Agreement and Release of Liability for minor age 6 - 12
THIS AGREEMENT is made between the person named on this account, their parent or legal guardian, and Aikido of Santa Cruz (a.k.a. North Bay Aikido, Inc.), a non-profit public-benefit corporation, its instructors, students, agents, authorized guests and affiliated organizations (collectively referred to hereafter as “Aikido of Santa Cruz”).
In consideration of my enrollment in a martial arts program provided by Aikido of Santa Cruz, I make the following statements and promises:
1. I am aware that martial arts training involves strenuous physical activity and personal body contact, and that I will be participating in simulated attack situations which can be physically harmful and/or emotionally stressful.
2. I am voluntarily taking martial arts instruction with the understanding that there is potential danger and the possibility of injury. I agree to accept any and all risks of injury as my sole responsibility.
3. If I have a disability or illness, I promise to consult with my physician before taking martial arts instruction.
4. I agree that I, my heirs, legal representatives and assigns will abide by the following: I promise to defend, indemnify and hold Aikido of Santa Cruz harmless from any and all liability (including attorney's fees and costs) for all claims, actions, or damages:
a. for any injury or damage resulting from my participation in the program;
b. arising from injury or damage to me caused by my participation in the program;
c. by third parties alleging injury from my use of the techniques learned in the program, or any variation thereof, whether occurring on the premises of Aikido of Santa Cruz or elsewhere. I have not requested nor received any warranties as to the effectiveness of the training.
5. I agree to abide by the rules of Aikido of Santa Cruz and to follow explicitly all instructions given by instructors during the course of my instruction.
6. I understand and agree that Aikido of Santa Cruz occasionally films and takes photographs during events sponsored by Aikido of Santa Cruz and that by attending an event I am giving express permission to be filmed/photographed and to have these materials be used in all manner of media throughout the world by Aikido of Santa Cruz, including but not limited to social media.
7. I understand that in order to maintain other participants’ privacy and for the safety of all attendees, Aikido of Santa Cruz kindly asks that I do not record or take pictures while attending or observing classes or activities, without explicit permission of Aikido of Santa Cruz.
I have carefully read this Agreement and fully understand its contents. I am aware that this is a release of liability and a contract between Aikido of Santa Cruz and myself, and I sign it of my own free will.
Parent or legal guardian must sign below:
I, the undersigned, as parent or guardian of the above minor, hereby certify that I have read the above Agreement, and I consent to the minor’s participation in the Aikido of Santa Cruz programs and agree to abide by its provisions for myself and the minor.
