VANBELLE'S BLACK BELT ACADEMY
4120 Dale Rd #7 Modesto, CA 95356
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ATA MARTIAL ARTS
VanBelle's Black Belt Academy, LLC
WAIVER AND RELEASE OF LIABILITY, MEDICAL RELEASE AND PHOTO/VIDEO RELEASE
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The term "Martial Arts Activities" in this Agreement means all classes, competitions, seminars, rank testings or any other training hosted, offered, provided or sanctioned by the Released Parties. The term "Released Parties" in this Agreement means VanBelle's Black Belt Academy, LLC and the American Taekwondo Association, Inc. (dba ATA International); each of their owners, officers, directors, employees, and volunteers; each of their respective agents or assigns; and any other individual or entity associated with the Martial Arts Activities.
Waiver and Release of Liability:
I am fully aware of the inherent dangers in participating in activities involving Martial Arts Activities, including the risks of personal injury, disability, death or loss or damage to property. I understand and agree that the Released Parties will not be responsible for the Student's safety. I assume any and all risks involved with Martial Arts Activities. I hereby waive, release, discharge and hold harmless the Released Parties from any and all liability, claims and/or causes of action whatsoever that the Student may have, whether foreseen or unforeseen, whether caused by the negligence of a Released Party or otherwise, arising out of the Student's participation in Martial Arts Activities; including any harm, injury, or damage that may befall the Student while practicing or performing martial arts at any time or place, or while traveling to or from martial arts-related events, and any damage, loss or theft of any personal property.
Medical Release:
I agree that the Student will not participate in Martial Arts Activities with any health condition that threatens any person's health or safety. I authorize the Released Parties and their volunteers to take all necessary steps regarding required medical attention (e.g., first aid, calling ambulance service, etc). I agree that I shall be solely responsible for the costs associated with such medical attention and to indemnify and hold harmless the Released Parties from costs incurred therein.
Photo/Video Release:
In further consideration for being permitted to participate in Martial Arts Activities, I agree that any photographs or videos taken of or by the Student in connection with Martial Arts Activities can be used by the Released Parties for publicity or promotion or any other purpose without compensation at this or any other time.
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I have read this document and understand that it is a release of all liability and a waiver of the right to bring any claim for injury or loss against any or all of the Released Parties arising out of Martial Arts Activities. I understand that this agreement applies to any and all of the Student's activities related to any activities associated in any way with the Released Parties and shall remain binding during and after the termination of the Student's participation in the Martial Arts Activities for any reason.
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