6th Annual Vancouver Island Karate Championships

2 parts:
Medical History: to be completed by all competitors or parents/guardians
Waiver and Release Agreement

INSTRUCTIONS: All karate competitors must submit the following documents in order to be eligible to compete in a Karate BC competition:

MEDICAL HISTORY To be completed by all competitors. Incomplete reports will not be accepted.

ALL COMPETITORS MUST BE AWARE OF THE FOLLOWING:

1. Competitors will not wear bandages, padding or supports during Kumite matches unless approved by the referee in consultation with the tournament medical staff.
2. A competitor injured during a match and declared unfit to fight by the tournament medical staff will not be eligible to further compete in the competition.
3. All finger and toenails must be kept short.
4. Competitors will not wear metallic or other objects, which may injure an opponent.
5. Competitors are advised to see their regular physician following a competition for follow-up examination of any injuries suffered during the competition. Note: The full extent of some injuries may not manifest themselves until sometime following the injury, e.g. abdominal or head injuries.
6. The tournament doctor/medical staff will have the sole discretion to determine if a competitor is or is not medically fit to compete.

ACKNOWLEDGEMENT: I UNDERSTAND AND AGREE that my signing of this document constitutes that:

1. I am registering willingly and participating voluntarily in a Karate BC competition.
2. I am physically, emotionally and mentally able to participate in a Karate BC competition.
3. I have expressly disclosed all illnesses, injuries, ailments, symptoms and/or medical conditions of any kinds whatsoever suffered or sustained as requested in the Medical Report.
4. I agree to consult my regular doctor should such an examination be requested by the Tournament Medical Doctor.
5. I agree that there are risks as described in the Waiver and Release Agreement and will be exposed to these risks and hazards.
6. I agree to accept all these risks and hazards and be responsible for any injury or other loss which I might receive while participating in a Karate BC competition.
7. By participating in Karate BC's activities, I hereby consent to having any picture or video image taken of me during any activity in any edited material used for Karate BC and Karate Canada's promotional activities, Web site and souvenir videos. I also accept that Karate BC and Karate Canada use any photomontage and videotape in which I appear for television purposes.
8. I have read the Waiver and Release Agreement and understand its terms and conditions.

I have read and understood the terms and conditions of this agreement, and by signing it voluntarily, I am agreeing to abide by these terms.

This is a binding legal agreement. As a Participant in the programs, activities and events of Karate BC and Karate Canada, the undersigned acknowledges and agrees to the following terms:

DISCLAIMER Karate BC and Karate Canada, its respective directors, officers, members, employees, coaches, volunteers, officials, participants, agents, owner's/operator's of facilities, and representatives (collectively the "Organization") are not responsible for any injury, damage or loss of any kind suffered by a Participant during the sport of karate, or as a result of, any competition, program, activity or event, caused in any manner whatsoever including, but not limited to, the negligence of the Organization.

DESCRIPTION OF RISKS In consideration of my participation in the programs, activities and events of the Organization, I hereby acknowledge that I am aware of the risks and hazards associated with or related to any such competitions, programs, activities and events. The risks and hazards include, but are not limited to, injuries from:

a) Physical contact with other participants; b) Striking participants and objects with parts of the body; c) Contact, colliding or being struck by other participants; d) Tumbling falling or being thrown to the floor; e) Executing strenuous and demanding physical techniques; f) Vigorous physical exertion, strenuous cardiovascular workouts, rapid movements and quick turns and stops; g) Exerting and stretching various muscle groups; h) Falls due to uneven or irregular surfaces; i) Failure to properly use any piece of equipment or from the mechanical failure of any piece of equipment; j) Spinal cord injuries which may render me permanently paralyzed; k) Travel to and from competitive events and associated non---competitive events, which are an integral part of the Organization's activities.

FURTHERMORE, I AM AWARE:

a) That injuries sustained can be severe; b) That I may experience anxiety while challenging myself during the competitions, activities, events and programs; c) That my risk of injury is reduced if I follow all rules established for participation; and d) That my risk of injury increases as I become fatigued.

RELEASE OF LIABILITY In consideration of the Organization allowing me to participate, I agree:

a) That my physical condition has been verified by a medical doctor; b) To assume all risks arising out of, associated with or related to my participation; c) To be solely responsible for any injury, loss or damage that I might sustain while participating; and d) To release the Organization from liability for any and all claims, demands, actions and costs that might arise out of my participating, even though such risks, injuries, loss, damage, claims, demands, actions or costs may have been caused by the negligence of the Organization.

ACKNOWLEDGEMENT I acknowledge that I have read this agreement, that I have executed this agreement voluntarily, and that this agreement is to be binding upon my heirs, executors, administrators, representatives and myself.

COVID-19 Risks and Protocol

In this document, “I”, or “me” refers to the participant who is participating in the competition and/or activities of the Organization. When the participant is under the age of majority in the province/territory/jurisdiction of residence, the parent/guardian of the participant understands, acknowledges, and agrees to the terms on behalf of the participant, and references in this document to the participant understanding, agreeing to, or acknowledging a risk or term is understood to be referring to the parent/guardian of the participant understanding, agreeing to, or acknowledging the risk or term on behalf of the participant.

I understand, acknowledge, and agree that:

• The Organization may develop COVID-19 protocols to which all participants must adhere. I have reviewed the COVID-19 protocols and, when applicable, responded to any COVID-19 questionnaire or compliance declaration provided to me by the Organization. The Organization has the discretion to remove me from the competition and any of its associated activities if I do not comply with the protocols.
• I am required to comply with all COVID-19 related laws, restrictions, regulations, and orders that are applicable in the jurisdiction in which the competition is taking place, including but not limited to, capacity limitations, mask/face covering requirements, physical distancing requirements, proof of COVID-19 vaccination requirements, and health screening requirements.
• The World Health Organization has classified the COVID-19 outbreak as a worldwide pandemic, and that COVID-19 is an extremely contagious and dangerous disease, and that contact with the virus which causes COVID-19 may lead to serious personal injury, serious illness, permanent disability, or death.
• The Organization has put in place preventative measures to reduce the spread of COVID-19, however, the Organization cannot guarantee that I will not become infected with, be exposed to, or contract COVID-19. Participating in this competition and/or any of its associated activities may increase my risk of being exposed to, becoming infected with, or contracting COVID-19 or any other contagious disease, which may lead to serious personal injury, serious illness, permanent disability, or death.

I hereby declare that I have read the above information and that, to the best of my knowledge, this information is correct and complete.