PARTICIPANT WAIVER / RELEASE OF LIABILITY
READ BEFORE SIGNING
In consideration of being allowed to participate in any way in the programs of
KSWLA, LLC dba Kuk Sool Won™ of North Hollywood, its related events and activities, I, the undersigned, acknowledge, appreciate and agree that:
- The risk of injury from activities involved in this program is
significant including the potential for permanent paralysis and death, and while particular skills, equipment, and personal disciplines may reduce this risk, the risk of serious injury does exist;
- I KNOWINGLY AND FREELY ASSUM ALL SUCH RISK, both known and unknown,
even in ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my participation; and
- I willingly agree to comply with the state customary terms and conditions for
participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participating and bring such to the attention of the
company or its representatives immediately; and
- I, for myself and on behalf of my heirs, assigns, personal representatives and
next of kin, HEREBY RELEASE, INDEMNIFY AND HOLD HARMLESS KSWLA, LLC/Kuk Sool Won™ of North Hollywood, its officers, officials, agents, and/or employees, other participants, sponsoring agencies,
sponsors, advertisers, and if applicable, owners and/or leaser of premises used for the activity (herein “releases” WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person
or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASE OR OTHERWISE, to the fullest extent of the law; and
- Consent is also given to use my/my child’s name, picture or portrait,
writings or biographical information, and audiotape and/or videotape recordings and sound or silent motion pictures of me/my child in any media for editorial, educational, promotional, and or
advertising purpose and objectives of KSWLA, LLC/Kuk Sool Won™ of North Hollywood.
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 SIGNIN IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY
(UNDER AGE 18 AT THE TIME OF REGISTRATION)
This is to certify that we, as parents/guardians with legal responsibility for
this participant, do consent and agree to his/her waiver/release as provided above for all the Releases, and, for myself, my heirs, assigns, and next of kin, I and my spouse, release and
agree to indemnify and hold harmless the Releases from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN ARISING FROM THE
NEGLIGENCE OF THE RELEASES, to the fullest extent permitted by law.
I HEREBY GIVE CONSENT TO THE REPRESENTATIVES OF KUK SOOL WON OF NORTH HOLLYWOOD TO OBTAIN EMERGENCY MEDICAL OR
DENTAL CARE IN MY ABSENCE FOR MY MINOR CHILD AS PRESCRIBED BY A DULY LICENSED PHYSICIAN (M.D.) OSTEOPATH (D.O.) OR DENTIST (D.D.S.) IN WHATEVER CONDITIONS ARE NECESSARY TO PRESERVE THE LIFE, LIMB OR
WELL BEING OF THE CHILD NAMED HEREIN.