The information request below will assist us in ensuring you saftey. Feel free to ask any questions about the information being requested. Please note that all information provided below will be kept confidentially unless allowed or required by law. Your written permission will be required to release any information.

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Welcome to Uchi Martial Arts


Review Privacy Policy Privacy Policy

November 26, 2020

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

Address *

City *
Province

Postal Code *

Occupation/Student

Employer/School
Do you have any health concerns or conditions that may affect your training *
No
Yes

If Yes Please Indicate all Health Concerns and conditions
Are you currently taking any medication *
No
Yes

Please List all Medication you are currently taking and what conditions they treat
How did you hear about us *
Online
Family/Friend
Close to home/work
Other
Do you have any previous martial arts training*
No
Yes

Highest rank achieved

School

Instructor

In case of emergency please contact

Main phone number of emergency contact

relationship to participant

Waiver and Release

I hereby submit my registration for my participant in Uchi Martial Arts and Fitness Classes herein after referred to as the class.  I agree to waive any and all claims connected with this class for any injuries I may sustain.  I assume full responsibility for all my actions related to said class. 

In consideration for being allowed to participate in the class and any related classes I hereby, for myself, heirs, executors, administrators and assigns also unconditionally release and forever discharge Uchi Martial Arts and Fitness, Alex Aubertin, the class instructors, participants, promoters and their agents, principles, successors and assigns and other persons, firms, associations or bodies corporate directly or indirectly involved with the class from all actions, claims, or demands, past, present, or future.  Whether the same be known or unknown, anticipated or unanticipated, resulting from or arising out of participation in this class for loss or damage, death or injury sustained howsoever arisign including but without limitation, any claims for personal injuries or death arisign out of negligence or negligent acts of the foregoing. 


Waiver and Release *
I agree

Photography Release 

I understand that the information collected is required by Uchi Martial Arts and Fitness or its lawfully authorised activities.  I authorize the Uchi Martial Arts and Fitness, and/or parties designated by Uchi Martial Arts to take photograph(s), videotape, or digital recording(s) of me and to use any of these in any and all media for its own needs for promotional purposes including, but not limited to, advertising; audiovisual; editorial; exhibition; media relations; posters; publications and web. I have read this release of liability and assumptions of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

Photography Release *
I Agree

COVID-19 ACKNOWLEDGMENT AND RELEASE OF LIABILITY / PROMISE NOT TO SUE

 By signing this COVID-19 Acknowledgement and Release of Liability / Promise Not to Sue, do agree and acknowledge as follows:

1.ACKNOWLEDGMENT: I confirm and acknowledge that I am voluntarily seeking to participate in the activities offered by Uchi Martial Arts and/or its Instructors or affiliates (collectively referred to here as "Uchi") and that I voluntarily and personally accept all risks of any and all kinds associated with such activities.

2.I further acknowledge the contagious nature of the Coronavirus / COVID-19 and that Health Canada and many other public health authorities still recommend practicing social distancing and other safety measures, including limiting time indoors in groups. 

3.RISKS: Further, I understand that such risks associated with the activities involving Uchi (for example, learning in a group setting indoors, in a hall or dojo), may include, but are not limited to: being exposed to (and potentially exposing others to) COVID-19 and/or other similar viruses or illnesses, which can result in significant health injuries and complications, up to and including death and/or the infection of others. 

4.I further acknowledge that Uchi cannot guarantee that the risk of infection of COVID-19 is reduced to 'zero', and that by my/our participation in the activities Uchi is involved with or offers, there always remains a chance of exposure and/or infection upon in-person interaction of people.

5.HEALTH: I confirm that to the best of my knowledge:

a.I (and those for whom I sign this form) do not have COVID-19; and that,

b.By participating in the activities offered by Uchi and its Instructors or affiliates, I reasonably believe that I would not expose others to catching COVID-19 from me.

6.RELEASE OF LIABILITY AND PROMISE NOT TO SUE: I understand that as a condition of being allowed to attend and/or participate in any way whatsoever, including attending at any location where activities involve or are offered by Uchi and/or its Instructors or affiliates, that:

a.I agree and promise not to sue Uchi its Instructors, affiliates or any other person or entity involved in the activities involving or offered by any or all of them, for:

i.any sickness, injury or illness (such as COVID-19) which I may be exposed to; or 

ii.which I may contract as a result of my (or those for whom I am responsible) participation in such activities or attendance at any location where such activities are offered.

7.CHILDREN: I make the same agreement(s) and acknowledgement(s) noted herein, on behalf of any minor(s) or child(ren) on behalf of whom I may also sign this form, and whose name(s) are listed at the end, under my signature (if applicable).

I Agree and hereby submit my registration to Uchi Martial Arts *
I Agree
Please register me for the following. Note: FREE trials are included in all registrations
Monthly Membership ($75) *family discounts will be applied on official invoice
Martial Arts uniform, and belt $60
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Information

Address *

City *
Province

Postal Code *

Occupation/Student

Employer/School
Do you have any health concerns or conditions that may affect your training *
No
Yes

If Yes Please Indicate all Health Concerns and conditions
Are you currently taking any medication *
No
Yes

Please List all Medication you are currently taking and what conditions they treat
How did you hear about us *
Online
Family/Friend
Close to home/work
Other
Do you have any previous martial arts training*
No
Yes

Highest rank achieved

School

Instructor

In case of emergency please contact

Main phone number of emergency contact

relationship to participant

Waiver and Release

I hereby submit my registration for my participant in Uchi Martial Arts and Fitness Classes herein after referred to as the class.  I agree to waive any and all claims connected with this class for any injuries I may sustain.  I assume full responsibility for all my actions related to said class. 

In consideration for being allowed to participate in the class and any related classes I hereby, for myself, heirs, executors, administrators and assigns also unconditionally release and forever discharge Uchi Martial Arts and Fitness, Alex Aubertin, the class instructors, participants, promoters and their agents, principles, successors and assigns and other persons, firms, associations or bodies corporate directly or indirectly involved with the class from all actions, claims, or demands, past, present, or future.  Whether the same be known or unknown, anticipated or unanticipated, resulting from or arising out of participation in this class for loss or damage, death or injury sustained howsoever arisign including but without limitation, any claims for personal injuries or death arisign out of negligence or negligent acts of the foregoing. 


