Participation Waiver of Liability
Waiver of Liability, Release and Assumption of Risk Agreement
It is the purpose of this agreement to exempt, waive and release HiYa Karate, its owners, employees and agents, its affiliated associations, coaches and officials from liability for personal injury, property damage and/or wrongful death arising from your participation in any HiYa Karate course of instruction, practice or sponsored event (collectively a “HiYa Karate Event”).
In consideration of your participation in a HiYa Karate Event, you, and if applicable, your parents or guardians, waive, release and relinquish any and all claims for liability and causes of action you may have for personal injury, sickness, property damage or wrongful death arising from your participation in a HiYa Karate Event, regardless of how or where such personal injury, sickness, property damage or wrongful death may have occurred. By this agreement any such claims, rights and causes of action that you, your parents or guardians might have are hereby waived, released and relinquished, and you and/or your parents and guardians do so on your behalf and on behalf of your heirs, executors, administrators and assigns. You, and if applicable, your parents or guardians, understand and assume all risks related to karate and any related activities, and understand that karate involves risks to your person including bodily injury, partial or total disability, paralysis and death, and that you have full knowledge of said risks. These risks include, but are not limited to, those arising from participating with bigger, faster or stronger participants, and these risks will increase if you participate in age groups above your own or a skill group above your level. You also understand that there may be risks and dangers not known to HiYa Karate or not reasonably foreseeable at this time. You, and if applicable, your parents or guardians, acknowledge, understand and agree that all of the risks and dangers of participating in a HiYa Karate Event, including those caused by you or another participant, are included in the waiver, release and relinquishment described in this agreement. You, and if applicable, your parents or guardians, acknowledge that you (or they) have read the HiYa Karate Sparring Rules and you agree to abide by them at all times.
You, and if applicable, your parents or guardians, consent to the administration of first-aid or any other form of emergency medical treatment that may be necessitated by illness or injury occurring while participating in a HiYa Karate Event. You, and if applicable, your parents or guardians, understand that maintenance of health insurance is a prerequisite of participating in a HiYa Karate Event.
As a further condition of your participating in a HiYa Karate Event, you, and if applicable, your parents or guardians, hereby (1) consent and agree that HiYa Karate, its employees, licensees and designees may take photographs and/or make video and audio recordings of you and your participation in any HiYa Karate Event, and (2) grant to HiYa Karate, its successors and assigns a worldwide, perpetual, irrevocable, fully paid, royalty free and transferable right and license to use, copy and disseminate your image and personal attributes, and to modify and present same in any form, manner and media, now known or hereafter devised, for any purpose whatsoever, hereby waiving any rights, claims or interest you may have to control the use of your identity or likeness.
I represent that I am at least 18 years of age or the parent or legal guardian of _______________________. I have read and understand the above agreement and am competent to execute it.
I represent that I am the participant or I am the parent or legal guardian of the above named person who is under the age of 18 years. I represent that I am over the age of 18 years and that I have read and fully understand the above agreement and am signing on behalf of myself as the participant or my son/daughter/ward who is under the age of 18 years.
Signature of Participant or Parent/Guardian:
Name:
Email: