I hereby release John Marshall, Family Karate Centres and all person associated with these scheduled black belt endurance workouts in any capacity, from any liability due to injuries etc. , That I may incur as a result of my attendance and or participation in the above mention activity.
I clearly understand that some aspects of this sport involve bodily contact. I have been made aware, understand and agree to abide by the guidelines associated with Family Karate rules and regulations and assume all responsibility and any associated liability or infringement of such guidelines. Additionally, I am fully aware of my personal medical condition and hereby certify that I am mentally and physically fit to participate in said activity.
Student hereby represents that he/she is physically fit, and does not suffer from any disease, illness, or disability including muscular, bone, neck or spinal ailments other than those listed above, to take prescribed course of instruction and that he/she has had an opportunity to observe and/or participate in the above described art of self-defense prior to signing this agreement
Student understands further that strict observation of the rules and regulations relative to training include the use of protective equipment required by FAMILY KARATE LTD. This equipment is to minimize the possibility of accident or injury, however, FAMILY KARATE LTD. does not warrant the protective equipment. FAMILY KARATE LTD. reserves the right to refuse return of used uniforms and equipment. Student understands that during the course of instruction, employees of FAMILY KARATE LTD. and/or other students or authorized persons will be engaged in a course of conduct requiring physical contact, he/she gives full consent to such contact as it is required by the training.
Today's Date: October 21, 2019