(18++) ADULT WARRIORS DOUBLE ELIMINATION 50/50 pot
AGE _________________________ (as of tournament date)
MARTIAL ARTS STYLE ____________________________________________________________________
GENDER (circle one) ….. MALE ………. FEMALE
MARTIAL ARTS SCHOOL NAME ______________________________________________________________
MARTIAL ARTS INSTRUCTOR ________________________________________________________________
MARTIAL ARTS SCHOOL PHONE _____________________________________________________________
MARTIAL ARTS SCHOOL E-MAIL _____________________________________________________________
MARTIAL ARTS SCHOOL WEB-PAGE __________________________________________________________
Athletic Waiver and Release of Liability
In consideration of being allowed to participate in any way in ADULT WARRIORS athletics / sports program, and related events and activities, the undersigned :
I. I Agree that I shall prior to participating , he or she should inspect the facilities and equipment to be used, and if the participant believes anything is unsafe, he or she will immediately advise of such condition(s) and refuse to participate.
2. I Acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, and losses which might result not only from their own actions, inactions or negligence but the actions, inactions or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time.
3. I Assume all the foregoing risks and accept personal responsibility for the damages following such injury.
4. I Release, waive, discharge and covenant not to sue ADULT WARRIORS, its officers, its affiliated clubs, regional sports organizations, their respective administrators, directors, agents, coaches, and others of the organization or volunteers, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessees of premises used to conduct the event, all of which are hereinafter referred to as "releasees" from any and all liability to the undersigned, his or her heirs and next of kin for any and all claims, demands, losses or damages on account of injury or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releasee or otherwise.
The undersigned have read the above waiver and release, understand that they have given up rights by signing it and sign it voluntarily.
Protest must be in writing and submitted with $25.00 cash for each protest.