KAKERU NISHIYAMA All-Styles Karate Kata Seminar (Vancouver)

WAIVER OF LIABILITY FOR ALL CLAIMS AND RELEASE OF LIABILITY

PLEASE READ CAREFULLY BEFORE SIGNING

By answering "YES" below, the Participant and/or the Participant’s Parent / Guardian understands, acknowledges, and assumes the inherent risks in participating in the Kakeru Nishiyama All-Style Kata Seminar (the “Seminar”), including, but not limited to:

1. the potential for bodily injury or illness (including contraction of COVID-19 or any of its subvariants);
2. contact or interaction with others who may have been exposed to COVID-19 or any of its subvariants;
3. permanent disability, paralysis, or loss of life;
4. collision with natural or manmade objects;
5. dangers arising from adverse weather conditions;
6. imperfect venue or field of play conditions;
7. equipment failure;
8. participants of varying skill levels;
9. inadequate safety measures;
10. circumstances known, unknown or beyond the control of the program organizer, its partners, sponsors, agents, affiliates, directors, employees, officer, therapists, or volunteers (together, the “Organization”); and
11. negligence or omission of the Organization (collectively, the “Risks”)

In consideration for allowing the Participant to participate in the Seminar, the Participant and/or the Participant’s Parent / Guardian:

1. release, discharge and forever hold harmless the Organization from any and all liability for damages or loss arising as a result of the Risks of participation in or in connection with the Seminar;
2. waive any right to sue the Organization in respect of all causes of action (including for injuries or illness caused by their own negligence), claims, demands, damages or losses of any kind that may arise as a result of the Risks of participation in or in connection with the Seminar, including without limitation the right to make a third-party claim or claim over against the Organization arising from the same; and
3. freely assumes all risks associated with the Risks, anything incidental to the Risks, which may arise as a result of participation in or in connection with the Seminar.

YOU ARE GIVING UP LEGAL RIGHTS TO ANY AND ALL FUTURE CLAIMS AGAINST THE ORGANIZATION.

I confirm that I have read and fully understand this waiver and release of liability. I signify "YES" to this waiver and release of liability voluntarily without any inducement, assurance, or warranty being made to me.

☐ Yes

☐  No

PHOTOGRAPHY AND VIDEO RELEASE:

I hereby authorize the Seminar organizer to photograph and/or take video of the participant while performing the Seminar activities, individually or as a group and such photo and/or video may be used by the Seminar organizer for the purpose of print, online, or social media marketing and advertisements.

☐ Yes

☐  No