Waiver and Release *
I agree

Photography Release 

I understand that the information collected is required by Uchi Martial Arts and Fitness or its lawfully authorised activities.  I authorize the Uchi Martial Arts and Fitness, and/or parties designated by Uchi Martial Arts to take photograph(s), videotape, or digital recording(s) of me and to use any of these in any and all media for its own needs for promotional purposes including, but not limited to, advertising; audiovisual; editorial; exhibition; media relations; posters; publications and web. I have read this release of liability and assumptions of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

Photography Release *
I Agree

COVID-19 ACKNOWLEDGMENT AND RELEASE OF LIABILITY / PROMISE NOT TO SUE

 By signing this COVID-19 Acknowledgement and Release of Liability / Promise Not to Sue, do agree and acknowledge as follows:

1.ACKNOWLEDGMENT: I confirm and acknowledge that I am voluntarily seeking to participate in the activities offered by Uchi Martial Arts and/or its Instructors or affiliates (collectively referred to here as "Uchi") and that I voluntarily and personally accept all risks of any and all kinds associated with such activities.

2.I further acknowledge the contagious nature of the Coronavirus / COVID-19 and that Health Canada and many other public health authorities still recommend practicing social distancing and other safety measures, including limiting time indoors in groups. 

3.RISKS: Further, I understand that such risks associated with the activities involving Uchi (for example, learning in a group setting indoors, in a hall or dojo), may include, but are not limited to: being exposed to (and potentially exposing others to) COVID-19 and/or other similar viruses or illnesses, which can result in significant health injuries and complications, up to and including death and/or the infection of others. 

4.I further acknowledge that Uchi cannot guarantee that the risk of infection of COVID-19 is reduced to 'zero', and that by my/our participation in the activities Uchi is involved with or offers, there always remains a chance of exposure and/or infection upon in-person interaction of people.

5.HEALTH: I confirm that to the best of my knowledge:

a.I (and those for whom I sign this form) do not have COVID-19; and that,

b.By participating in the activities offered by Uchi and its Instructors or affiliates, I reasonably believe that I would not expose others to catching COVID-19 from me.

6.RELEASE OF LIABILITY AND PROMISE NOT TO SUE: I understand that as a condition of being allowed to attend and/or participate in any way whatsoever, including attending at any location where activities involve or are offered by Uchi and/or its Instructors or affiliates, that:

a.I agree and promise not to sue Uchi its Instructors, affiliates or any other person or entity involved in the activities involving or offered by any or all of them, for:

i.any sickness, injury or illness (such as COVID-19) which I may be exposed to; or 

ii.which I may contract as a result of my (or those for whom I am responsible) participation in such activities or attendance at any location where such activities are offered.

7.CHILDREN: I make the same agreement(s) and acknowledgement(s) noted herein, on behalf of any minor(s) or child(ren) on behalf of whom I may also sign this form, and whose name(s) are listed at the end, under my signature (if applicable).

I Agree and hereby submit my registration to Uchi Martial Arts *
I Agree
Please register me for the following. Note: FREE trials are included in all registrations
Monthly Membership ($75) *family discounts will be applied on official invoice
Martial Arts uniform, and belt $60
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Information

Address *

City *
Province

Postal Code *

Occupation/Student

Employer/School
Do you have any health concerns or conditions that may affect your training *
No
Yes

If Yes Please Indicate all Health Concerns and conditions
Are you currently taking any medication *
No
Yes

Please List all Medication you are currently taking and what conditions they treat
How did you hear about us *
Online
Family/Friend
Close to home/work
Other
Do you have any previous martial arts training*
No
Yes

Highest rank achieved

School

Instructor

In case of emergency please contact

Main phone number of emergency contact

relationship to participant

Waiver and Release

I hereby submit my registration for my participant in Uchi Martial Arts and Fitness Classes herein after referred to as the class.  I agree to waive any and all claims connected with this class for any injuries I may sustain.  I assume full responsibility for all my actions related to said class. 

In consideration for being allowed to participate in the class and any related classes I hereby, for myself, heirs, executors, administrators and assigns also unconditionally release and forever discharge Uchi Martial Arts and Fitness, Alex Aubertin, the class instructors, participants, promoters and their agents, principles, successors and assigns and other persons, firms, associations or bodies corporate directly or indirectly involved with the class from all actions, claims, or demands, past, present, or future.  Whether the same be known or unknown, anticipated or unanticipated, resulting from or arising out of participation in this class for loss or damage, death or injury sustained howsoever arisign including but without limitation, any claims for personal injuries or death arisign out of negligence or negligent acts of the foregoing. 


Waiver and Release *
I agree

Photography Release 

I understand that the information collected is required by Uchi Martial Arts and Fitness or its lawfully authorised activities.  I authorize the Uchi Martial Arts and Fitness, and/or parties designated by Uchi Martial Arts to take photograph(s), videotape, or digital recording(s) of me and to use any of these in any and all media for its own needs for promotional purposes including, but not limited to, advertising; audiovisual; editorial; exhibition; media relations; posters; publications and web. I have read this release of liability and assumptions of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

Photography Release *
I Agree

COVID-19 ACKNOWLEDGMENT AND RELEASE OF LIABILITY / PROMISE NOT TO SUE

 By signing this COVID-19 Acknowledgement and Release of Liability / Promise Not to Sue, do agree and acknowledge as follows:

1.ACKNOWLEDGMENT: I confirm and acknowledge that I am voluntarily seeking to participate in the activities offered by Uchi Martial Arts and/or its Instructors or affiliates (collectively referred to here as "Uchi") and that I voluntarily and personally accept all risks of any and all kinds associated with such activities.

2.I further acknowledge the contagious nature of the Coronavirus / COVID-19 and that Health Canada and many other public health authorities still recommend practicing social distancing and other safety measures, including limiting time indoors in groups. 

3.RISKS: Further, I understand that such risks associated with the activities involving Uchi (for example, learning in a group setting indoors, in a hall or dojo), may include, but are not limited to: being exposed to (and potentially exposing others to) COVID-19 and/or other similar viruses or illnesses, which can result in significant health injuries and complications, up to and including death and/or the infection of others. 

4.I further acknowledge that Uchi cannot guarantee that the risk of infection of COVID-19 is reduced to 'zero', and that by my/our participation in the activities Uchi is involved with or offers, there always remains a chance of exposure and/or infection upon in-person interaction of people.

