Release and Waiver of Liability and Indemnity Agreement
READ CAREFULLY BEFORE SIGNING
Anyone who chooses not to sign this form is not permitted to participate in any Empowerment Self-Defense classes taught by SVRC instructors.
In consideration of being permitted to participate in any way in the ESD programming on-site at SVRC, or off-site taught by SVRC ESD instructors, myself (Participant) and/or the parent(s) and/or legal guardians of the Minor Participant named below agree:
The Participant understands and acknowledges that strict observation of SVRC’s rules and regulations, including the rules and regulations related to training and the use of protective equipment, is required. The Participant understands and agrees that the use of SVRC’s facilities and the Participant’s presence at SVRC—or the Participant’s presence at another venue hosting an SVRC ESD program—are at the sole risk of the Participant. The Participant understands and acknowledges that self-defense and other movement arts involve skills and training that include sudden movements, and that in connection with the training and instruction, there may be physical contact between instructors and Participants and between and among the Participant and other participants. The Participant understands and acknowledges that such contact may result in personal injury to the Participant, despite precautions taken by SVRC to avoid such injuries. The Participant, individually and/or on behalf a Minor Participant, and anyone claiming by or through the Participant, hereby agrees to hold harmless, release, indemnify, and forever discharge SVRC, its officers, directors and employees, instructors, agents, and authorized representatives from any liability, claim or loss, including loss of property, damage, personal injury, or expense incurred by the Participant and arising from the Participant’s execution of this Contract, participation in any program offered by SVRC, including but not limited to, any injury or damage caused by the negligence or gross negligence of SVRC, its instructors, Participants, agents, employees, operators, or authorized representatives. The Participant specifically understands and agrees that they are assuming the risk of any and all injuries that they may suffer or incur as a result of their participation in any program offered by SVRC; therefore Participant agrees and waives all rights for any legal actions or harm to the Participant.
The foregoing release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the Province or State in which the event is conducted, and if any portion is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMINITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE AND INTEND MY SIGNATURE TO BE COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.
*Before engaging in any physical or emotional activity, you should consult with your personal physician or licensed therapist and advise them of the nature of the program.*