DTB Release and Waiver of Liability and Indemnity Agreement

(Read Carefully Before Signing)

In consideration of being permitted to participate in any way in the program/event  indicated below and/or being permitted to enter for any purpose any restricted area (here in defined as any area where in admittance to the general public is prohibited) the participant and/or parent(s) and/or legal guardian(s) of the minor participant named below agree:

  1. The participant and/or the parent(s) and/or legal guardian(s) of the minor participant will, prior to participating in the below program/event, inspect the facilities and equipment to be used, and if s/he believes anything is unsafe, the participant should immediately advise the officials of such condition and refuse to participate. I understand and agree that, if at any time, I feel anything to be UNSAFE, I will immediately take all precautions to avoid the unsafe area and REFUSE TO PARTICIPATE further.
  2. I/WE fully understand and acknowledge that:
    1. There are risks and dangers associated with participation in the below event and activities which could result in bodily injury, partial and/or total disability, paralysis and death.
    2. The social and economic losses and/or damages, which could result from these risks and dangers described above, could be severe.
    3. These risks and dangers may be caused by the action, inaction, or negligence of the participant or the action, inaction, or negligence of others, including but not limited to, the Releasees named below.
    4. There may be other risks not known to us or are not reasonably foreseeable at this time.
  3. I/WE accept and assume such risks and responsibility for the losses and/or damages following such injury, disability, paralysis, or death, however caused and whether caused in whole or in part by the negligence of the Releasees named below.
  4. I/WE HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE the facility used by the participant, including its owners, managers, promoters, lessees of the premises used to conduct the program/event, premises and event inspectors, underwriters, consultants and others who give recommendations, directions, or instructions to engage in risk evaluation or loss control activities regarding the facility or events held at such facility and each of them, their directors, officers, agents, employees, all for the purposes herein referred to as “Releasee”…FROM ALL LIABILITY TO THE UNDERSIGNED, my/our personal representatives, assigns, executors, heirs and next of kin FOR ANY AND ALL CLAIMS, DEMANDS, LOSSES OR DAMAGES AND ANY CLAIMS OR DEMANDS THEREFORE ON ACCOUNT OF ANY INJURY, INCLUDING BUT NOT LIMITED TO THE DEATH OF THE PARTICIPANT OR DAMAGE TO PROPERTY, ARISING OUT OF OR RELATING TO THE EVENT(S) CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
  5. I/WE HERBY acknowledge that THE ACTIVITIES OF THE EVENT(S) ARE VERY DANGERIOUS and involve the risk of serious injury and/or death and/or property damage. Each of THE UNDERSIGNED also expressly acknowledges that INJURIES RECEIVED MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE OPERATIONS OR PROCEDURES OF THE RELEASEES.
  6. EACH OF THE UNDERSIGNED further expressly agrees that the foregoing release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the Province or State in which the event is conducted and that if any portion is held invalid, it is agreed that the balance shall, notwithstanding continue in full legal force and effect.
  7. Individually and/or on behalf of the participant, the undersigned parent(s) and/or legal guardian(s) for the minor participant execute(s) this Waiver and Release. If, despite this release, the participant and/or parent(s) and/or legal guardian(s) make a claim against any of the Releasees, the participant and/or parent(s) and/or legal guardian(s) will reimburse the Releasee for any money which they have paid to the participant and/or parent(s) and/or legal guardian(s) and hold them harmless.
  8. I agree and consent to being photographed or video recorded at the event and consent to said photos or videos being published and used in future advertisements both in print and electronic formats by SOUL Martial Arts, Inc.

Program:  SOUL Karate

Releasees: David Jenkins, SOUL Martial Arts, Inc., Plymouth Church

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