Jeon Eui Taekwondo | Liability and Waiver Form Name of Participant * Name of Participant First First Last Last Age * Email * Phone * Date for Trial Class * Please choose one from below * For participant under 19 years old For participant over 19 years old ACKNOWLEDGEMENT OF RISK AND RELEASE OF LIABILITY For children under the Age of Majority in the Province or Territory in which the Martial Arts Activities are Provided by the Organization WARNING: THIS AGREEMENT WILL AFFECT YOUR LEGAL RIGHTS. READ IT CAREFULLY! Every Parent/Guardian Must Read and Understand this Waiver Prior to the child Participating in Martial Arts Activities. The following waiver of all claims, release from all liability, assumption of all risks, agreement not to sue and other terms of this agreement are entered into by me on behalf of the undersigned child (the “Student”) with and for the benefit of Jeon Eui Taekwondo, its directors, officers, employees, volunteers, business operators, agents and site property owners or lessees (the “Organization”). Initial Each Item Below after Reading and Understanding Each Item: I am the Parent/Guardian of the Student and am executing this waiver on behalf of the Student in my capacity as Parent/Guardian and with the intent that this waiver be binding on myself and the Student for all purposes. * No Yes “Martial Arts Activities” includes but is not limited to contact and non-contact fitness activities, lessons, classes, training, use of facilities, programs and services provided to the Student by the Organization. * No Yes I am aware that there are inherent and significant dangers, hazards and risks (“Risks”) associated with the participation in Martial Arts Activities. I understand that the Risks are relative to the Students state of fitness or health (physical, mental and emotional), and to the awareness, care and skill with which the student conducts him or herself while participating in Martial Arts Activities. * No Yes I freely accept and fully assume all responsibility for all Risks and possibilities of personal injury, death, property damage or loss resulting from the Student participation in Martial Arts Activities. I agree that although the Organization has taken steps to reduce the Risks and increase the safety of the Martial Arts Activities, it is not possible for the Organization to make the Martial Arts Activities completely safe. I accept these Risks and agree to the terms of this waiver even if the Organization is found to be negligent or in breach of any duty of care or any obligation to the Student in the Student’s participation in Martial Arts Activities. * No Yes I acknowledge the Student is in good health; that the Student is not presently, nor will the Student participate while under the influence of any drug or medication. No one affiliated with the Organization has encouraged me to enter or made any representations regarding my fitness or ability to participate. * No Yes I acknowledge the Student’s obligation to inform the nearest employee of the Organization if the Student feels any pain, discomfort, fatigue or any other symptoms the Student may suffer during or immediately after his or her participation in Martial Arts Activities. I understand that the Student may stop participating at any time, and has the right to immediately withdraw from any exercise or drill in which the conduct of any party seems beyond the scope of training, makes the Student uncomfortable or which the Student believes will be harmful to him or her. * No Yes In addition to consideration given to the Organization for the Student’s participation in Martial Arts Activities, I and my heirs, next of kin, executors, administrators and assigns, as well as the Student’s heirs, next of kin, executors, administrators and assigns (collectively our “Legal Representatives”) agree: (a) to waive all claims that I, the Student or our Legal Representatives have or may have in the future against the Organization; and (b) to release and forever discharge the Organization from all liability for all personal injury, death, property damage or loss resulting from the Student’s participation in Martial Arts Activities due to any cause, including but not limited to negligence (failure to use such care as a reasonably prudent and careful person would use under similar circumstances), breach of any duty imposed by law, breach of contract or mistake or error in judgment of the Organization. * No Yes I agree to be liable for and to hold harmless and indemnify the Organization from all actions, proceedings, claims, damages, costs demands including court costs and costs on a solicitor and own client basis, and liabilities of whatsoever nature or kind arising out of or in any way connected with the Student’s participation in Martial Arts Activities. * No Yes I agree that this waiver and all terms contained within are governed by the laws of the Province or Territory in which the Student is participating in Martial Arts Activities. I hereby irrevocably submit to the jurisdiction of the courts of that Province or Territory. * No Yes I confirm that I have had sufficient time to read and understand each term in this waiver in its entirety, and have agreed to the terms freely and voluntarily. I understand that this waiver is binding on