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Waiver of Liability and Release

Waiver of Liability and Release

Please fill out the following form
in order to participate in our activity.

familymartinsmartialarts@gmail.com(352) 973-6463  

923 North Central Ave., Umatilla, Fl - 32784

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          This release must be signed by the participant, or by their parent or guardian if the participant is less than 18 years old, who wishes to participate in classes or events sponsored or conducted by Family Martins Martial Arts LLC.

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                            In consideration of being allowed to participate in any way in any of our martial arts training classes, programs, and other events and activities conducted by Family Martins Martial Arts LLC, the undersigned participant:

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                            Agrees that prior to participating in any activity, the participant will inspect the facilities and equipment to be used and, if the participant believes anything is unsafe, will immediately advise the coach, trainer, or other supervisor of such condition and will refuse to participate. The parent or legal guardian of minor participant (under 18 years of age) agrees that they will instruct the minor participant to comply with this rule.

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                            Certifies that the participant is in good physical condition and has no disease or injury that would prevent or impair participation in this activity, and that no instructor, coach, manager, doctor, nurse, medical professional, athlete, trainer, or other person has advised the participant not to compete in a contact sport for any reason, and not to participate in this activity.

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                            Acknowledges and fully understands that each participant will be engaging in activities requiring close physical contact, that by their very nature involve risk of serious injury, including but not limited to permanent disability, paralysis, death, and severe social and economic losses, including damage or loss of personal property, which might result not only from their own actions, inactions, or negligence but also the actions, inactions, or negligence of others, the rules of play, the conditions of the premises or of any equipment used. Furthermore, that there may be other risks not known to them or not reasonably foreseeable at this time.

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                            Voluntarily and knowingly accepts and assumes all the foregoing risk and danger involved with participation in martial arts training sports programs and other events and activities conducted by Family Martins Martial Arts LLC, and its members, managers, and owners and accepts personal responsibility for the damages following such damage, loss, injury, infectious diseases, permanent disability, paralysis, or death.

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                            Releases, waives, forever discharges, holds harmless, and agrees not to sue Family Martins Martial Arts LLC, its members, managers, owners, employees, officers, directors, agents, instructors, volunteers, assistants, administrators, coaches; and their affiliated clubs and organizations’ administrators, directors, agents, coaches, employees, supervisors; and other participants, participants’ parents and/or guardians; and sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of the premises used to conduct any event or training, all of which are hereinafter referred to as “releases”, from any and all liability, claims, damages, demands, costs, actions, causes of action, or suits of any nature or kind whatsoever which the undersigned, their heirs, parents, guardians, next of kin, executors, administrators, personal representatives, or assigns may have or claim to have, on account of or arising out of the personal injuries, death or damage to their person(s) or property or involving any impairment or damage to any right, including, but not by way of limitation, loss of time, loss of service, loss of income, or for expenses incurred, occurring to them because of or in any way relating to participation by the undersigned in activities of Family Martins Martial Arts LLC and any of its members, managers, owners, employees, officers, directors, agents, instructors, volunteers, assistants, administrators, coaches or through the use of any and all facilities connected therewith, or caused or alleged to be caused in whole or in part by the negligence of the releases or otherwise.

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                            Understands that from time to time we take photographs and videos of classes and events including participating students, which are used for business purposes, including for advertising and marketing, and hereby grants Family Martins Martial Arts LLC permission to take and use any photograph or motion picture of me and/or my minor child, for its unrestricted business purposes, including website entries, newsletters, promotional releases, and advertising. I understand that I will not be notified about the use of any photograph in advance. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph. I hereby hold harmless and release forever Family Martins Martial Arts LLC, their members, managers, owners, officers, employees, agents, and representatives, from all claims, demands, and causes of action which I, my minor children, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate. I/we declare under penalty of perjury that the foregoing is true and correct.

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                            I ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS “WAIVER OF LIABILITY AND RELEASE” AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. I EXPRESSLY AGREE TO RELEASE AND DISCHARGE FAMILY MARTINS MARTIAL ARTS LLC, AND ALL OF ITS AFFILIATES, MANAGERS, MEMBERS, AGENTS, ATTORNEYS, STAFF, VOLUNTEERS, HEIRS, REPRESENTATIVES, PREDECESSORS, SUCCESSORS AND ASSIGNS, FROM ANY AND ALL CLAIMS OR CAUSES OF ACTION AND I AGREE TO VOLUNTARILY GIVE UP OR WAIVE ANY RIGHT THAT I OTHERWISE HAVE TO BRING A LEGAL ACTION AGAINST FAMILY MARTINS MARTIAL ARTS LLC FOR PERSONAL INJURY OR PROPERTY DAMAGE.

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                            I have read and understood this document and agree to its provisions. I am not under the influence of any drugs, alcohol, or other intoxicants. I am not suffering from any illness or incapacity. I am over 18 years of age. (If not over 18 years of age, a parent or guardian must sign.)

Thanks for submitting!

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