MARTIAL ARTS OF NC, INC. WARNING, WAIVER, RELEASE OF LIABILITY, ASSUMPTION OF RISK

THIS AGREEMENT MUST BE SIGNED BY ALL PERSONS WHO WISH TO PARTICIPATE IN ANY MARTIAL ARTS OF NC CLASS, EVENT, OR ACTIVITY.

Participant's Name: {name}

Participant's Date of Birth: {dob}

Phone: {phone} Email: {email}

Address: {address}

Parent/Guardian Name (of minor child participant):

Emergency Contact Name: {contact_name} Phone: {contact_phone}

In consideration of being allowed to participate in any way in the classes, events, and/or activities of Martial Arts of NC Inc.,

I, {name}

1. Recognize and understand that martial arts training is an activity that involves physical contact and that my participation might result in serious injury, including permanent disability or even death, and severe social and economic
2. Recognize and understand that such risk may be due to not only my own actions, but also the action, inaction or negligence of others, the regulations of participation, or the conditions of the premises, or of any of the equipment
3. Recognize that there may be other risks that are not known to me or to others or not reasonably foreseeable at this
4. Agree to inspect the facilities, equipment and pairings prior to I will immediately inform an instructor if I believe that anything is unsafe or beyond my capability and refuse to participate.
5. Assume all of the foregoing risks and accept personal responsibility for any damages that may result from injury, permanent disability or death.
6. Enter martial arts training and/or competition entirely of my own free will and understand the importance of following the rules of training and
7. I certify that I am in good physical condition, and have no disease, injury or other condition that would impair my performance or physical and mental well-being during intense training practice and/or
8. Grant permission in case of injury to have a doctor, nurse, athletic trainer or other emergency medical personnel provide me with medical assistance or treatment for such
9. Release, waive, discharge and covenant not to sue, Martial Arts of NC Inc., its affiliated organizations and governing bodies, their officers, instructors and personnel, other members of the organizations, participants, supervisors, coaches, sponsoring organizations or their agents, and if applicable, owners and leasers of the premises from any and all liability to the undersigned, his or her heirs and next of kin for any and all claims, demands, losses and damages which may be sustained and suffered on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releasees or otherwise.

I HAVE READ THE ABOVE WARNING, WAIVER, RELEASE, AND ASSUMPTION OF RISK. I FULLY UNDERSTAND ITS CONTENTS, AND I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING THIS DOCUMENT. I HEARBY SIGN THIS DOCUMENT VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY.

Participant’s Printed Name (or parent/guardian if under 18):

Date: (sign_date}

COVID-19 Liability Release Waiver

The World Health Organization has declared the novel Coronavirus (COVID-19) a worldwide pandemic. Due to its capacity to transmit from person-to-person through respiratory droplets, the government has set recommendations, guidelines, and some prohibitions which Martial Art of NC (MANC) adheres to comply.

In consideration of my participation in the foregoing, the undersigned acknowledge and agree to the following:

• I am aware of the existence of the risk on my physical health to the venue and my participation in training at Martial Arts of NC that may cause injury or illness such as, but not limited to Influenza, MRSA, or COVID-19 that may lead to paralysis or death.

• I have not experienced symptoms that of fever, fatigue, difficulty in breathing, or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease within the last 14 days. If, at any time, I do exhibit any symptoms previously stated, I will notify MANC immediately.

• I have not, nor any member(s) of my household, traveled by sea or by air, internationally within the past 30 days. If, at any time, I, or any member(s) of my household, travel internationally, I will notify MANC immediately.

• I did not, nor any member(s) of my household, visit any area within the United States that was reported to be highly affected by COVID-19, in the last 30 days. If, at any time, I, or any member(s) of my household, travel to an area reported to be highly affected my COVID-19, I will notify MANC immediately.

• ·        I have not been, nor any member(s) of my household, diagnosed to be infected of COVID-19 within the last 30 days. If, at any time, I, or any member(s) of my household, are diagnosed to be infected with COVID-19, I will notify MANC immediately.

Following the pronouncements above I hereby declare the following:

• I am fully and personally responsible for my own safety and actions while and during my participation and I recognize that I may be in any case be at risk of contracting COVID-19.

• With full knowledge of the risks involved, I hereby release, waive, discharge MANC, its board, officers, independent contractors, affiliates, employees, representatives, successors, and assigns from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me related to COVID-19 while participating in any activity while in, on, or around the premises or while using the facilities that may lead to unintentional exposure or harm due to COVID-19.

• I agree to indemnify, defend, and hold harmless the Organization from and against any and all costs, expenses, damages, lawsuits, and/or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against any of the released party due to injury, loss, or death from or related to COVID-19.

By signing below I acknowledge that I have read the foregoing Liability Release Waiver and understand its contents; that I am at least eighteen (18) years old, or, if I am under 18 years of age, I have obtained the required consent of my parent/guardian as evidenced by their signature below, and am fully competent to give my consent; That I have been sufficiently informed of the risks involved and give my voluntary consent in signing it as my own free act and deed; that I give my voluntary consent in signing this Liability Release Waiver as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation.

This waiver will remain effective until laws and mandates relevant to COVID-19 are lifted.

Name (First and Last): {name}

Parent/Guardian (of minor participant):