myself, the Student and our Legal Representatives. * No Yes Name of Parent / Legal Guardian * Name of Parent / Legal Guardian First First Last Last Signature Clear Parent / Legal Guardian's Signature Date * ACKNOWLEDGEMENT OF RISK AND RELEASE OF LIABILITY For Students over the Age of Majority in the Province or Territory in which the Martial Arts Activities are Provided by the Organization WARNING: THIS AGREEMENT WILL AFFECT YOUR LEGAL RIGHTS. READ IT CAREFULLY! Every Student Must Read and Understand this Waiver before Participating in Martial Arts Activities. The following waiver of all claims, release from all liability, assumption of all risks, agreement not to sue and other terms of this agreement are entered into by me, the undersigned Student (the “Student”) with and for the benefit of Jeon Eui Taekwondo, its directors, officers, employees, volunteers, business operators, agents and site property owners or lessees (the “Organization”). Initial Each Item Below after Reading and Understanding Each Item: “Martial Arts Activities” includes but is not limited to contact and non-contact Martial Arts activities, lessons, classes, training, use of facilities, programs and services provided to the Student by the Organization. * No Yes I am aware that there are inherent and significant dangers, hazards and risks (“Risks”) associated with the participation in Martial Arts Activities. I am aware that the Risks include but are not limited to injury from physical contact with other students, instructors or equipment, performing a skill incorrectly, or potentially dangerous obstacles, conditions on the floor or vicinity of the Martial Arts Activities. I understand that the Risks are relative to my state of fitness or health (physical, mental and emotional), and to the awareness, care and skill with which the student conducts him or herself while participating in Martial Arts Activities. * No Yes I freely accept and fully assume all responsibility for all Risks and possibilities of personal injury, death, property damage or loss resulting from my participation in Martial Arts Activities. I freely assume responsibility for my own safety. I agree that although the Organization has taken steps to reduce the Risks and increase the safety of the Martial Arts Activities, it is not possible for the Organization to make the Martial Arts Activities completely safe. I accept these Risks and agree to the terms of this waiver even if the Organization is found to be negligent or in breach of any duty of care or any obligation to me in my participation in Martial Arts Activities. * No Yes I acknowledge the Student is in good health; that the Student is not presently, nor will the Student participate while under the influence of any drug or medication. No one affiliated with the Organization has encouraged me to enter or made any representations regarding my fitness or ability to participate. * No Yes I acknowledge my obligation to inform the nearest employee of the Organization if I feel any pain, discomfort, fatigue or any other symptoms I may suffer during or immediately after my participation in Martial Arts Activities. I understand that I may stop participating at any time, and have the right to immediately withdraw from any exercise or drill in which the conduct of any party seems beyond the scope of training, makes me uncomfortable or which I believe will be harmful to me. * No Yes I confirm that I have reached the age of majority in the Province or Territory in which I am participating in Martial Arts Activities. * No Yes In addition to consideration given to the Organization for my participation in Martial Arts Activities, I and my heirs, next of kin, executors, administrators and assigns (my “Legal Representatives”) agree: (a) to waive all claims that I or my Legal Representatives have or may have in the future against the Organization; and (b) to release and forever discharge the Organization from all liability for all personal injury, death, property damage or loss resulting from my participation in Martial Arts Activities due to any cause, including but not limited to negligence (failure to use such care as a reasonably prudent and careful person would use under similar circumstances), breach of any duty imposed by law, breach of contract or mistake or error in judgment of the Organization. * No Yes I agree to be liable for and to hold harmless and indemnify the Organization from all actions, proceedings, claims, damages, costs demands including court costs and costs on a solicitor and own client basis, and liabilities of whatsoever nature or kind arising out of or in any way connected with my participation in Martial Arts Activities. * No Yes I agree that this waiver and all terms contained within are governed by the laws of the Province or Territory in which I am participating in Martial Arts Activities. I hereby irrevocably submit to the jurisdiction of the courts of that Province or Territory. * No Yes I confirm that I have had sufficient time to read and understand each term in this waiver in its entirety, and have agreed to the terms freely and voluntarily. I understand that this waiver is binding on myself and my Legal Representatives. * No Yes Signature * Clear Date * If you are human, leave this field blank. Next