5.HEALTH: I confirm that to the best of my knowledge:

a.I (and those for whom I sign this form) do not have COVID-19; and that,

b.By participating in the activities offered by Uchi and its Instructors or affiliates, I reasonably believe that I would not expose others to catching COVID-19 from me.

6.RELEASE OF LIABILITY AND PROMISE NOT TO SUE: I understand that as a condition of being allowed to attend and/or participate in any way whatsoever, including attending at any location where activities involve or are offered by Uchi and/or its Instructors or affiliates, that:

a.I agree and promise not to sue Uchi its Instructors, affiliates or any other person or entity involved in the activities involving or offered by any or all of them, for:

i.any sickness, injury or illness (such as COVID-19) which I may be exposed to; or 

ii.which I may contract as a result of my (or those for whom I am responsible) participation in such activities or attendance at any location where such activities are offered.

7.CHILDREN: I make the same agreement(s) and acknowledgement(s) noted herein, on behalf of any minor(s) or child(ren) on behalf of whom I may also sign this form, and whose name(s) are listed at the end, under my signature (if applicable).

I Agree and hereby submit my registration to Uchi Martial Arts *
I Agree
Please register me for the following. Note: FREE trials are included in all registrations
Monthly Membership ($75) *family discounts will be applied on official invoice
Martial Arts uniform, and belt $60
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information

Address *

City *
Province

Postal Code *

Occupation/Student

Employer/School
Do you have any health concerns or conditions that may affect your training *
No
Yes

If Yes Please Indicate all Health Concerns and conditions
Are you currently taking any medication *
No
Yes

Please List all Medication you are currently taking and what conditions they treat
How did you hear about us *
Online
Family/Friend
Close to home/work
Other
Do you have any previous martial arts training*
No
Yes

Highest rank achieved

School

Instructor

In case of emergency please contact

Main phone number of emergency contact

relationship to participant

Waiver and Release

I hereby submit my registration for my participant in Uchi Martial Arts and Fitness Classes herein after referred to as the class.  I agree to waive any and all claims connected with this class for any injuries I may sustain.  I assume full responsibility for all my actions related to said class. 

In consideration for being allowed to participate in the class and any related classes I hereby, for myself, heirs, executors, administrators and assigns also unconditionally release and forever discharge Uchi Martial Arts and Fitness, Alex Aubertin, the class instructors, participants, promoters and their agents, principles, successors and assigns and other persons, firms, associations or bodies corporate directly or indirectly involved with the class from all actions, claims, or demands, past, present, or future.  Whether the same be known or unknown, anticipated or unanticipated, resulting from or arising out of participation in this class for loss or damage, death or injury sustained howsoever arisign including but without limitation, any claims for personal injuries or death arisign out of negligence or negligent acts of the foregoing. 


Waiver and Release *
I agree

Photography Release 

I understand that the information collected is required by Uchi Martial Arts and Fitness or its lawfully authorised activities.  I authorize the Uchi Martial Arts and Fitness, and/or parties designated by Uchi Martial Arts to take photograph(s), videotape, or digital recording(s) of me and to use any of these in any and all media for its own needs for promotional purposes including, but not limited to, advertising; audiovisual; editorial; exhibition; media relations; posters; publications and web. I have read this release of liability and assumptions of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

Photography Release *
I Agree

COVID-19 ACKNOWLEDGMENT AND RELEASE OF LIABILITY / PROMISE NOT TO SUE

 By signing this COVID-19 Acknowledgement and Release of Liability / Promise Not to Sue, do agree and acknowledge as follows:

1.ACKNOWLEDGMENT: I confirm and acknowledge that I am voluntarily seeking to participate in the activities offered by Uchi Martial Arts and/or its Instructors or affiliates (collectively referred to here as "Uchi") and that I voluntarily and personally accept all risks of any and all kinds associated with such activities.

2.I further acknowledge the contagious nature of the Coronavirus / COVID-19 and that Health Canada and many other public health authorities still recommend practicing social distancing and other safety measures, including limiting time indoors in groups. 

3.RISKS: Further, I understand that such risks associated with the activities involving Uchi (for example, learning in a group setting indoors, in a hall or dojo), may include, but are not limited to: being exposed to (and potentially exposing others to) COVID-19 and/or other similar viruses or illnesses, which can result in significant health injuries and complications, up to and including death and/or the infection of others. 

4.I further acknowledge that Uchi cannot guarantee that the risk of infection of COVID-19 is reduced to 'zero', and that by my/our participation in the activities Uchi is involved with or offers, there always remains a chance of exposure and/or infection upon in-person interaction of people.

5.HEALTH: I confirm that to the best of my knowledge:

a.I (and those for whom I sign this form) do not have COVID-19; and that,

b.By participating in the activities offered by Uchi and its Instructors or affiliates, I reasonably believe that I would not expose others to catching COVID-19 from me.

6.RELEASE OF LIABILITY AND PROMISE NOT TO SUE: I understand that as a condition of being allowed to attend and/or participate in any way whatsoever, including attending at any location where activities involve or are offered by Uchi and/or its Instructors or affiliates, that:

a.I agree and promise not to sue Uchi its Instructors, affiliates or any other person or entity involved in the activities involving or offered by any or all of them, for:

i.any sickness, injury or illness (such as COVID-19) which I may be exposed to; or 

ii.which I may contract as a result of my (or those for whom I am responsible) participation in such activities or attendance at any location where such activities are offered.

7.CHILDREN: I make the same agreement(s) and acknowledgement(s) noted herein, on behalf of any minor(s) or child(ren) on behalf of whom I may also sign this form, and whose name(s) are listed at the end, under my signature (if applicable).

I Agree and hereby submit my registration to Uchi Martial Arts *
I Agree
Please register me for the following. Note: FREE trials are included in all registrations
Monthly Membership ($75) *family discounts will be applied on official invoice
Martial Arts uniform, and belt $60
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information

Address *

City *
Province

Postal Code *

Occupation/Student

Employer/School
Do you have any health concerns or conditions that may affect your training *
No
Yes

If Yes Please Indicate all Health Concerns and conditions
Are you currently taking any medication *
No
Yes

Please List all Medication you are currently taking and what conditions they treat
How did you hear about us *
Online
Family/Friend
Close to home/work
Other
Do you have any previous martial arts training*
No
Yes

Highest rank achieved

School

Instructor

In case of emergency please contact

Main phone number of emergency contact

relationship to participant

Waiver and Release

I hereby submit my registration for my participant in Uchi Martial Arts and Fitness Classes herein after referred to as the class.  I agree to waive any and all claims connected with this class for any injuries I may sustain.  I assume full responsibility for all my actions related to said class. 

