Florida Aikido Center Llc Registration Form (Page 2 of 2) in pdf

my part to minimize the danger to others or myself, and I acknowledge that it is my responsibility minimize the

danger to myself and others and to act accordingly. In particular, I understand that some students may be

infected with diseases such as HIV/AIDS and hepatitis that can be transmitted by exchanges of blood or other

body fluids and that I may be training with them. I will follow the procedures for dealing with injuries to myself

and others that present opportunities for exposure to blood or body fluids.

As a condition of being admitted to the Florida Aikido Center, LLC, I agree to obey instructors, and other students

to help minimize the risk of injury to myself and others. I assume the risk of all injuries, and do hereby release

Florida Aikido Center, LLC, their employees, instructors, students, volunteers, and agents, but not limited to

them, from any and all claims and/or liability due to loss or injuries or any unforeseen accident suffered by me or

caused by third parties to me, arising out of any activities, whether occurring on the premises or elsewhere or

any other activity, including traveling to or from or being transported for an activity.

I also hereby waive, release and forever discharge for myself, my heirs, executors, administrators, legal

representatives, including successors, any and all rights and/or claims which I have, may have, or may hereafter

occur to me, and agree not to sue or file any claims of whatever nature against any organizers, sponsors or

affiliated organizations and their respective agents, employees, instructors, students, volunteers, officers, but not

limited to them, for any and all damages, personal property losses, injuries or claims which may be sustained by

me directly or indirectly arising out of my participation in any activities and/or events.

If the below signed student is under the age of 18, in the event of sudden illness, accident, or injury which may

occur, when neither the parent(s) nor the guardian(s) can be contacted, I hereby give my consent for urgent or

emergency medical treatment as shall be necessary under the circumstances and that all costs for such treatment

will be paid by me for any and all injuries, including injuries sustained while en route to or from an event or

activity.

I agree that if any portion of this agreement is held to be invalid, the balance, notwithstanding, shall continue in

full force and effect.

I hereby state that I/my child am/is in good health and able to participate in all martial arts related activities. I

further acknowledge that I have read and fully understand the above. I certify that all answers, to the best of my

knowledge, are true and correct.

I have read the above and fully understand that I have given up substantial rights by signing it, and knowing this,

sign it voluntarily.

Participant Signature (All Participants)

Parent Signature if Participant is Under 18

Name Printed:___________________________

Name Printed:____________________________

Florida Aikido Center Llc Registration Form Page 2