Detroit Kendo Dojo Waiver Of Liability Form
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1Detroit Kendo Dojo
Waiver of Liability Form
For and in consideration of my participation in the practice of Kendo and all other activities of
the DETROIT KENDO DOJO, I, for myself, my executors, administrators, and assigns do hereby
release and agree not to sue the DETROIT KENDO DOJO, its officers, instructors, and
administrators; MWKF or AUSKF, its officers, instructors, and administrators; fellow
participants; other clubs or dojos; third party organizations including but not limited to
sponsors, and those allowing the use of their premises for DETROIT KENDO DOJO activities,
jointly and/or severally, and hold and save them harmless from and against any and all
actions, claims, liabilities, loss, damage, expense of whatever nature, including attorney fees,
which may at any time be incurred by reason of my participation or my preparation in
DETROIT KENDO DOJO sponsored activities. I attest and verify that I have full knowledge of
risks involved in Kendo and am physically fit and able to participate.
Where the contestant is a minor, I the parent or guardian, do agree to the waiver and give
permission to DETROIT KENDO DOJO officials to seek medical attention for my son or daughter
in the event of sickness or injury.
---*Please fill out legibly*---
E-mail Address___________________________________________________________
Participant’s Name(Print)_______________________________________________
Participant’s Signature _________________________________________________ Date____________
Parent/Guardian Signature ____________________________________________ Date____________
(if under 18 yrs of age)
Home Address______________________________________________ City____________________________
State________ Zip Code___________________ Phone Number________________________________
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