committee (LOC) two months before the start of the Championships. The medical certificate must be completed in full and signed by a senior transplant doctor (transplant recipients) or a senior dialysis doctor (people in dialysis). For competitors on dialysis a final report must be submitted 2 weeks prior to the Championships. The medical certificates will be reviewed by medically qualified representatives of both the ETDS and the LOC, and, if deemed unsatisfactory, further information may be sought and the competitor may be refused permission to participate. Failure to submit completed medical forms according to the schedule may result in a refusal to accept a registration from an athlete. Athletes are expected to carry a copy of their medical form with them at all times during the Championships.
Athlete Declaration
Entry forms must include a signed declaration from each athlete that he/she is fit and has trained for the events entered.
Waiver
Each athlete must also submit a signed “waiver” form which states that they have knowledge and understanding of the rules of their events entered, the physical challenges involved and the medical requirements of the ETDSF.

3 Age categories
Athletes will compete by gender in the following age groups, unless indicated otherwise in these rules. The athlete’s age on the day of the Opening Ceremony of the Championships will apply:
M2 F2 (18–29 years)
M3 F3 (30–39 years)
M4 F4 (40–49 years)
M5 F5 (50–59 years)
M6 F6 (60–69 years)
M7 F7 (70+ years)
Children will compete by gender in the following age groups:
B G 5 years and under
B G 6–8 years
B G 9–11 years
Juniors will compete by gender in the following age groups:
JM JF 12–14 years
JM JF 15–17 years
Juniors, 15–17 years of age, are permitted to compete in the 18–29 years age category events, but must continue in that age category for any other events in that sport, i.e. swimming, athletics.
Each age group will be identified by a distinct colour so that athletes will be able to easily determine each other’s age category during competition.
All competitors in the under 18 year age categories and the 70+ year age category will receive Certificates of Recognition at the Gala Dinner to mark their achievements at the Championships.
All competitors will receive a Certificate of Participation to mark their involvement in the Championships.
Single Events
All athletes are expected to compete in their own age categories. An exception will be made if there are less than 3 entrants in an event age category. In this case, the people involved will compete in the age group below theirs (for example if there are fewer than 3 athletes in a 70+ years event, the registered athletes will participate in the 60–69 years age category – for one set of medals). The one exception is the 18–29 years age category – if there are too few competitors in this category, athletes will move UP to the 30–39 years age category. Categories will be established once registration has closed and these are the categories that will be used for the awarding of medals.
Team events, Relays and Mixed Doubles
Team events (volleyball, darts triples and the team event in the road race), Relay events (swimming and track) and Mixed Doubles events (badminton, table tennis, ten pin bowling and tennis) are one open age category (from 15 years and older) with one set of medals.

4 Transplant / Dialysis
When possible, transplant recipients and people on dialysis will compete in separate categories. If too few dialysed or transplanted competitors have entered one age category in an event, a combined event in this age categories will be held. In these cases there will be one set of medals.
In the following events, transplant recipients and people on dialysis will compete together for one set of medals. Doubles partnerships can be both transplanted, both on dialysis or one transplant recipient and one person on dialysis
Badminton Doubles & Mixed Doubles
Table Tennis Doubles and Mixed Doubles
Ten Pin Bowling Doubles and Mixed Doubles
Tennis Doubles and Mixed Doubles
Golf
Relays (Swimming and Track)
Volleyball
Petanque Doubles
Darts Triple Mix
Each dialysed competitor must have a rest of minimum of eight hours after a dialysis treatment before he / she is allowed to compete in an event.

