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IF ACCEPTED, I AGREE TO ABIDE TO THE ORGANIZATIONAL RULES, REGULATIONS AND CONSTITUTION OF THE GOJU-RYU KARATE-DO KYOKAI CANADA ASSOCIATION
Terms of Acceptance
PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS!
In consideration of my acceptance into membership, I agree to waive and release, hold harmless and indemnify the organization, including but not limited to, officers, participating members and instructors, all clubs, organizations, and firms of any and all liability for bodily injuries, disease, or ill health, or the aggravation of such, disability, death , negligence by myself or others, all claims, demands, cost, losses, and expenses, which I, my heirs and/or personal representatives may have arising out of, or caused in any way by, or having any connection with my participation in martial art activities, training, contests, and practice, and/or the use or condition of any and/or all facilities and materials owned, leased, or in the care or use, custody, or control of any of the above listed, including traveling to and from activities. I agree that I have read this waiver and release and understand that I give up substantial rights by signing it, and sign it voluntarily.
I am in good health and do not suffer or have suffered or been diagnosed with any physical or mental condition, problems, illness, or limitation which would limit, endanger or prevent participation in the practice of martial arts. I agree to report any changes in health, medical condition or limitation immediately and to provide a medical approval for my fitness to participate as a condition for taking part or continuing martial arts activity.
I am fully aware that the study and practice of martial arts is by its nature a vigorous physical activity involving physical contact between the participants. I am also aware that, as a natural result of the rigorous training and physical contact, painful and substantial injuries may occur. My request to participate in the practice of martial arts is of my own free choice and acceptance of the inherent risk involved in this sort of activity.
In making application for membership I do so with the full knowledge that the techniques of maximum self -defense which, in part, comprise martial arts should be learned for use in self improvement, competitive sport, or self - defense only. I swear unconditionally that I will never willfully harm anyone, except in defense of myself or another. If the need arises to so act, I will do so only so long as the attacker poses a real threat and will attempt to inflict no more injury than necessary to accomplish this end.
I acknowledge that I have read and understand each part of this application. I confirm that all of my statements or representations in this application are true and complete
Medical Release
Parent & Guardian Authorization: In case of emergency, I hereby authorize myself or my child to be treated by Certified Emergency Personnel
Emergency Contact
If parent(s)/guardian cannot be reached in case of emergency...... Alternate Contact
Please answer yes/no to each question
Waiver
The purpose of the above listed information is to ensure that medical personnel have details of any medical problem which may interfere with or alter treatment. You should check with your Doctor and follow your Doctor’s advice before beginning any physical activity. Any medical condition o r injury/problem should be checked by your physician before participating in a Martial Arts program.
WARNING: PROTECTIVE EQUIPMENT CANNOT PREVENT ALL INJURIES A PLAYER MIGHT RECEIVE WHILE PARTICIPATING IN MARTIAL ART ACTIVITIES
GKK CANADA does not limit participation in its activities on the basis of disability, race, color, creed, national origin, gender, sexual preference or religious preference
I understand that it is my responsibility to advise the Club Instructor of any change in the above information as soon as possible