In consideration for being allowed to participate in the class and any related classes I hereby, for myself, heirs, executors, administrators and assigns also unconditionally release and forever discharge Uchi Martial Arts and Fitness, Alex Aubertin, the class instructors, participants, promoters and their agents, principles, successors and assigns and other persons, firms, associations or bodies corporate directly or indirectly involved with the class from all actions, claims, or demands, past, present, or future.  Whether the same be known or unknown, anticipated or unanticipated, resulting from or arising out of participation in this class for loss or damage, death or injury sustained howsoever arisign including but without limitation, any claims for personal injuries or death arisign out of negligence or negligent acts of the foregoing. 


Waiver and Release *
I agree

Photography Release 

I understand that the information collected is required by Uchi Martial Arts and Fitness or its lawfully authorised activities.  I authorize the Uchi Martial Arts and Fitness, and/or parties designated by Uchi Martial Arts to take photograph(s), videotape, or digital recording(s) of me and to use any of these in any and all media for its own needs for promotional purposes including, but not limited to, advertising; audiovisual; editorial; exhibition; media relations; posters; publications and web. I have read this release of liability and assumptions of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

Photography Release *
I Agree

COVID-19 ACKNOWLEDGMENT AND RELEASE OF LIABILITY / PROMISE NOT TO SUE

 By signing this COVID-19 Acknowledgement and Release of Liability / Promise Not to Sue, do agree and acknowledge as follows:

1.ACKNOWLEDGMENT: I confirm and acknowledge that I am voluntarily seeking to participate in the activities offered by Uchi Martial Arts and/or its Instructors or affiliates (collectively referred to here as "Uchi") and that I voluntarily and personally accept all risks of any and all kinds associated with such activities.

2.I further acknowledge the contagious nature of the Coronavirus / COVID-19 and that Health Canada and many other public health authorities still recommend practicing social distancing and other safety measures, including limiting time indoors in groups. 

3.RISKS: Further, I understand that such risks associated with the activities involving Uchi (for example, learning in a group setting indoors, in a hall or dojo), may include, but are not limited to: being exposed to (and potentially exposing others to) COVID-19 and/or other similar viruses or illnesses, which can result in significant health injuries and complications, up to and including death and/or the infection of others. 

4.I further acknowledge that Uchi cannot guarantee that the risk of infection of COVID-19 is reduced to 'zero', and that by my/our participation in the activities Uchi is involved with or offers, there always remains a chance of exposure and/or infection upon in-person interaction of people.

5.HEALTH: I confirm that to the best of my knowledge:

a.I (and those for whom I sign this form) do not have COVID-19; and that,

b.By participating in the activities offered by Uchi and its Instructors or affiliates, I reasonably believe that I would not expose others to catching COVID-19 from me.

6.RELEASE OF LIABILITY AND PROMISE NOT TO SUE: I understand that as a condition of being allowed to attend and/or participate in any way whatsoever, including attending at any location where activities involve or are offered by Uchi and/or its Instructors or affiliates, that:

a.I agree and promise not to sue Uchi its Instructors, affiliates or any other person or entity involved in the activities involving or offered by any or all of them, for:

i.any sickness, injury or illness (such as COVID-19) which I may be exposed to; or 

ii.which I may contract as a result of my (or those for whom I am responsible) participation in such activities or attendance at any location where such activities are offered.

7.CHILDREN: I make the same agreement(s) and acknowledgement(s) noted herein, on behalf of any minor(s) or child(ren) on behalf of whom I may also sign this form, and whose name(s) are listed at the end, under my signature (if applicable).

I Agree and hereby submit my registration to Uchi Martial Arts *
I Agree
Please register me for the following. Note: FREE trials are included in all registrations
Monthly Membership ($75) *family discounts will be applied on official invoice
Martial Arts uniform, and belt $60
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information

Address *

City *
Province

Postal Code *

Occupation/Student

Employer/School
Do you have any health concerns or conditions that may affect your training *
No
Yes

If Yes Please Indicate all Health Concerns and conditions
Are you currently taking any medication *
No
Yes

Please List all Medication you are currently taking and what conditions they treat
How did you hear about us *
Online
Family/Friend
Close to home/work
Other
Do you have any previous martial arts training*
No
Yes

Highest rank achieved

School

Instructor

In case of emergency please contact

Main phone number of emergency contact

relationship to participant

Waiver and Release

I hereby submit my registration for my participant in Uchi Martial Arts and Fitness Classes herein after referred to as the class.  I agree to waive any and all claims connected with this class for any injuries I may sustain.  I assume full responsibility for all my actions related to said class. 

In consideration for being allowed to participate in the class and any related classes I hereby, for myself, heirs, executors, administrators and assigns also unconditionally release and forever discharge Uchi Martial Arts and Fitness, Alex Aubertin, the class instructors, participants, promoters and their agents, principles, successors and assigns and other persons, firms, associations or bodies corporate directly or indirectly involved with the class from all actions, claims, or demands, past, present, or future.  Whether the same be known or unknown, anticipated or unanticipated, resulting from or arising out of participation in this class for loss or damage, death or injury sustained howsoever arisign including but without limitation, any claims for personal injuries or death arisign out of negligence or negligent acts of the foregoing. 


Waiver and Release *
I agree

Photography Release 

I understand that the information collected is required by Uchi Martial Arts and Fitness or its lawfully authorised activities.  I authorize the Uchi Martial Arts and Fitness, and/or parties designated by Uchi Martial Arts to take photograph(s), videotape, or digital recording(s) of me and to use any of these in any and all media for its own needs for promotional purposes including, but not limited to, advertising; audiovisual; editorial; exhibition; media relations; posters; publications and web. I have read this release of liability and assumptions of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

Photography Release *
I Agree

COVID-19 ACKNOWLEDGMENT AND RELEASE OF LIABILITY / PROMISE NOT TO SUE

 By signing this COVID-19 Acknowledgement and Release of Liability / Promise Not to Sue, do agree and acknowledge as follows:

1.ACKNOWLEDGMENT: I confirm and acknowledge that I am voluntarily seeking to participate in the activities offered by Uchi Martial Arts and/or its Instructors or affiliates (collectively referred to here as "Uchi") and that I voluntarily and personally accept all risks of any and all kinds associated with such activities.

