Liability Release, and Emergency Medical Authorization - I acknowledge that my participation in the Faith Family Karate program involves certain known and unknown risks, including but not limited to, accidents or injuries arising from or related to various activities in which I may participate. These activities include, but are not limited to, stretching, conditioning exercises such as push-ups, sit-ups, and squats, sparring both with students and the instructor, and drills utilizing training equipment such as heavy-bags and target shields. I understand and acknowledge that the Faith Family Karate class is a physical course and, accordingly, the instructor may physically correct and adjust my posture, positioning, targeting, and form. I further understand and acknowledge that my participation in the Faith Family Karate program activities includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While rules and personal discipline may reduce the risk, the risk of serious illness and death does exist. In consideration of the benefits I will receive from my participation in the Faith Family Karate program, by my signature below, I agree to assume all risk of personal injury, property damage, illness, or death that I may suffer while participating in the Faith Family Karate program, and I hereby voluntarily, expressly and knowingly WAIVE, RELEASE AND HOLD HARMLESS Faith Family Karate and all of its officers, directors, agents, employees and volunteers, individually and collectively (the “Released Parties”), from any and all claims, whether known or unknown, liability, expenses, damages, and causes of action at law, or in equity, for any injury, property damage, illness, or death which I may suffer as a result directly or indirectly from participation in the Faith Family Karate program INCLUDING, BUT NOT LIMITED TO, ALL CLAIMS OF NEGLIGENCE, WHETHER ACTIVE OR PASSIVE, AND WHETHER CAUSED BY MY CHILD’S/WARD’S OWN NEGLIGENCE OR THE NEGLIGENCE OF THE RELEASED PARTIES. I will not institute or prosecute any actions or suits at law or in equity, nor aid any institution or prosecution of any claim, demand, action or cause of action against the Released Parties for any personal injury, property damage, illness, death or other loss or damage of any nature or kind, costs or attorneys’ fees sustained or that might be sustained by myself which are related to, resulting from, or connected in any manner with the participation in the said activities and/or events. I agree that this agreement may be pleaded as a complete defense to any action or proceeding that may be brought or instituted by myself individually or on my own behalf, or by or on behalf of any family members or their respective heirs or legal representatives. I further agree to INDEMNIFY, SAVE AND HOLD HARMLESS the Released Parties and each of them from any loss, liability, damage, or cost, including reasonable attorney’s fees, which arises as a result of (1) my breach of this Approval, Liability Release, and Emergency Medical Authorization; and/or (2) the participation of myself in the Faith Family Karate program. In the event I am injured, ill or otherwise require medical attention or treatment, I hereby grant permission to the church officials and/or Faith Family Karate officers, employees, agents and volunteers to render, secure, and/or authorize necessary medical treatment for myself. I grant permission to Faith Family Karate for me (a) to be photographed, recorded and/or interviewed in connection with the Program and for the photographs, recordings and interview materials to be used and released publicly and (b) to participate in an evaluation of Faith Family Karate conducted by an external evaluator. (All evaluation participants are guaranteed confidentiality; the evaluator will not share individual student information collected during the evaluation process with anyone and the information and will not be used as part of the Faith Family Karate class assessment process.) I agree to participate in the Program and the assessment process without financial remuneration, and I understand that this releases Faith Family Karate and any photographer/interviewer/evaluator from any future claims, as well as from any liability arising from the use of said photographs, recordings, interviews and evaluations. I also grant permission for Faith Family Karate to contact me in the future concerning Faith Family Karate and related events and opportunities. I hereby sign in agreement on behalf of myself and my minor child.
I, , do affirm that I have read and understand this document.
Fusion Martial Arts