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2014 Adult Waiver

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WAIVER AND RELEASE FROM LIABILITY FOR DOJO

I, ________________________, HEREBY WAIVE AND RELEASE, indemnify, hold harmless and


forever discharge Eternal Knights Martial Arts and its agents, employees, officers, directors,
affiliates, successors and assigns, of and from any and all claims, demands, debts, contracts,
expenses, causes of action, lawsuits, damages and liabilities, of every kind and nature, whether
known or unknown, in law or equity, that I ever had or may have, arising from or in any way related
to my participation in any of the events or activities conducted by, on the premises of, or for the
benefit of, Eternal Knights Martial Arts provided that this waiver of liability does not apply to any
acts of gross negligence, or intentional, willful or wanton misconduct.

I understand that the activities that I will participate in are inherently dangerous and may cause
serious or grievous injuries, including bodily injury, damage to personal property and/or death. On
behalf of myself, my heirs, assigns and next of kin, I waive all claims for damages, injuries and death
sustained to me or my property that I may have against the aforementioned released party to such
activity. By this Waiver, I assume any risk, and take full responsibility and waive any claims of
personal injury, death or damage to personal property associated with Eternal Knights Martial
Arts including but not limited to receiving lessons at the facility, using the facility and its
equipment, practicing and/or engaging in marital arts or other related activities on and off the
premises.

This WAIVER AND RELEASE contains the entire agreement between the parties, and supersedes
any prior written or oral agreements between them concerning the subject matter of this WAIVER
AND RELEASE. The provisions of this WAIVER AND RELEASE may be waived, altered, amended or
repealed, in whole or in part, only upon the prior written consent of all parties. The provision of this
WAIVER AND RELEASE will continue in full force and effect even after the termination of the
activities conducted by, on the premises of, or for the benefit of Eternal Knights Martial Arts,
whether by agreement, by operation of law, or otherwise.

I have read, understand and fully agree to the terms of this WAIVER AND RELEASE. I understand
and confirm that by signing this WAIVER AND RELEASE I have given up considerable future legal
rights. I have signed this Agreement freely, voluntarily, under no duress or threat of duress, without
inducement, promise or guarantee being communicated to me. My signature is proof of my
intention to execute a complete and unconditional WAIVER AND RELEASE of all liability to the full
extent of the law. I am 18 year of age or older and mentally competent to enter into this waiver.

______________________________________________________________________________________________________________________________
DATE

__________________________________________________________________________________________________________________________________________
PRINTED NAME

__________________________________________________________________________________________________________________________________________
SIGNATURE
_______________________________________________ & ________________________________________________________________________________________
CELL or HOME PHONE NUMBER & CAN YOU RECEIVE TEXTS?

__________________________________________________________________________________________________________________________________________
MAY WE USE PHOTOS OF YOU ON OUR FACEBOOK & WEB PAGES? (facebook.com/eternalknightsmartialarts &
ekmartialarts.com/) Please note if at any time you wish images to be removed, we will do so in a timely fashion. This is
entirely voluntary.

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