2.I further acknowledge the contagious nature of the Coronavirus / COVID-19 and that Health Canada and many other public health authorities still recommend practicing social distancing and other safety measures, including limiting time indoors in groups. 

3.RISKS: Further, I understand that such risks associated with the activities involving Uchi (for example, learning in a group setting indoors, in a hall or dojo), may include, but are not limited to: being exposed to (and potentially exposing others to) COVID-19 and/or other similar viruses or illnesses, which can result in significant health injuries and complications, up to and including death and/or the infection of others. 

4.I further acknowledge that Uchi cannot guarantee that the risk of infection of COVID-19 is reduced to 'zero', and that by my/our participation in the activities Uchi is involved with or offers, there always remains a chance of exposure and/or infection upon in-person interaction of people.

5.HEALTH: I confirm that to the best of my knowledge:

a.I (and those for whom I sign this form) do not have COVID-19; and that,

b.By participating in the activities offered by Uchi and its Instructors or affiliates, I reasonably believe that I would not expose others to catching COVID-19 from me.

6.RELEASE OF LIABILITY AND PROMISE NOT TO SUE: I understand that as a condition of being allowed to attend and/or participate in any way whatsoever, including attending at any location where activities involve or are offered by Uchi and/or its Instructors or affiliates, that:

a.I agree and promise not to sue Uchi its Instructors, affiliates or any other person or entity involved in the activities involving or offered by any or all of them, for:

i.any sickness, injury or illness (such as COVID-19) which I may be exposed to; or 

ii.which I may contract as a result of my (or those for whom I am responsible) participation in such activities or attendance at any location where such activities are offered.

7.CHILDREN: I make the same agreement(s) and acknowledgement(s) noted herein, on behalf of any minor(s) or child(ren) on behalf of whom I may also sign this form, and whose name(s) are listed at the end, under my signature (if applicable).

I Agree and hereby submit my registration to Uchi Martial Arts *
I Agree
Please register me for the following. Note: FREE trials are included in all registrations
Monthly Membership ($75) *family discounts will be applied on official invoice
Martial Arts uniform, and belt $60
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information

Address *

City *
Province

Postal Code *

Occupation/Student

Employer/School
Do you have any health concerns or conditions that may affect your training *
No
Yes

If Yes Please Indicate all Health Concerns and conditions
Are you currently taking any medication *
No
Yes

Please List all Medication you are currently taking and what conditions they treat
How did you hear about us *
Online
Family/Friend
Close to home/work
Other
Do you have any previous martial arts training*
No
Yes

Highest rank achieved

School

Instructor

In case of emergency please contact

Main phone number of emergency contact

relationship to participant

Waiver and Release

I hereby submit my registration for my participant in Uchi Martial Arts and Fitness Classes herein after referred to as the class.  I agree to waive any and all claims connected with this class for any injuries I may sustain.  I assume full responsibility for all my actions related to said class. 

In consideration for being allowed to participate in the class and any related classes I hereby, for myself, heirs, executors, administrators and assigns also unconditionally release and forever discharge Uchi Martial Arts and Fitness, Alex Aubertin, the class instructors, participants, promoters and their agents, principles, successors and assigns and other persons, firms, associations or bodies corporate directly or indirectly involved with the class from all actions, claims, or demands, past, present, or future.  Whether the same be known or unknown, anticipated or unanticipated, resulting from or arising out of participation in this class for loss or damage, death or injury sustained howsoever arisign including but without limitation, any claims for personal injuries or death arisign out of negligence or negligent acts of the foregoing. 


Waiver and Release *
I agree

Photography Release 

I understand that the information collected is required by Uchi Martial Arts and Fitness or its lawfully authorised activities.  I authorize the Uchi Martial Arts and Fitness, and/or parties designated by Uchi Martial Arts to take photograph(s), videotape, or digital recording(s) of me and to use any of these in any and all media for its own needs for promotional purposes including, but not limited to, advertising; audiovisual; editorial; exhibition; media relations; posters; publications and web. I have read this release of liability and assumptions of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

Photography Release *
I Agree

COVID-19 ACKNOWLEDGMENT AND RELEASE OF LIABILITY / PROMISE NOT TO SUE

 By signing this COVID-19 Acknowledgement and Release of Liability / Promise Not to Sue, do agree and acknowledge as follows:

1.ACKNOWLEDGMENT: I confirm and acknowledge that I am voluntarily seeking to participate in the activities offered by Uchi Martial Arts and/or its Instructors or affiliates (collectively referred to here as "Uchi") and that I voluntarily and personally accept all risks of any and all kinds associated with such activities.

2.I further acknowledge the contagious nature of the Coronavirus / COVID-19 and that Health Canada and many other public health authorities still recommend practicing social distancing and other safety measures, including limiting time indoors in groups. 

3.RISKS: Further, I understand that such risks associated with the activities involving Uchi (for example, learning in a group setting indoors, in a hall or dojo), may include, but are not limited to: being exposed to (and potentially exposing others to) COVID-19 and/or other similar viruses or illnesses, which can result in significant health injuries and complications, up to and including death and/or the infection of others. 

4.I further acknowledge that Uchi cannot guarantee that the risk of infection of COVID-19 is reduced to 'zero', and that by my/our participation in the activities Uchi is involved with or offers, there always remains a chance of exposure and/or infection upon in-person interaction of people.

5.HEALTH: I confirm that to the best of my knowledge:

a.I (and those for whom I sign this form) do not have COVID-19; and that,

b.By participating in the activities offered by Uchi and its Instructors or affiliates, I reasonably believe that I would not expose others to catching COVID-19 from me.

6.RELEASE OF LIABILITY AND PROMISE NOT TO SUE: I understand that as a condition of being allowed to attend and/or participate in any way whatsoever, including attending at any location where activities involve or are offered by Uchi and/or its Instructors or affiliates, that:

a.I agree and promise not to sue Uchi its Instructors, affiliates or any other person or entity involved in the activities involving or offered by any or all of them, for:

i.any sickness, injury or illness (such as COVID-19) which I may be exposed to; or 

ii.which I may contract as a result of my (or those for whom I am responsible) participation in such activities or attendance at any location where such activities are offered.

