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ALL WAIVERS MUST BE SIGNED AND EMAILED BEFORE DEC. 1ST TO: firstname.lastname@example.org
2018 IRON SHIRT KYOKUSHIN TOURNAMENT
Release from liability
I, the undersigned, do hereby willingly take part in the present karate tournament
organized and supervised by Kyokushin Philly, KUSA, Justin Hagen and the USKA. I recognize that potential risk of injury is inherent to the practice of any martial art and I fully and unquestionably take on full responsibility for any damage, injury, or other offenses that I may sustain or incur during this tournament. I renounce any legal action or claim against the instructors,employees, agents, members and authorized guests of Kyokushin Philly, KUSA, Justin Hagen and the USKA.
I fully understand that this is a FULL CONTACT tournament both in the Semi Knockdown and Full Knockdown divisions.
Lastly, I understand and I accept that, in the event of an injury, the medical assistance I would receive on site would be limited to first aid care.
I have fully read and understood the content of the document above and I willingly agree to sign this release from liability in order to participate in this karate tournament organized by Kyokushin Philly, KUSA, Justin Hagen and the USKA.
I hereby give permission for images of myself and/or my child, captured during this Iron Shirt Kyokushin tournament through video, photo and digital camera, to be used for the purposes of Kyokushin Philly, KUSA, and the USKA promotional material and publications as well as social media, and waive any rights of compensation or ownership thereto.
SIGNATURE : __________________________________ DATE : _____________
GOOGLE DOC AVAILABLE HERE