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Acknowledgment of Risk

I, the undersigned participant (or parent/guardian if under 18), acknowledge that participation in Ving Tsun (Wing Chun) Kung Fu training involves physical contact, close-range drills, conditioning exercises, and the use of weapons.
I understand that martial arts training carries inherent risks, including but not limited to bruises, sprains, strains, broken bones, concussions, or other serious injuries. I voluntarily choose to participate in these activities with full awareness of these risks and accept full responsibility for my own safety and well-being.

Release of Liability

In consideration of being permitted to train, observe, or participate in any event organized by Raleigh Kung Fu, LLC (Raleigh Kung Fu), I hereby release, waive, discharge, and covenant not to sue the school, its owners, Sifu(s), instructors, assistants, students, employees, volunteers, affiliates, or representatives from any and all liability, claims, demands, or causes of action arising out of any injury, loss, illness, or damage to person or property, whether caused by negligence or otherwise.

Assumption of Risk for Seminars, Demonstrations, and Tournaments

I understand and acknowledge that participation in seminars, public demonstrations, exhibitions, tournaments, and travel to or from such events organized or sanctioned by Raleigh Kung Fu may expose me to additional risks beyond regular class training, including but not limited to unfamiliar training environments, contact with other participants, travel hazards, and unpredictable conditions.

I voluntarily assume all such risks and agree that this waiver and release applies to all activities, whether held at Raleigh Kung Fu facilities, off-site, or under the supervision or sponsorship of the school or its instructors. I voluntarily assume all such risks and agree that this waiver and release applies to all activities, whether held at Raleigh Kung Fu facilities, off-site, or under the supervision or sponsorship of the school or its instructors.

Health & Medical Authorization

I certify that I am physically and mentally fit to participate in martial arts training and related activities. I understand that it is my responsibility to consult a physician prior to participation. In the event of an emergency, I authorize Raleigh Kung Fu and its representatives to obtain medical treatment on my behalf, and I agree to be financially responsible for any such care.

I have carefully read and fully understand this Liability Waiver and Release Form. I voluntarily agree to its terms, and I understand that by signing below, I am waiving certain legal rights.

Date: December 5, 2025

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Information

Photography and Media Release

I grant permission for Raleigh Kung Fu to photograph or video record me during training, events, or demonstrations and to use these materials for educational or promotional purposes without compensation.
Yes
No
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Second Participant's Information

Photography and Media Release

I grant permission for Raleigh Kung Fu to photograph or video record me during training, events, or demonstrations and to use these materials for educational or promotional purposes without compensation.
Yes
No
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Information

Photography and Media Release

I grant permission for Raleigh Kung Fu to photograph or video record me during training, events, or demonstrations and to use these materials for educational or promotional purposes without compensation.
Yes
No
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Information

Photography and Media Release

I grant permission for Raleigh Kung Fu to photograph or video record me during training, events, or demonstrations and to use these materials for educational or promotional purposes without compensation.
Yes
No
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Information

Photography and Media Release

I grant permission for Raleigh Kung Fu to photograph or video record me during training, events, or demonstrations and to use these materials for educational or promotional purposes without compensation.
Yes
No
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Information

Photography and Media Release

I grant permission for Raleigh Kung Fu to photograph or video record me during training, events, or demonstrations and to use these materials for educational or promotional purposes without compensation.
Yes
No
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Information

Photography and Media Release

I grant permission for Raleigh Kung Fu to photograph or video record me during training, events, or demonstrations and to use these materials for educational or promotional purposes without compensation.
Yes
No
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Information

Photography and Media Release

I grant permission for Raleigh Kung Fu to photograph or video record me during training, events, or demonstrations and to use these materials for educational or promotional purposes without compensation.
Yes
No
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Information

Photography and Media Release

I grant permission for Raleigh Kung Fu to photograph or video record me during training, events, or demonstrations and to use these materials for educational or promotional purposes without compensation.
Yes
No
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Information

Photography and Media Release

I grant permission for Raleigh Kung Fu to photograph or video record me during training, events, or demonstrations and to use these materials for educational or promotional purposes without compensation.
Yes
No
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Emergency Contact's Relation to Participant

Minor Participant

I, the undersigned parent or legal guardian of the named participant, have read and fully understand this waiver and consent to my child’s participation in all Ving Tsun Kung Fu training, seminars, demonstrations, and related events. I agree to all terms contained herein and assume full responsibility for my child’s safety and conduct.



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*
Middle Name
Last Name*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Information

Photography and Media Release

I grant permission for Raleigh Kung Fu to photograph or video record me during training, events, or demonstrations and to use these materials for educational or promotional purposes without compensation.
Yes
No
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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