7.CHILDREN: I make the same agreement(s) and acknowledgement(s) noted herein, on behalf of any minor(s) or child(ren) on behalf of whom I may also sign this form, and whose name(s) are listed at the end, under my signature (if applicable).

I Agree and hereby submit my registration to Uchi Martial Arts *
I Agree
Please register me for the following. Note: FREE trials are included in all registrations
Monthly Membership ($75) *family discounts will be applied on official invoice
Martial Arts uniform, and belt $60
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information

Address *

City *
Province

Postal Code *

Occupation/Student

Employer/School
Do you have any health concerns or conditions that may affect your training *
No
Yes

If Yes Please Indicate all Health Concerns and conditions
Are you currently taking any medication *
No
Yes

Please List all Medication you are currently taking and what conditions they treat
How did you hear about us *
Online
Family/Friend
Close to home/work
Other
Do you have any previous martial arts training*
No
Yes

Highest rank achieved

School

Instructor

In case of emergency please contact

Main phone number of emergency contact

relationship to participant

Waiver and Release

I hereby submit my registration for my participant in Uchi Martial Arts and Fitness Classes herein after referred to as the class.  I agree to waive any and all claims connected with this class for any injuries I may sustain.  I assume full responsibility for all my actions related to said class. 

In consideration for being allowed to participate in the class and any related classes I hereby, for myself, heirs, executors, administrators and assigns also unconditionally release and forever discharge Uchi Martial Arts and Fitness, Alex Aubertin, the class instructors, participants, promoters and their agents, principles, successors and assigns and other persons, firms, associations or bodies corporate directly or indirectly involved with the class from all actions, claims, or demands, past, present, or future.  Whether the same be known or unknown, anticipated or unanticipated, resulting from or arising out of participation in this class for loss or damage, death or injury sustained howsoever arisign including but without limitation, any claims for personal injuries or death arisign out of negligence or negligent acts of the foregoing. 


Waiver and Release *
I agree

Photography Release 

I understand that the information collected is required by Uchi Martial Arts and Fitness or its lawfully authorised activities.  I authorize the Uchi Martial Arts and Fitness, and/or parties designated by Uchi Martial Arts to take photograph(s), videotape, or digital recording(s) of me and to use any of these in any and all media for its own needs for promotional purposes including, but not limited to, advertising; audiovisual; editorial; exhibition; media relations; posters; publications and web. I have read this release of liability and assumptions of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

Photography Release *
I Agree

COVID-19 ACKNOWLEDGMENT AND RELEASE OF LIABILITY / PROMISE NOT TO SUE

 By signing this COVID-19 Acknowledgement and Release of Liability / Promise Not to Sue, do agree and acknowledge as follows:

1.ACKNOWLEDGMENT: I confirm and acknowledge that I am voluntarily seeking to participate in the activities offered by Uchi Martial Arts and/or its Instructors or affiliates (collectively referred to here as "Uchi") and that I voluntarily and personally accept all risks of any and all kinds associated with such activities.

2.I further acknowledge the contagious nature of the Coronavirus / COVID-19 and that Health Canada and many other public health authorities still recommend practicing social distancing and other safety measures, including limiting time indoors in groups. 

3.RISKS: Further, I understand that such risks associated with the activities involving Uchi (for example, learning in a group setting indoors, in a hall or dojo), may include, but are not limited to: being exposed to (and potentially exposing others to) COVID-19 and/or other similar viruses or illnesses, which can result in significant health injuries and complications, up to and including death and/or the infection of others. 

4.I further acknowledge that Uchi cannot guarantee that the risk of infection of COVID-19 is reduced to 'zero', and that by my/our participation in the activities Uchi is involved with or offers, there always remains a chance of exposure and/or infection upon in-person interaction of people.

5.HEALTH: I confirm that to the best of my knowledge:

a.I (and those for whom I sign this form) do not have COVID-19; and that,

b.By participating in the activities offered by Uchi and its Instructors or affiliates, I reasonably believe that I would not expose others to catching COVID-19 from me.

6.RELEASE OF LIABILITY AND PROMISE NOT TO SUE: I understand that as a condition of being allowed to attend and/or participate in any way whatsoever, including attending at any location where activities involve or are offered by Uchi and/or its Instructors or affiliates, that:

a.I agree and promise not to sue Uchi its Instructors, affiliates or any other person or entity involved in the activities involving or offered by any or all of them, for:

i.any sickness, injury or illness (such as COVID-19) which I may be exposed to; or 

ii.which I may contract as a result of my (or those for whom I am responsible) participation in such activities or attendance at any location where such activities are offered.

7.CHILDREN: I make the same agreement(s) and acknowledgement(s) noted herein, on behalf of any minor(s) or child(ren) on behalf of whom I may also sign this form, and whose name(s) are listed at the end, under my signature (if applicable).

I Agree and hereby submit my registration to Uchi Martial Arts *
I Agree
Please register me for the following. Note: FREE trials are included in all registrations
Monthly Membership ($75) *family discounts will be applied on official invoice
Martial Arts uniform, and belt $60
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information

Address *

City *
Province

Postal Code *

Occupation/Student

Employer/School
Do you have any health concerns or conditions that may affect your training *
No
Yes

If Yes Please Indicate all Health Concerns and conditions
Are you currently taking any medication *
No
Yes

Please List all Medication you are currently taking and what conditions they treat
How did you hear about us *
Online
Family/Friend
Close to home/work
Other
Do you have any previous martial arts training*
No
Yes

Highest rank achieved

School

Instructor

In case of emergency please contact

Main phone number of emergency contact

relationship to participant

Waiver and Release

I hereby submit my registration for my participant in Uchi Martial Arts and Fitness Classes herein after referred to as the class.  I agree to waive any and all claims connected with this class for any injuries I may sustain.  I assume full responsibility for all my actions related to said class. 

