November Keiko & Kendo Shinsa

November Keiko & Kendo Shinsa

suskif.org/keikoandshinsa
Name*

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Email*
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Phone Number*
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Birthdate*

MonthDayYear
Date
National Federation*

AUSKFFIK Affiliate
AUSKF ID Number*
Regional Federation*
FIK Federation*
Dojo*
SUSKIF Dojo*
Rank*
Please let us know which practices you will attend.*

WednesdayThursdayFriday (Iaido & Jodo only)SaturdaySunday

Shinsa (rank examination)
Are you going to test?*

YesNo
Are you a member of SUSKIF?*

YesNo
Requested Rank*
Current Rank*
Date of last shinsa - please email a copy of menjo to suskif@gmail.com *

MonthDayYear
Date
Age on day of Shinsa*
Experience in years/months*
Number of times practicing per week*
Confirm (SUSKIF members)*

I have received permission to test from my Sensei.I am practicing regularly.
Confirm (Non-SUSKIF members)*

I have received permission to test from my Sensei.I am practicing regularly.I understand I need to obtain permission from my federation president and submit the "Affiliate Organization Exam Request" form located at https://www.auskf.org/forms/promotion-exams
List any injuries/conditions the judges need to be aware of.

Waiver

Read and Initial
Full Release & Waiver of Liability Agreement for the St. Andrew Lutheran Church, Houston Kenshikan, Cougar Kendo, The Southern U.S. Kendo & Iaido Federation and The All U.S. Kendo Federation.
I/We fully understand and acknowledge that:
While Kendo, Iaido and related activities are some of the safest martial arts presently practiced, as with any athletic endeavor or sport, there is the risk of injury. Further, while the Instructors and Seniors providing guidance will always endeavor to provide the safest instruction possible, there is always the possibility of misunderstandings and miscommunication that could result in injury. It is highly recommended that you consult with your physician prior to initiating practice to ensure that you are healthy enough to participate in the activity.

Further, I hereby agree to abide by the commands and instructions of the Instructors, officials, Officers, and Staff, and I understand that their decisions regarding all issues
involved in the practice of the martial arts and associated activities are final and binding on me.

I also understand that here may be other risks not known nor reasonably forseeable at this time, and I undertake the practice Kendo, Iaido and related activities with this clear understanding.

By signing this form, I am representing I am a member of good standing with the All United States Kendo Federation, my regional federation, and my Dojo.
Full Release & Waiver of Liability Agreement for the St. Andrew Lutheran Church, Houston Kenshikan, Cougar Kendo, The Southern U.S. Kendo & Iaido Federation, and The All U.S. Kendo Federation.
I accept and assume such risks and responsibility for the losses and/or damages following any injury, disability, paralysis or death, however caused and whether caused in whole or in part by the negligence of the Releasees named herein.
Initial to indicate you have read the above text.*
Initial to indicate you have read the above text.*
I HEREBY acknowledge that martial art activities are dangerous and involve the risk of serious injury, paralysis and death. In addition, I could incur significant medical, social and/or economic damages as a result of incurring any such serious injury, paralysis or death.
Initial to indicate you have read the above text.*
I HEREBY WAIVE AND RELEASE ANY AND ALL FELLOW PARTICIPANTS AND INSTRUCTORS FROM ANY AND ALL RESPONSIBILITY FOR ANY ACTIONS, INACTIONS, INCLUDING ANY FUTURE NEGLIGENCE, THAT COULD RESULT IN INJURY TO MYSELF OR ANY MINOR CHILD FOR WHO I AM PARENT OR GUARDIAN. I ASSUME ALL RISKS FROM ANY MARTIAL ARTS ACTIVITIES I PARTICIPATE IN AT THIS EVENT. IN ADDITION, I UNDERSTAND THERE COULD BE A THE RISK OF EXPOSURE TO COMMUNICABLE SICKNESS/DISEASE INCLUDING, BUT NOT LIMITED TO COVID-19 AND I RELEASE ALL PARTIES AND PERSONS FROM ANY LIABILITY FOR THIS POSSIBLE EXPOSURE.
Initial to indicate you have read the above text.*
By clicking on this box I hereby expressly state that I have read and agree to be bound by the terms and conditions waiving certain rights unconditionally.
I further reaffirm my agreement, on behalf of myself or my minor child, with the terms of this liability waiver by electronically signing this document: (Signature must be signed /s/ full name or it will not be valid)*

