Do you have any medical condition that may affect your training that we should know about?
In consideration of the acceptance of my/the minor’s participation in any activity ran by Sparta Tae kwon do LLC, I/the minor agree to assume the risk incidental to such participation (which risk may include, among other things, muscle injuries and broken bones) and on my own/the minor’s behalf and on behalf of my/the minor’s heirs, executors and administrators, release and forever discharge the released parties defined below, of and from all liabilities, claims, actions and damages, costs or expenses of any nature arising out of or in any way connected with my/the minor’s participation in such activity, and further agree to indemnify and hold each of the released parties harmless against any and all such liabilities, claims, actions, damages, costs and expenses, including but not limited to attorney’s fees and disbursements. The released parties are Sparta Tae kwon do LLC, and affiliated schools, and the owners, officers, directors, members, students, employees, agents, representatives, staff members, successors and assigns of each of the foregoing entities.
I/the minor understand that this release and indemnity agreement includes any claims based on negligence, action or inaction of any of the above released parties and covers bodily injury (including death) and property damage, whether suffered by me or the minor, before, during or after such participation.
I/the minor declare to be physically fit to participate in this program. I/the minor further authorize medical treatment for my self or the minor, at my/the minor cost, if the need arises. This agreement shall be governed by the laws of the State of California, and any legal action relating to or arising out of this agreement shall be commenced exclusively in the Circuit Court of the Contra Costa County, California (or if such Circuit Court shall not have jurisdiction over the subject matter thereof, then to such other court sitting in said county and having subject matter jurisdiction).
I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND IT’S TERMS, UNDERSTAND THAT I/THE MINOR HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF LIABILITY TO THE GREATEST EXTENT ALLOWED BY THE LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THAT THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.
Person signing this form must at least be 18 years old or over. If student is a minor, a parent or legal guardian must sign this form.