In consideration for being allowed to participate in the class and any related classes I hereby, for myself, heirs, executors, administrators and assigns also unconditionally release and forever discharge Uchi Martial Arts and Fitness, Alex Aubertin, the class instructors, participants, promoters and their agents, principles, successors and assigns and other persons, firms, associations or bodies corporate directly or indirectly involved with the class from all actions, claims, or demands, past, present, or future.  Whether the same be known or unknown, anticipated or unanticipated, resulting from or arising out of participation in this class for loss or damage, death or injury sustained howsoever arisign including but without limitation, any claims for personal injuries or death arisign out of negligence or negligent acts of the foregoing. 


Waiver and Release *
I agree

Photography Release 

I understand that the information collected is required by Uchi Martial Arts and Fitness or its lawfully authorised activities.  I authorize the Uchi Martial Arts and Fitness, and/or parties designated by Uchi Martial Arts to take photograph(s), videotape, or digital recording(s) of me and to use any of these in any and all media for its own needs for promotional purposes including, but not limited to, advertising; audiovisual; editorial; exhibition; media relations; posters; publications and web. I have read this release of liability and assumptions of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

Photography Release *
I Agree

COVID-19 ACKNOWLEDGMENT AND RELEASE OF LIABILITY / PROMISE NOT TO SUE

 By signing this COVID-19 Acknowledgement and Release of Liability / Promise Not to Sue, do agree and acknowledge as follows:

1.ACKNOWLEDGMENT: I confirm and acknowledge that I am voluntarily seeking to participate in the activities offered by Uchi Martial Arts and/or its Instructors or affiliates (collectively referred to here as "Uchi") and that I voluntarily and personally accept all risks of any and all kinds associated with such activities.

2.I further acknowledge the contagious nature of the Coronavirus / COVID-19 and that Health Canada and many other public health authorities still recommend practicing social distancing and other safety measures, including limiting time indoors in groups. 

3.RISKS: Further, I understand that such risks associated with the activities involving Uchi (for example, learning in a group setting indoors, in a hall or dojo), may include, but are not limited to: being exposed to (and potentially exposing others to) COVID-19 and/or other similar viruses or illnesses, which can result in significant health injuries and complications, up to and including death and/or the infection of others. 

4.I further acknowledge that Uchi cannot guarantee that the risk of infection of COVID-19 is reduced to 'zero', and that by my/our participation in the activities Uchi is involved with or offers, there always remains a chance of exposure and/or infection upon in-person interaction of people.

5.HEALTH: I confirm that to the best of my knowledge:

a.I (and those for whom I sign this form) do not have COVID-19; and that,

b.By participating in the activities offered by Uchi and its Instructors or affiliates, I reasonably believe that I would not expose others to catching COVID-19 from me.

6.RELEASE OF LIABILITY AND PROMISE NOT TO SUE: I understand that as a condition of being allowed to attend and/or participate in any way whatsoever, including attending at any location where activities involve or are offered by Uchi and/or its Instructors or affiliates, that:

a.I agree and promise not to sue Uchi its Instructors, affiliates or any other person or entity involved in the activities involving or offered by any or all of them, for:

i.any sickness, injury or illness (such as COVID-19) which I may be exposed to; or 

ii.which I may contract as a result of my (or those for whom I am responsible) participation in such activities or attendance at any location where such activities are offered.

7.CHILDREN: I make the same agreement(s) and acknowledgement(s) noted herein, on behalf of any minor(s) or child(ren) on behalf of whom I may also sign this form, and whose name(s) are listed at the end, under my signature (if applicable).

I Agree and hereby submit my registration to Uchi Martial Arts *
I Agree
Please register me for the following. Note: FREE trials are included in all registrations
Monthly Membership ($75) *family discounts will be applied on official invoice
Martial Arts uniform, and belt $60
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

Address *

City *
Province

Postal Code *

Occupation/Student

Employer/School
Do you have any health concerns or conditions that may affect your training *
No
Yes

If Yes Please Indicate all Health Concerns and conditions
Are you currently taking any medication *
No
Yes

Please List all Medication you are currently taking and what conditions they treat
How did you hear about us *
Online
Family/Friend
Close to home/work
Other
Do you have any previous martial arts training*
No
Yes

Highest rank achieved

School

Instructor

In case of emergency please contact

Main phone number of emergency contact

relationship to participant

Waiver and Release

I hereby submit my registration for my participant in Uchi Martial Arts and Fitness Classes herein after referred to as the class.  I agree to waive any and all claims connected with this class for any injuries I may sustain.  I assume full responsibility for all my actions related to said class. 

In consideration for being allowed to participate in the class and any related classes I hereby, for myself, heirs, executors, administrators and assigns also unconditionally release and forever discharge Uchi Martial Arts and Fitness, Alex Aubertin, the class instructors, participants, promoters and their agents, principles, successors and assigns and other persons, firms, associations or bodies corporate directly or indirectly involved with the class from all actions, claims, or demands, past, present, or future.  Whether the same be known or unknown, anticipated or unanticipated, resulting from or arising out of participation in this class for loss or damage, death or injury sustained howsoever arisign including but without limitation, any claims for personal injuries or death arisign out of negligence or negligent acts of the foregoing. 


Waiver and Release *
I agree

Photography Release 

I understand that the information collected is required by Uchi Martial Arts and Fitness or its lawfully authorised activities.  I authorize the Uchi Martial Arts and Fitness, and/or parties designated by Uchi Martial Arts to take photograph(s), videotape, or digital recording(s) of me and to use any of these in any and all media for its own needs for promotional purposes including, but not limited to, advertising; audiovisual; editorial; exhibition; media relations; posters; publications and web. I have read this release of liability and assumptions of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

Photography Release *
I Agree

COVID-19 ACKNOWLEDGMENT AND RELEASE OF LIABILITY / PROMISE NOT TO SUE

 By signing this COVID-19 Acknowledgement and Release of Liability / Promise Not to Sue, do agree and acknowledge as follows:

1.ACKNOWLEDGMENT: I confirm and acknowledge that I am voluntarily seeking to participate in the activities offered by Uchi Martial Arts and/or its Instructors or affiliates (collectively referred to here as "Uchi") and that I voluntarily and personally accept all risks of any and all kinds associated with such activities.

2.I further acknowledge the contagious nature of the Coronavirus / COVID-19 and that Health Canada and many other public health authorities still recommend practicing social distancing and other safety measures, including limiting time indoors in groups. 

