MD WAIVER


Warning, waiver of claims, release of liability, indemnity agreement, agreement to matriculate, and/or photo/video release.

 

Between training applicant and Movement Daily, Kaizen Taki,
hereinafter collectively referred to as MD.

 

PLEASE READ CAREFULLY BEFORE SIGNING

I, the undersigned, do hereby:

1.    Agree that before participating in training at MD or at any events away from main school, I will inspect surfaces, facilities and equipment to verify their safety and advise my instructors and decline to participate if deemed unsafe.

2.    Understand and acknowledge that all health and fitness activities are physical contact exercises in which physical injury or fatal consequences as well as property damage can occur, due not only to my own negligence, action or interaction, but also the actions of others. Furthermore I acknowledge that there may be risks, known to me or not reasonably predictable.

3.     Assume all risks involved in the practice of all health and fitness activities.

4.    Enter on my own free will into premises and classes, demonstrations, training and competition understanding and abiding by the rules promulgated by my instructors, coaches and officials.

5.    Certify that I am in good health, general physical conditions with no limitations to impair my performance, mentally or physically of the prescribed activities of myself and of others.

6.    Grant permission the event of injury to have medical assistance administered by instructors, coaches and officials.

7.    Acknowledge that the health and fitness activities I learn are potentially dangerous and could result in serious injury or fatal outcome to myself and others. I hereby forever release, waive, discharge and covenant not to sue MD their principals, staff, directors, agents, instructors, coaches, volunteers, medical personnel or any other MD personnel, other participating health and fitness organizations, affiliated clubs/schools, administrators, volunteers, other participants, their parents or guardians, supervisors, instructors, coaches, sponsoring organizations and/or any other individuals and/or entities for any and all injuries including death or damage incurred while entering or in the premises while participating in the classes, practices, demonstrations, training and competitions at or away from the premises. I further agree to indemnify and hold harmless, MD, its principals, instructors, supervisors, and others of MD, against any and all claims, liability and damages that may result from my use of the martial arts or someone else’s use of the martial arts on me.

8.    I (an adult as defined by local and state laws) do agree to all the above statements, conditions, waivers, indemnifications, and consent to participate under the above conditions. I/We as parent(s) or legal guardians of a minor have instructed this minor of the provisions hereof and consent to the minor’s participation. I/We additionally confirm and agree to all and adopt and ratify as my/our own all the rules, regulations, representations, waivers, releases, indemnifications, etc. included herein.

9.    I hereby authorize Kaizen Taki and MD and those acting pursuant to its authority to photograph, video tape, or use any other electronic method of recording my likeness and/or voice to be used at MD’s discretion in MD-related publications and/or websites.

10.    I hereby give Kaizen Taki and MD the absolute right and permission, without restrictions, to make, copyright, and/or use, re-use, or publish said photographs/video footage of me in which I may be included in whole or in part, and waive any right to inspect and/or approve the finished printed materials, videos and/or websites where my image appears. I further consent that my name and identity may be revealed therein or by descriptive text or commentary.

11.    I release Kaizen Taki and MD and those acting pursuant to its authority from liability for any violation of any personal or proprietary right I may have in connection with such use. I understand that all such recordings, in whatever medium, shall remain the property of Kaizen Taki and MD.  

12.    I waive any right to compensation for my appearance in these printed documents, videos or websites in any and all future uses of the photographs and/or video footage.

Name *
Name
Date of Birth *
Date of Birth
PARTICIPANTS MUST BE AT LEAST 18 YEARS OLD UNLESS PRIOR PERMISSION IS GIVEN. THANKS
PLEASE LIST ANY MEDICAL CONDITIONS THAT MIGHT AFFECT YOUR PARTICIPATION IN TRAINING OR BECOME RELEVANT DURING AN EMERGENCY.
Warning, waiver of claims, release of liability, indemnity agreement, agreement to matriculate, and/or photo/video release.
Between training applicant and Movement Daily, Kaizen Taki, Aikido Eastside, and George Ledyard, hereinafter collectively referred to as MD.
MD Training is for information purposes only *
ALL CONTENT IN MOVEMENT DAILY IS INTENDED FOR GENERAL INFORMATION PURPOSES ONLY, AND DOES NOT ADDRESS INDIVIDUAL CIRCUMSTANCES. IT IS NOT A SUBSTITUTE FOR PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. NEVER IGNORE PROFESSIONAL MEDICAL ADVICE IN SEEKING TREATMENT. IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY, IMMEDIATELY CALL YOUR DOCTOR OR DIAL 911.
Electronic Signature - Legal Name *
Electronic Signature - Legal Name

Thank You