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Waiver of Liability for Parties

and Consent to Use of

Photos and Videos

WAIVER OF LIABILITY

I have registered my child in a Martial Arts Party of Seichou Karate® Ltd. (SKL). I fully understand that the Party will include martial arts practice (punching, kicking, etc.) athletic games and strenuous physical activity including, but not limited to, running, jumping and tumbling. I also understand that my child might sustain injuries from participation. In view of this, I represent that my child does not suffer from any ailment, condition or disability that would be worsened or exacerbated by participation in this Party. I further represent that my child is in good physical condition and is not under order of any doctor that would prevent or limit her/his participation in this Party. To the extent that I feel that her/his participation in this Party might be inadvisable for health reasons, I have consulted a medical doctor on my child’s behalf.

I hereby release SKL, MRE Properties Inc., and Hollin Hall LLC from all liability arising now or in the future including, but not limited to, heart attacks, muscle strains or soreness, injuries, including but not limited to, pulls or tears, broken bones, shin splints, knee / lower back / foot injuries, heat prostration, blood or other illnesses, such as HIV/AIDS, and other illnesses, such as COVID-19, and death, however caused, occurring before, during or after participation in this Party.

In consideration for my child’s participation in this Party, I, for myself, my child, my heirs and assigns, hereby release SKL, MRE Properties Inc., and Hollin Hall LLC, their employees, contractors, instructors and owners, from any claims, demands and causes of action resulting from her/his participation in this Party, including such claims which allege negligent acts or omissions.

CONSENT TO EMERGENCY PROCEDURES

In the event of injury, I authorize SKL, to undertake the following emergency procedures on my child’s behalf: (1) administer first aid type treatment, (2) summon medical professionals to attend to my child, (3) contact me or my emergency designee, and (4) transport my child to a medical facility.

PROMISE TO REFRAIN FROM VIOLENT ACTS

I understand that the purpose of the martial arts practice that my child will undertake is to develop greater mental and physical self-control. I have explained to my child that he/she must forever refrain from using the martial arts techniques learned at the party in a violent or criminal manner. My child understands and agrees to abide by these rules.

CONSENT TO USE LIKENESS OR IMAGE

I consent to the use of any likeness, photographic, videographic, or digital image taken of me or my child by SKL, its clients and agents for promotional use. I waive any rights that I, or my child might have to compensation for the use of such material by SKL.

AGREEMENT TO HOLD HARMLESS

Should SKL, or anyone acting on its behalf, incur attorney’s fees or costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs. Additionally, I agree to indemnify SKL for expenses related to rendering or procuring transportation and treatment for my child’s benefit should that be necessary.

SIGNATURE

I agree that this document shall be interpreted and governed by the laws of the Commonwealth of Virginia. I hereby affirm that I have read, understand and fully assent to the foregoing.

Dated: December 10, 2022

First Participants Name

First Name*

Last Name*

Phone*
First Participants Date of Birth*
I certify that I am 18 years of age or older
First Participants Signature*
Second Participants Name

First Name*

Last Name*
Second Participants Date of Birth*
Third Participants Name

First Name*

Last Name*
Third Participants Date of Birth*
Fourth Participants Name

First Name*

Last Name*
Fourth Participants Date of Birth*
Fifth Participants Name

First Name*

Last Name*
Fifth Participants Date of Birth*
Sixth Participants Name

First Name*

Last Name*
Sixth Participants Date of Birth*
Seventh Participants Name

First Name*

Last Name*
Seventh Participants Date of Birth*
Eighth Participants Name

First Name*

Last Name*
Eighth Participants Date of Birth*
Ninth Participants Name

First Name*

Last Name*
Ninth Participants Date of Birth*
Tenth Participants Name

First Name*

Last Name*
Tenth Participants Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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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.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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