3.RISKS: Further, I understand that such risks associated with the activities involving Uchi (for example, learning in a group setting indoors, in a hall or dojo), may include, but are not limited to: being exposed to (and potentially exposing others to) COVID-19 and/or other similar viruses or illnesses, which can result in significant health injuries and complications, up to and including death and/or the infection of others. 

4.I further acknowledge that Uchi cannot guarantee that the risk of infection of COVID-19 is reduced to 'zero', and that by my/our participation in the activities Uchi is involved with or offers, there always remains a chance of exposure and/or infection upon in-person interaction of people.

5.HEALTH: I confirm that to the best of my knowledge:

a.I (and those for whom I sign this form) do not have COVID-19; and that,

b.By participating in the activities offered by Uchi and its Instructors or affiliates, I reasonably believe that I would not expose others to catching COVID-19 from me.

6.RELEASE OF LIABILITY AND PROMISE NOT TO SUE: I understand that as a condition of being allowed to attend and/or participate in any way whatsoever, including attending at any location where activities involve or are offered by Uchi and/or its Instructors or affiliates, that:

a.I agree and promise not to sue Uchi its Instructors, affiliates or any other person or entity involved in the activities involving or offered by any or all of them, for:

i.any sickness, injury or illness (such as COVID-19) which I may be exposed to; or 

ii.which I may contract as a result of my (or those for whom I am responsible) participation in such activities or attendance at any location where such activities are offered.

7.CHILDREN: I make the same agreement(s) and acknowledgement(s) noted herein, on behalf of any minor(s) or child(ren) on behalf of whom I may also sign this form, and whose name(s) are listed at the end, under my signature (if applicable).

I Agree and hereby submit my registration to Uchi Martial Arts *
I Agree
Please register me for the following. Note: FREE trials are included in all registrations
Monthly Membership ($75) *family discounts will be applied on official invoice
Martial Arts uniform, and belt $60
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Address *

City *
Province

Postal Code *

Occupation/Student

Employer/School
Do you have any health concerns or conditions that may affect your training *
No
Yes

If Yes Please Indicate all Health Concerns and conditions
Are you currently taking any medication *
No
Yes

Please List all Medication you are currently taking and what conditions they treat
How did you hear about us *
Online
Family/Friend
Close to home/work
Other
Do you have any previous martial arts training*
No
Yes

Highest rank achieved

School

Instructor

In case of emergency please contact

Main phone number of emergency contact

relationship to participant

Waiver and Release

I hereby submit my registration for my participant in Uchi Martial Arts and Fitness Classes herein after referred to as the class.  I agree to waive any and all claims connected with this class for any injuries I may sustain.  I assume full responsibility for all my actions related to said class. 

In consideration for being allowed to participate in the class and any related classes I hereby, for myself, heirs, executors, administrators and assigns also unconditionally release and forever discharge Uchi Martial Arts and Fitness, Alex Aubertin, the class instructors, participants, promoters and their agents, principles, successors and assigns and other persons, firms, associations or bodies corporate directly or indirectly involved with the class from all actions, claims, or demands, past, present, or future.  Whether the same be known or unknown, anticipated or unanticipated, resulting from or arising out of participation in this class for loss or damage, death or injury sustained howsoever arisign including but without limitation, any claims for personal injuries or death arisign out of negligence or negligent acts of the foregoing. 


Waiver and Release *
I agree

Photography Release 

I understand that the information collected is required by Uchi Martial Arts and Fitness or its lawfully authorised activities.  I authorize the Uchi Martial Arts and Fitness, and/or parties designated by Uchi Martial Arts to take photograph(s), videotape, or digital recording(s) of me and to use any of these in any and all media for its own needs for promotional purposes including, but not limited to, advertising; audiovisual; editorial; exhibition; media relations; posters; publications and web. I have read this release of liability and assumptions of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

Photography Release *
I Agree

COVID-19 ACKNOWLEDGMENT AND RELEASE OF LIABILITY / PROMISE NOT TO SUE

 By signing this COVID-19 Acknowledgement and Release of Liability / Promise Not to Sue, do agree and acknowledge as follows:

1.ACKNOWLEDGMENT: I confirm and acknowledge that I am voluntarily seeking to participate in the activities offered by Uchi Martial Arts and/or its Instructors or affiliates (collectively referred to here as "Uchi") and that I voluntarily and personally accept all risks of any and all kinds associated with such activities.

2.I further acknowledge the contagious nature of the Coronavirus / COVID-19 and that Health Canada and many other public health authorities still recommend practicing social distancing and other safety measures, including limiting time indoors in groups. 

3.RISKS: Further, I understand that such risks associated with the activities involving Uchi (for example, learning in a group setting indoors, in a hall or dojo), may include, but are not limited to: being exposed to (and potentially exposing others to) COVID-19 and/or other similar viruses or illnesses, which can result in significant health injuries and complications, up to and including death and/or the infection of others. 

4.I further acknowledge that Uchi cannot guarantee that the risk of infection of COVID-19 is reduced to 'zero', and that by my/our participation in the activities Uchi is involved with or offers, there always remains a chance of exposure and/or infection upon in-person interaction of people.

5.HEALTH: I confirm that to the best of my knowledge:

a.I (and those for whom I sign this form) do not have COVID-19; and that,

b.By participating in the activities offered by Uchi and its Instructors or affiliates, I reasonably believe that I would not expose others to catching COVID-19 from me.

6.RELEASE OF LIABILITY AND PROMISE NOT TO SUE: I understand that as a condition of being allowed to attend and/or participate in any way whatsoever, including attending at any location where activities involve or are offered by Uchi and/or its Instructors or affiliates, that:

a.I agree and promise not to sue Uchi its Instructors, affiliates or any other person or entity involved in the activities involving or offered by any or all of them, for:

i.any sickness, injury or illness (such as COVID-19) which I may be exposed to; or 

ii.which I may contract as a result of my (or those for whom I am responsible) participation in such activities or attendance at any location where such activities are offered.

7.CHILDREN: I make the same agreement(s) and acknowledgement(s) noted herein, on behalf of any minor(s) or child(ren) on behalf of whom I may also sign this form, and whose name(s) are listed at the end, under my signature (if applicable).

I Agree and hereby submit my registration to Uchi Martial Arts *
I Agree
Please register me for the following. Note: FREE trials are included in all registrations
Monthly Membership ($75) *family discounts will be applied on official invoice
Martial Arts uniform, and belt $60
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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