I wish to participate in training presented by Shinobi Martial Arts, Inc. (SMA)
I hereby represent that I am physically and emotionally fit to engage in self-defense instructional training and SMA is under no obligation to require me to prove my degree of health and fitness.
I hereby acknowledge that I understand that this training program will include vigorous physical movement on my own part and on the part of my training partners and will involve body contact with training partners and will expose me to the risk of bodily injury. I further acknowledge that by entering into the training, I will be exposed to risk of personal injury arising out of possible negligence or unavoidable accident, due to the very nature of the self-defense arts being taught.
I hereby acknowledge that I fully realize that during the training I will always and at all times have the option of withdrawing from participation in any exercise or technique and that it is my personal responsibility to decide in which exercise and techniques I will participate.
If my conduct, actions, or statements while participating in the training are determined to be detrimental to the safety or well being of other participants or the instructors at the training, I shall willingly comply with the request of the director or his agents that I remove myself and my effects from the site of the training immediately. I realize and agree to the fact that I will forfeit any prepaid training fees if requested by the director to terminate my training.
In consideration for being allowed to participate in the training opportunity offered by SMA, I knowingly assume all risks involved in participation in this training, and hereby release Dennis Mahoney, Theresa Murphy, the training sponsors if any, the seminar sponsors (if any), and all their instructors, agents and representatives from any responsibilities of liability to the undersigned and I covenant not to sue, and waive and release Dennis Mahoney, Theresa Murphy, SMA, the training sponsors if any, the seminar sponsors (if any), and all their instructors, agents and representatives from any responsibility for personal injury I may sustain while participating in the training.
I agree for myself and my successors, that the above representations are contractually binding, and are not mere recitals, and that should I or my successors assert any claim in contravention of this agreement, I or my successors shall be liable for the expenses (including legal fees) incurred by the other party or parties in defending such a claim.
THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THIS RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT and further agrees that this agreement may not be modified orally. A waiver of any provisions of this agreement shall not be construed as a modification of any other provisions, or as a consent to any other provision, or as a consent to any subsequent waiver or modification. No oral representations, statements or inducements apart from the foregoing written agreement have been made. All of Student’s obligations pursuant to this Agreement shall indefinitely survive the termination of this Agreement.