Black Belts For Christ Ministries, Inc. is insured by the Francis L. Dean & Associates, Inc. Insurance agency. Although all precautions have been taken to insure the safety of all participants, every student must complete this form. In consideration of being allowed to participate in any way in any Black Belts for Christ Martial Arts program, and related events and activities, the participant and parent or guardian: 1. Agree that the parent(s) or legal guardian(s) will instruct the minor participant that prior to participating, he or she should inspect the facilities and equipment to be used, and if the participant believes anything is unsafe, he or she will immediately advise Black Belts for Christ Ministries personnel of such condition(s) and refuse to participate. 2. Acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions or negligence but the actions, inactions or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time. 3. Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death. 4. Release, waive, discharge and covenant not to sue Black Belts For Christ Ministries, Inc., Regency Christian Academy, and their affiliated clubs, regional sports organizations, their respective administrators, directors, agents, coaches, and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and leasers of premises used to conduct the event, all of which are hereinafter referred to as "releasees" from any and all liability to each of the undersigned, his or her heirs and next of kin for any and all claims, demands, losses or damages 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 releasee or otherwise. 5. In addition, I hereby grant full permission to any all of the foregoing to use any photographs, videotapes, motion pictures, or any recordings for any purpose. I have fully read and understand this release and waiver.