WAIVER/DISCLAIMER
READ CAREFULLY BEFORE SIGNING - ACKNOWLEDGMENT, WAIVER, & RELEASE FROM LIABILITY
I ACKNOWLEDGE THAT MARTIAL ARTS IS AN EXTREME TEST OF PHYSICAL AND MENTAL LIMITS AND CARRIES WITH IT THE RISK OF SERIOUS INJURY AND PROPERTY LOSS. I HEREBY ASSUME THE RISKS OF PARTICIPATING IN THIS MARTIAL ARTS PROGRAM. I CERTIFY THAT THE STUDENT LISTED ABOVE IS PHYSICALLY FIT, HAS SUFFICIENT MENTALITY FOR PARTICIPATION IN A MARTIAL ARTS PROGRAM, AND HAS NOT BEEN ADVISED OTHERWISE BY A MEDICAL PERSON.
I HEREBY TAKE ACTION FOR MYSELF, MY CHILD, MY EXECUTORS, ADMINISTRATORS, HEIRS, NEXT OF KIN, SUCCESSORS AND ASSIGNS AS FOLLOWS; WAIVE, RELEASE, DISCHARGE, AND AGREE NOT TO SUE, FROM ANY AND ALL LIABILITY FOR PERSONAL INJURIES, DISABILITIES, PERSONAL THEFT, OR ACTION OF ANY KIND WHICH MAY HEREAFTER ACCRUE TO ME AS A RESULT OF MY PARTICIPATION IN THIS MARTIAL ARTS PROGRAM.
I ALSO HOLD HARMLESS FROM ANY AND ALL LIABILITIES OR CLAIMS MADE BY OTHER INDIVIDUALS OR INTITIES AS A RESULT OF ACTIONS DURING THIS STUDENT’S PRACTICES, TOURNAMENTS, ETC.; THE FOLLOWING: LUMAMPAO MARTIAL ARTS, MASTER RAYMOND LUMAMPAO, TEACHERS, SPONSORS, DIRECTORS, EVENT PRODUCERS, OR EVENT VOLUNTEERS.