5 General points
All sports are run in accordance with the regulations of their International Governing Bodies except where modified by the ETDSF. Contravening these regulations may result in disqualification.
If in an event – considering all age categories – there are less than 3 athletes then that event will be cancelled. In such cases, the athletes involved will be informed before the Championships begin and given the opportunity to choose another sport.
If a dialysed athlete chooses, he/she can compete in their age category for transplant recipients but there will only be one set of medals offered for the category.
Athletes will be allowed to enter a total of five events, in addition to the swimming and track relay events.
Athletes are not permitted to enter events that take place at the same time. Failure of an athlete to appear at an event when called may result in the athlete being scratched or eliminated from that competition. There will be no appeal of any disqualification for failure to appear.
All doubles partnerships and teams should consist of members from one nation only. The exceptions are volleyball, where an “international” team can participate but cannot win a medal and any round robin events (badminton, table tennis, tennis) where it is permitted for two competitors from different countries to join together in a doubles event (with normal age category rules applying). They will only be allowed to play in the round robin stage of any competition and will not be allowed through to semi finals to compete for medals.
It is not permitted to enter an event after registration has closed. The only exceptions are
One of your events has been cancelled due to insufficient numbers and you have been asked to choose another event (before the first day of the Championships).
Where the withdrawal of a participant on health / injury grounds causes a doubles partnership or a team to be short of a player. The replacement, from within the team, must be registered for less than 5 events and medically cleared for that event.

6 Seeding
Where possible, seeding should be used in all events to ensure the fairest competition possible and should be based on results from the European Transplant & Dialysis Games 2 years previous and the World Transplant Games held the year prior to the event. The registration form should allow for these results to be submitted by each competitor. The entries should be formatted using standard procedures.

7 Medals
Gold, silver and bronze medals are awarded for all events.
Both losing semi-finalists will be awarded a bronze medal in the following events: except when there are only 4 competitors in a category and round robin is used.
Badminton
Table Tennis
Tennis
Petanque

8 Judiciary Committee
The Presidential Committee of the ETDSF will appoint a Judiciary Committee of at least three persons who will work with the relevant sports referees to resolve any disputes. The Judiciary Committee must meet with the Organising Committee and sports organisers at least one day before the Championships and as required during the Championships.
The Judiciary Committee will liaise with the LOC Sports Chairman and clarify the rules of competition. The members of the Judiciary Committee must be issued with mobile phones from the date of their arrival and for the duration of the Championships.
The Judiciary Committee should be identified at the first Team Managers’ Meeting at the start of the Championships.
The Local Sports Organisers and ETDSF Representatives will each be present at all venues. On their arrival at a venue, members of the Judiciary Committee should make themselves known to the officials at the venue.
In cases of serious breaches of discipline, the Judiciary Committee has executive powers to suspend an athlete immediately from the event they are involved in and refer the matter to the next Presidential Committee Meeting or to an Extraordinary Presidential Committee Meeting. The Presidential Committee has the power to suspend the athlete for the remainder of the Championships.

9 Protests
Official protests are made to the senior official for the relevant sports competition with payment of 50 euros (or the equivalent in local currency) within 30 minutes of declaration of the event result. If the senior official cannot resolve the protests it will be passed to the Judiciary Committee with the senior official for the sport involved advising. A decision will be made by the ETDSF Judiciary Committee as soon as possible. The 50 euro fee will be returned if the protests is upheld. If a member of the Judiciary Committee is from a country involved in the protest, that member must excuse themselves from the discussion and resolution of the protest.

10 Results
The official results from each day’s competitions should be available to team managers within 24 hours. Final results and the medals table should be published at the end of the Championships and there must be trophies for the top three teams. The full set of printed results should be given to each Team Manager by e-mail or post at the latest one day after the end of the Championships. The medals won by athletes competing in the under 18 years age categories are not counted in the official medal table – a separate medal table should be produced and there must be trophies for the top three teams.

11 Training
At least one training opportunity has to be provided for athletes in every sport (normally at the competition venue).

12 Championship Records
Championship records should be announced at the medal presentation and marked in the result lists.

13 General rules
The full event schedule for the week of the Championships must be given to each Team Manager, at the latest, one day before the Championships begin. Changes in the event schedule are not permitted unless they are agreed by a majority of the Team Managers at the Team Managers meeting.
Fun events such as competitions for Team Managers, accompanying people and Doctors can be organised during the Championships at the discretion of the LOC.