Gardena Kendo Club

1. Voluntary Participation: I, print name that I have

voluntarily applied or have voluntarily allowed my child print child's name to apply to
participate in kendo instruction and training at Gardena Kendo Club (GKC), which is affiliated with the Southern
California Kendo Organization (SCKO) and the All-United States Kendo Federation (AUSKF).

2. Assumption of Risk: I AM AWARE THAT PARTICIPATION IN KENDO,
AS IN ANY SPORT OR PHYSICAL ACTIVITY, MAY RESULT IN PHYSICAL INJURY,
EXPOSURE TO ILLNESS (E.G. MRSA, INFLUENZA, COVID-19, ETC.), DAMAGE TO PROPERTY, AND, IN RARE INSTANCES, EVEN DEATH. IAM VOLUNTARILY
PARTICIPATING, OR ALLOWING MY CHILD TO PARTICIPATE, IN THIS ACTIVITY WITH KNOWLEDGE OF THE DANGER INVOLVED, HEREBY AGREE TO ACCEPT ANY AND ALL RISKS OF INJURY, DAMAGE, AND/OR DEATH, AND VERIFY THIS STATEMENT
BY PLACING MY INITIALS
HERE.initials.

IN ADDITION, I WILLINGLY AGREE TO COMPLY WITH ANY STATED AND CUSTOMARY TERMS AND CONDITIONS FOR PARTICIPATION. IF I OBSERVE ANY SIGNIFICANT HAZARD DURING MY PRESENCE OR PARTICIPATION, I WILL REMOVE MYSELF FROM PARTICIPATION AND IMMEDIATELY NOTIFY THE NEAREST OFFICIAL. I VERIFY
THIS STATEMENT BY PLACING MY INITIALS HERE.initials.

3. Waiver and Release: As consideration for being permitted by GKC to participate in these activities and use related facilities, I hereby agree that I, my assignees, heirs, distributes, guardians, and legal representatives will not make a claim against, sue, or attack the property of GKC, SCKO or AUSKF on account of injury, damage, or death resulting from
the gross negligence, recklessness or other acts or omissions (both known and unknown),
however, caused, by any employee, agent, or contractor of GKC, SCKO or AUSKF as a result of my, or my child's, participation in kendo. I hereby knowingly and voluntarily waive and release GKC, SCKO and AUSKF from all actions, claims, or demands that I, my assignees, heirs, distributes, guardians, and legal representatives now have or
may hereafter have for injury, damage or death resulting from my, or my child's, participation in kendo.

4. Knowing and Voluntary Execution: I HAVE CAREFULLY READ THIS RELEASE AND
FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY
AND A CONTRACT BETWEEN GKC AND ME AND SIGN IT OF MY OWN FREE WILL.

   
Executed on [date]date,

at [city]city [state]state