Traditional Karate-do Academy at University of Minnesota

WAIVER AND RELEASE OF LIABILITY READ BEFORE PURCHASING

In consideration of being allowed to participate in any way in Traditional Karate-do Academy at University of Minnesota (Traditional Karate-do Academy at UMN) athletic sports program, related events and activities, the undersigned acknowledges, appreciates, and agrees that:

1. The risk of injury from the activities involved in this program is significant, including the potential

for permanent paralysis and death, and while particular rules, equipment, and personal discipline

may reduce this risk, the risk of serious injury does exist; and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF

ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsi-

bility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If,

however, I observe any unusual significant hazard during my presence or participation, I will re- move myself from participation and bring such to the attention of the nearest official immediately; and,

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HERE- BY RELEASE AND HOLD HARMLESS Traditional Karate-do Academy at UMN, Traditional Karate North Central Region, Shotokan Karate Minnesota, Midwest Karate Association St. Paul and their officers, officials, agents, and/or employees, other participants, sponsoring agen- cies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RE- LEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

_____________________________________________ DATE SIGNED: ________________ (Participant’s Signature). Emergency Phone Number: (_____)_________________

FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION)

This is to certify that I, as parent/guardian with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of the activity and his/her responsibilities for adhering to the rules and regulations. Furthermore, my child/ward under- stands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do con- sent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees from any and all lia- bilities incident to my minor child’s/ward’s involvement or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.

___________________________________________ DATE SIGNED: ___________________ (Parent/Guardian Signature). Emergency Phone Number: (_____)_________________