Below the following form is the Academy of Western Martial Arts’ Release and Waiver of Liability and Indemnity Agreement. Completion of the agreement is required to participate in practices and events hosted by the Academy of Western Martial Arts.
By submitting the below form, you agree to the terms and conditions described and represented in the Release and Waiver of Liability and Indemnity Agreement, found lower on this page.
Release and Waiver of Liability and Indemnity Agreement
(Read Carefully Before Signing)
In consideration of being permitted to participate in any way in the Martial Arts Program
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 adult participant
named below agrees, or the parent(s) and/or legal guardian(s) of the minor participant named
1. The parent(s) and/or legal guardian(s) will instruct the minor participant that prior to
participating in the below martial arts activity or event, he or she should inspect the facilities and
equipment to be used, and if he or she believes anything is unsafe, the participant should
immediately advise the officials of such condition and refuse to participate. I understand and
agreed 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:
(a) There are risks and dangers associated with participation in martial arts events and
activities which could result in bodily injury, partial and/or total disability, paralysis and
(b) The social and economic losses and/or damages, which could result from these risks
and dangers described above, could be severe.
(c)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.
(d) There may be other risks not known to us or are not reasonably foreseeable at his
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
martial arts facility used by the participant , including its owners, managers, promoters, lessees
of premises used to conduct the martial arts event or program,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 martial arts 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 to 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 RELEASEE OR OTHERWISE.
5. I/WE HEREBY acknowledge that THE ACTIVITIES OF THE EVENT(S) ARE VERY
DANGEROUS 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. I/WE give full permission, in perpetuity, for media, including but not limited to audio,
photographs, and video, to be taken of me during martial arts program events, and to be used in
promotion of the program. I/WE understand that there will be no compensation for such use, and
I/WE release all claims to any and all damages resulting from such use.
7. 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.
8. On behalf of the participant and individually, the undersigned partner(s) and/or legal
guardian(s) for the minor participant executes this Waiver and Release. If, despite this release,
the participant makes a claim against any of the Releasees, the parent(s) and/or legal guardian(s)
will reimburse the Releasee for any money which they have paid to the participant, or on his
behalf, and hold them harmless.
9. I expressly waive, release and discharge the Academy of Western Martial Arts, LLC and any
affiliates, officers, employees, representatives, agents, contractors, or volunteers of the above
(the “Released Parties”) from any and all claims for damages or injuries that I or the participant
may sustain as the result of participation in Academy of Western Martial Arts, LLC activities. I
assume all risk for participation in Academy of Western Martial Arts, LLC activities, and
understand that the Released Parties are not responsible for determining a participant’s fitness to
10. I understand that the Released Parties have made no representations as to the results of
participation in Academy of Western Martial Arts, LLC activities. I understand further that no
representations are being made to me as to the professional qualifications, standards, equipment,
or safety associated with participation in Academy of Western Martial Arts, LLC activities.
11. The responsibility for the assessment of all risks associated with Academy of Western
Martial Arts, LLC activities is mine alone, and any damages of any type due to the failures or
negligence of others I also accept as my responsibility alone. I assume all attendant risks
regardless of my ability to foresee and/or evaluate those risks. The responsibility to be aware of
whether a particular activity is an official activity of the Academy of Western Martial Arts, LLC
is also mine alone. I am aware that this information is available to me upon my request and I
know where to retrieve this information. The responsibility to understand the effects and limits
of any insurance policies associated with participation in Academy of Western Martial Arts, LLC
activities is also mine alone. I am aware that this information is available to me upon my request
and I know where to retrieve this information.
12. I agree that this waiver and release is intended to be as broad and inclusive as is permitted by
the law of the Province or State in which the activities are conducted and that if any portion is
held invalid, it is agreed that the balance shall, notwithstanding continue in full legal force and
13. I understand that while instructors may announce a requirement of certain protective gear for
certain activities, the student always has the option and responsibility to add protective gear that
the student considers necessary or desirable. I further understand that eye protection and other
protective gear are always available for students to borrow, and that it is my responsibility to ask
I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. Martial Arts School: Academy of Western Martial Arts, LLC