I hereby understand and acknowledge that the training, programs and events held by Anaya Enterprises, LLC or NW Black Belt Renton, LLC may expose me to many inherent risks, including accidents, injury, illness, or even death. I assume all risk of injuries associated with participation including but not limited to falls, contact with other participants, the effects of the weather, including high heat and or humidity and all other such risks being known and appreciated by me. I hereby acknowledge by responsibility in communicating any physical and psychological concerns that might conflict with participation in activity. I acknowledge that I am physically fit and mentally capable of performing the physical activity I choose to participate in. It is understood that before participating in any fitness activity, my doctor must first be consulted for personal risks/benefits. After having read this waiver and knowing these facts, and in consideration of acceptance of my participation and Anaya Enterprises, LLC,and NW Black Belt Renton, LLC furnishing services to me, I agree, for myself and anyone entitled to act on my behalf, to HOLD HARMLESS, WAIVE AND RELEASE Anaya Enterprises, LLC, and NW Black Belt Renton, LLC and their officers, agents, employees, organizers, representatives, and successors from any responsibility, liabilities, demands or claims of any kind arising out of my participation in the training, programs and or events. I do hereby give Anaya Enterprises, LLC, and NW Black Belt Renton, LLC and their assigns, licensees, and legal representatives the irrevocable right to use my name, video, picture, portrait or photograph in all forms and media in all manners, including composite, for advertising, for publication or any other lawful purposes, and I waive any right to inspect or approve the finished product, including written copy, which may be created in connection therewith. By my signature, I indicate that I have read and understand this Waiver of Liability and Photo Release. I am aware that this is a waiver and a release of liability and I voluntarily agree to its terms.
Dated: January 21, 2019