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  • One Clew, LLC

  • Youth Self-Defense Class

  • Assumption of Risk & Liability Waiver (Ages 9 and Up)

  • Please read carefully before signing.
  • This waiver applies to all self-defense classes, workshops, and activities led by the instructor(s), assistants, volunteers, or hosting organization.
  • 1. Purpose of the Class

  • These classes teach self-defense for protection and prevention, not for offense. Students will be shown awareness, boundary setting, basic movement, and controlled striking techniques meant only for personal safety. The difference between defensive use and offensive harm will be explained clearly and repeatedly.
  • 2. Nature of the Activities

  • Self-defense training may include:
    • Basic physical movements
    • Striking techniques practiced in the air or on pads
    • Controlled drills focused on form, awareness, and response
    • Group instruction and demonstrations
  • The methods for this class are designed not to include intentional peer to peer hitting. However, even with supervision, accidental contact or injury may occur.
  • 3. Acknowledgment of Risk

  • I acknowledge that my, my child's striking and non-striking related activities and use of any of the instructor's services or facilities at this location, or any off-site locations, entails significant risks, both known and unknown, which could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties.
  • Injuries may include but not limited to:
    • Bruises or soreness
    • Muscle, tendon or ligament pulls/strains/tears
    • Minor sprains
    • Broken bones
    • Accidental impact during drills
    • Serious injury or death
    By choosing to participate, I acknowledge that these risks exist and voluntarily accept them.
  • 4. Assumption of Responsibility

  • I confirm that:
    • My child is physically able to participate
    • Any relevant medical conditions have been disclosed
    • My child agrees to follow all instructions and safety rules
    Failure to follow instructions may increase risk of injury.
  • 5. Release of Liability

  • I agree to release and hold harmless the instructor(s), assistants, volunteers, venue, and organizers from any and all claims, injuries, or damages, whether caused by their negligence or otherwise, that may arise from participation in these classes.This release applies to:
    • Physical injury
    • Emotional distress
    • Any loss or damage connected to participation
  • 6. No Guarantee of Outcome

  • I understand that self-defense training does not guarantee safety in all situations. These classes are for education and prevention, not promises of protection.
  • 7. Photo & Video Consent (Optional)

  • Photos or videos may be taken for educational or promotional purposes.
  • 8. Parental / Guardian Consent

  • Since the participant is under 18, I confirm that I am the parent or legal guardian and that I give permission for my child to participate.
  • I have read and understand this waiver and agree to its terms.
  • Consent
  • Date:
     - -
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  • Should be Empty: