Program Participation Waiver

If you are participating in a program associated with Sanrin LLC you will be required to complete the waiver below.

SANRIN Program/Activity Waiver

Name *

First

Last

Email *

I fully understand that all physical activities inherently pose some degree of risk. *

I understand.

A. there are risks associated with fitness and martial arts including but not limited to bodily injury, partial or total disability, paralysis and death. There are some unavoidable circumstances where medical/health conditions may require special caution on my part to minimize danger to myself or others, and it is my responsibility to act accordingly;

B. it is possible that some students could possibly be infected with potentially communicable diseases, which can be transmitted by exchanges of blood, sweat , or skin contact and that I may be training with such individuals without knowledge of such;

C. I have been advised not to attempt any training activity of which I do not believe myself to be fully capable.

I EXPRESSLY ASSUME ALL RISK of injury, illness, or death sustained while participating in or observing, whether or not caused by the negligence of the released parties described herein. *

I understand.

I ACCEPT all such risk and responsibility, however caused, or alleged to be caused, including injuries allegedly caused by the negligence of Sanrin LLC, its representatives, employees, volunteers, instructors, other participants, owners, lessors, and lessees of the premises including their officers, directors, agents and employees.

I release the volunteers, students, instructors, employees, lessors, and lessees and any/all individuals associated with Sanrin LLC from any and all liability, claims or actions arising out of the damage, loss or injury to me while utilizing the Sanrin LLC facilities or while participating in training or any other activities contemplated by this agreement, whether such loss, damage, or injury results from negligence or otherwise. *

I understand.

This document covers each and every time that I train, participate, and/or observe in any activity, listed or unlisted, at Sanrin LLC or at any location sponsored by Sanrin LLC, its staff or instructors. This waiver is in effect from the time I arrive until the time I leave the Sanrin LLC, even if I am not training when an alleged incident occurs.

I understand that I AM FORFEITING ANY RIGHT TO SUE or to lay claim to any and all parties relating to my martial arts/fitness/wellness training under any and all circumstances. *

I understand.

This agreement shall be construed in accordance with the laws of the State of Pennslyvania. *

I understand.

If any portion of this agreement shall be held to be invalid, illegal or unenforceable to any extent and for any reason, the remainder of this agreement shall not be affected thereby and shall be enforceable to the full extent permitted by law. I make this agreement on behalf of myself, my heirs, successors, and executors. By signing this form I am asserting that I am 18+ years old, or I am signing on behalf of my minor child. All students, prospective students, visitors, and guests will be added to the Sanrin Dojo electronic mailing list. You may unsubscribe from this list at any time.

Your Signature *