This form is an important legal document. It explains the risks you are assuming by beginning a martial arts program. It is critical that you read and understand it completely. After you have done so, please print your name legibly and sign in the spaces provided at the bottom.
Waiver, Informed Consent, and Covenant Not to Sue
I / We, have volunteered to participate in a program of physical martial arts under the direction of Shashido Enterprises, which will include, but may not be limited to, empty-hand physical contact, and weapons training, bot solo, and with a partner. In consideration of Shashido Enterprises agreement to instruct, assist, and train me, I do here and forever release and discharge and hereby hold harmless Shashido Enterprises, and their respective agents, heirs, assigns, contractors, and employees from any and all claims, demands, damages, rights of action, or causes of action, present or future, arising out of or connected with my participation in this or any exercise program including any injuries resulting therefrom. THIS WAIVER AND RELEASE OF LIABILITY INCLUDES, WITHOUT LIMITATION, INJURIES WHICH MAY OCCUR AS A RESULT OF (1) EQUIPMENT THAT MAY MALFUNCTION OR BREAK; (2) ANY SLIP or FALL; DROPPING OF EQUIPMENT; INJURY TO SELF WITH OWN HAND-HELD WEAPON; INJURY TO SELF WITH TRAINING PARTNER’S WEAPON, AND (3) OUR NEGLIGENT INSTRUCTION OR SUPERVISION.
Assumption of Risk
I/We , recognize that martial arts might be difficult and strenuous and that there could be dangers inherent in martial art practice for some individuals. I acknowledge that the possibility of certain unusual physical changes during martial arts practice does exist. These changes include abnormal blood pressure; fainting; disorders in heartbeat; heart attack; and, in rare instances, death. I understand that as a result of my participation in a martial arts program, I could suffer an injury or physical disorder that could result in my becoming partially or totally disabled and incapable of performing any gainful employment or having a normal social life. I recognize that an examination by a physician should be obtained by all participants prior to involvement in any martial arts program. If I/We , have chosen not to obtain a physician’s permission prior to beginning this martial arts program with Shashido Enterprises, I hereby agree that I am doing so at my own risk. In any event, I acknowledge and agree that I assume the risks associated with any and all activities and/or exercises in which I participate. I acknowledge and agree that no warranties or representations have been made to me regarding the results I will achieve from this program. I understand that results are individual and may vary.
I/We ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS WAIVER AND RELEASE AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. BY SIGNING THIS DOCUMENT, I AM WAIVING ANY RIGHT I OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST SHASHIDO ENTERPRISES FOR YOUR NEGLIGENCE OR THAT OF YOUR EMPLOYEES, AGENTS, OR CONTRACTORS.
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