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ACKNOWLEDGEMENT AND RELEASE FORM
I, the applicant, on behalf of myself, members of my family, my heirs, executors, administrators and assigns, hereby forever release, discharge and hold harmless Chosun Black Belt Academy, LLC, representatives and agents for any injury, loss or damage to my person or property howsoever caused, arising out of or in connection with my taking part in Martial Art Classes, Self Defense Seminars, Testings, Tournaments, Birthday Parties and activities and notwithstanding that the same may have been contributed to or occasioned by the negligence of Chosun Black Belt Academy, LLC, representatives or agents. In addition, in situations where martial arts activities are held at an off-site location, I forever release, discharge and hold harmless the facility/venue and and of its representatives and agents for any injury, loss or damage to my person or property howsoever caused, arising out of or in connection with my taking part in Martial Art Classes as noted above. This includes but is not limited to St. Mary Hales Corners Catholic School, the Greenfield Parks and Recreation Department, the Franklin Parks and Recreation Department and the South Milwaukee School District.
Please note: Participants must supply their own protective equipment if needed.
The undersigned acknowledges that:
He/She is desirous of using, as a member on a membership basis, the Martial Arts School herein referred to as “Chosun Black Belt Academy”. He/She may receive a completely executed copy of this agreement upon request. He/She confirms that there were no verbal presentations other than those specified in this agreement. He/She may be photographed or filmed while attending at the premises of Chosun Black Belt Academy and he/she gives permission to Chosun Black Belt Academy, and any affiliates to use any and all photos, video footage, and/or video streaming for promotional, sales, publicity, and advertising purposes for all media including internet. The waiver was read and he/she agrees to abide by it by filling out the attached form and checking the "Terms and Conditions" box.