Read this document carefully. Do not sign it unless you have read it and understand it in its entirety. ____________________________________________ ____________________________________________ Print Applicant’s Name Effective Date The above applicant wishes to participate in training opportunities presented by the Warrior’s Edge Martial Arts, LLC. Applicant understands that the training activities offered by the Warrior’s Edge Martial Arts, LLC and other activities associated therewith, may be physically, emotionally and psychologically challenging, and that participation in such activities may involve physical contact with others, may involve use of and proximity to martial arts tools and other apparatus, and may involve mental awareness and exploration exercises, and that Applicant may thereby be exposed to risk of injury, mental distress, damage, or loss due to the nature of such activities. Applicant hereby represents that applicant is physically, emotionally, and psychologically fit to participate in such activities. Applicant understands that it is solely the applicant’s responsibility to decide which activities, if any, applicant wishes to participate in and applicant understands that, at all times, applicant has the option to refrain or withdraw from any activity whatsoever. By participating in any such activity, applicant chooses to assume fully any and all risks and consequences relating thereto. THEREFORE, IN CONSIDERATION FOR BEING ADMITTED AS A STUDENT: Applicant hereby releases and discharges the Warrior’s Edge Martial Arts, LLC, its principles, officers, members, employees, affiliates, agents, successors, and assigns; Michael J Eichenberg, their agents, heirs, executors, administrators, successors, and assigns; and any other person directly or indirectly concerned with applicant’s participation in any activities related directly or indirectly to the training offered by the Warrior’s Edge Martial Arts, LLC from any responsibility or liability of any kind to applicant for any injury, damage, or loss of any kind that may occur directly or indirectly as a result of such participation. Applicant hereby agrees to indemnify and hold harmless Warrior’s Edge Martial Arts, LLC and covenants not to bring any action, or to make any claim or demand of any kind, for any injury, damage, or loss of any kind that applicant or any other persons may sustain directly or indirectly from such participation, and applicant hereby waives any right to bring any such action or make any such claim or demand, and Applicant agrees to cause to be paid to them or their legal representatives any legal costs or fees incurred by them in connection therewith. Applicant hereby agrees to allow Warrior’s Edge Martial Arts, LLC to use any or all photographs, videos, interviews, written or oral statements in its promotional, marketing, and commercial campaigns. This may include, but is not limited to, video productions of instructional videos; video productions for rebroadcast as commercial advertisements, news shows, public service announcements or public television shows; or any related video production used by the Warrior’s Edge Martial Arts, LLC. Applicant hereby waives all interest in any such productions and agrees to allow Warrior’s Edge Martial Arts, LLC to use Applicant’s likeness in any such videos. Any of the heretofore-mentioned content shall be used for the purpose of promoting Warrior’s Edge Martial Arts, LLC in articles, newsletters, Internet advertisements and any other media presentations. Applicant understands that medical treatment will not be made formally available. Applicant agrees to assume full responsibility for any risk or consequences associated with seeking or accepting, or failing to seek or accept any medical treatment. Applicant makes all covenants, waiver, releases, indemnifications, representations, and other commitments contained herein knowingly and voluntarily agree that they are contractually binding on Applicant and Applicant’s heirs, executors, administrators, successors, and assigns. Applicant acknowledges that Applicant has read this agreement and understands it in its entirety. ______________________________________________________ Applicant’s Signature Age Date By signing this agreement, Applicant’s parent or guardian acknowledges that said parent or guardian has read this agreement and understands it in its entirety, joins in this agreement fully, is bound by all of its provisions, and gives full consent to Applicant’s signing and being bound by this agreement and undertaking the training and other associated activities offered through the Warrior’s Edge Martial Arts, LLC. |