Sexual Misconduct

Read and Initial
Sexual Misconduct Defined
Touching or non touching sexual behavior
Non-consensual or forced, coerced or manipulated, or perpetuated in an aggressive, harassing, exploitative or threatening manner

Sexual Harassment Defined
Conduct that creates and inappropriate or hostile environment
Repeatedly making sexually oriented comments, jokes, or innuendos
Unwelcome verbal or physical conduct of a sexual nature
From viewpoint of victim
Legal: For adults. For minors, it’s assault.

Sexual Assault Defined
Attempted rape
Unwanted touching of victim
Forcing victim to perform sexual acts
Rape
Initial to indicate you have read the above text.*
Sexual Abuse
Any sexual activity with a minor & consent cannot be given
Sexual activity between adult and minor is always abuse
Sexual contact between minors may be sexual abuse:
Aggressor, Age disparity, Imbalance of power, Intellectual capabilities

Acts of Sexual Abuse
Touching and nontouching offenses
Nontouching: discussing sex, showing porn, sending sexually explicit messages

Sexual Abuse Facts
Victims know their abusers over 90% of the time
Criminal background checks only ID people with a record
Less than 10% are caught or prosecuted
Offenders are highly qualified, intelligent, patient, good interpersonal skills, positive self image
Red flags: groom or prepare their victim with attention, affection and gifts
Initial to indicate you have read the above text.*
Grooming
Stages: Targeting a victim, gaining trust, recognizing and fulfilling needs, isolating the victim, sexualizing the relationship, maintaining control
1 Targeting: looking for a vulnerability
2 Gaining trust: trust is automatic to victim and those around the victim
3 Recognizing and fulfilling needs: attention, positive reinforcement, helping them in different ways
4 Isolating the victim: told there is a special relationship, told some secrets, offender is the only one who understands them, offender finds way to separate victim from others
5 Sexualizing the relationship: accomplished after breaking down of psychological and physical barriers, like accidental showing nudity, showing porn, touching the victim
6 Control: maintain secrecy

Minimizing Sexual Misconduct
Abuse may occur in common areas: locker rooms, bathrooms, unmonitored areas, unsupervised contact at a residence, social events involving alcohol, events, overnight travel
Private meeting: have the door open/visible to others, have a witness
Do not assume everyone you meet is a good person
Use the buddy system at events
Don’t drink alcohol to the point you cannot think before you say or act
Initial to indicate you have read the above text.*
Changing Clothes
Always have 2 adults with a minor, even when adjusting a minor’s uniform
Adults change separately from minors

Authority
Seniors do not do anything that could be an abuse of power/taking advantage of a junior.
Sexual relationship between adults may be legal, but may be inappropriate Relationship may impact entire Dojo
Inform Sensei & Dojo officers of relationship
Any issues may result in expulsion from the Seminar

Consequences
Criminal & Civil liability for the Offender
Civil liability for the Dojo
The Dojo may not survive: members will quit, we lose our facility
Initial to indicate you have read the above text.*
Check the following to indicate you have read it:*

I have read and understand the above language.I understand it is part of my responsibility as a Seminar Attendee to prevent any sexual misconduct.If I witness or experience any sexual misconduct, I will communicate this immediately.I agree to abide by the terms and conditions stated herein.
I further reaffirm my agreement with the terms of this misconduct form by electronically signing this document: (MUST follow format: /s/ full name)*

Event Fees

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November Keiko & Kendo Shinsa

Shinsa (rank examination)

Waiver

Sexual Misconduct

Event Fees