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In consideration of the right to participate in the New Britain PAL Karate Program, I do hereby, for myself, my heirs, and executors release the New Britain Police Athletic League, the City of New Britain, the Institute of Martial Arts, and all coaches, agents, employees or personnel of said parties from any and all liability for property damage, bodily harm, or any other damages suffered while participating in said Karate Program and accordingly waive any and all right to bring suit against the New Britain Police Athletic League, the City of New Britain, the Institute of Martial Arts, and coaches, agents, employees or personnel.

The undersigned further acknowledges that Karate and martial arts training involves exercise and poses an inherent risk of bodily injury. The undersigned, therefore, certifies that the participant named above is in satisfactory physical condition to participate, or that any relevant medical or physical limitations have been disclosed in this application. the undersigned grants permission to use and publish photos and other media for promotional purposes.