IMMORTAL DRAGON VANCOUVER – Martial Arts InstitutionRelease, Waiver of Liability & Indemnity – Kung Fu, Sanda, Little Dragons
Date: {sign_date}
Instructor: Sifu Matthias Klenk
PLEASE READ CAREFULLY I, the signor, in consideration of being allowed to participate directly or indirectly in any activity associated with Immortal Dragon – Martial Arts Institution hereby agree for myself, my executors, assigns, heirs and next of kin, to:
1. Release, waive, and discharge Immortal Dragon – Martial Arts Institution of Vancouver, British Columbia, and any person associated with Immortal Dragon – Martial Arts Institution and without limiting the generality of the foregoing, all its officers, officials, volunteers, instructors and members (hereinafter jointly and severally referred to as Immortal Dragon) from any liability jointly or severally to the signor, my executors, assigns, heirs and next of kin for all loss, liability, damage, claim or costs on account of bodily injury or property damage accruing to or death of the signor by participating directly or indirectly in any activity associated with Immortal Dragon – Martial Arts Institution whether caused by the negligence or gross negligence of Immortal Dragon.
2. Acknowledge that participating directly or indirectly in any activity associated with Immortal Dragon – Martial Arts Institution may present significant risks to myself and may result in bodily injury, property damage or death to myself.
3. Assume full responsibility for all risk of bodily injury, property damage or death to myself by participating directly or indirectly with any activity of Immortal Dragon – Martial Arts Institution caused by the negligence or gross negligence of Immortal Dragon.
4. Acknowledge that this Release, Waiver of Liability and Indemnity Agreement (hereinafter referred to as “the agreement”) includes travelling to or from any activity associated with Immortal Dragon – Martial Arts Institution and rescue or first aid operations carried out by Immortal Dragon with negligence or gross negligence without limiting in any way the generality of this agreement.
5. Indemnify and save harmless Immortal Dragon from any and all loss, liability, damage, claim or costs to any party on account of bodily injury or property damage accruing to or the death of the signor by participating directly or indirectly in any activity associated with Immortal Dragon – Martial Arts Institution whether caused by the negligence or gross negligence of Immortal Dragon.
6. Warrant that I am mentally and physically fit in order to participate in any activity of Immortal Dragon – Martial Arts Institution.
7. Realize that participation in this sport entails the risk of injury to me. Such risks may include, but are not restricted to physical contact with other people and the instructors, slips, falls, equipment and facilities. I accept full responsibility for my level of participation and use of equipment by exercising my judgment, based on my own experience and competence.
8. Acknowledge that I have read and understand this agreement and have voluntarily agreed to give up legal rights in order to participate in activities of Immortal Dragon – Martial Arts Institution. I fully understand that I am not required to sign this release but that Immortal Dragon relying on my signature to allow me to participate in the activities of Immortal Dragon – Martial Arts Institution.
This document forms the complete understanding with respect to matters covered herein and there can be no variations, additions or deletions to this document except as executed in writing with the same degree of formality as this document and which variation, addition or deletion is provided by Immortal Dragon – Martial Arts Institution
Vancouver on {sign_date}.
Participants Name
Phone Number {phone}
Witnessed By
I hereby consent to my child, {name}, participating in the activities of Immortal Dragon – Martial Arts Institution and sign this document on behalf of myself and my child.
Parent/Guardian Name (if student is under 18 years of age):
Witnessed By Witness Signature