, hereby release American Family Martial Arts, Family Karate, all parties involved with the teaching of this course, J&T Investments, and all involved with the location of the course from any personal injury, emotional or bodily harm sustained or suffered from me during, arising out of, or as a result of any activity associated with this self-defense course. I further release said individuals and involved parties from all claims of liability for any property or valuables lost, mislaid, or stolen. I do not have, to my knowledge, any physical condition or disability, other than those listed above, that would preclude my participation in this program. I understand the terms above and complete responsibility for my health and well being in this program.
Please initial the following:
I sign realizing that my participation in this self-defense course may have the potential to subject me to personal injury and bodily harm. I further have read the above statements and fully understand the contents of this release indemnity and hereby accept and agree to the terms, conditions and provisions written here.