CERTIFY THAT I AM IN GOOD HEALTH AND HAVE NO PHYSICAL DEFECTS WHICH WOULD ENDANGER MY HEALTH IN THE PARTICIPATION AND PRACTICE OF JUDO AT THE DBT JUDO DOJO.
I, THE UNDERSIGNED, FOR MYSELF, SPOUSE, FAMILY, HEIRS, EXECUTORS AND PERSONAL REPRESENTATIVES, EXEMPT AND RELEASE THE DBT JUDO DOJO AND THE TRI-STATE DENVER BUDDHIST TEMPLE, ITS DIRECTORS, OFFICERS, INSTRUCTORS, COMMITTEE MEMBERS, AGENTS, SERVANTS, EMPLOYEES, AND LESSORS FROM ANY AND ALL LIABILITY, CLAIMS, DEMANDS OR ACTIONS OR CAUSES OF ACTION WHATSOEVER, ARISING OUT OF ANY DAMAGE, LOSS OR INJURY TO ME OR MY PROPERTY, WHILE UPON THE PREMISES OF THE TRI-STATE DENVER BUDDHIST TEMPLE, OR WHILE AT ANY ATHLETIC EVENT, WHEREVER LOCATED, SPONSORED BY THE DBT JUDO DOJO OR THE TRI-STATE DENVER BUDDHIST TEMPLE, OR WHILE PARTICIPATING IN ANY OF THE ACTIVITIES CONTEMPLATED BY THIS EXEMPTION FROM LIABILITY AGREEMENT, WHETHER SUCH LOSS, DAMAGE OR INJURY RESULTS FROM THE NEGLIGENCE OF THE DBT JUDO DOJO OR THE TRI-STATE BUDDHIST TEMPLE , ITS DIRECTORS, OFFICERS, INSTRUCTORS, COMMITTEE MEMBERS, AGENTS, SERVANTS, EMPLOYEES, AND LESSORS OR FROM SOME OTHER CAUSE.
THE UNDERSIGNED RECOGNIZES THAT THE MARTIAL ART OF JUDO IS AVAILABLE THROUGH OTHER ORGANIZATIONS IN THE DENVER METROPOLITAN AREA. THE UNDERSIGNED ALSO RECOGNIZES THAT THE NATURE OF THE ACTIVITIES CONTEMPLATED BY THIS EXEMPTION FROM LIABILITY AGREEMENT MAY SUBJECT ME TO PHYSICAL INJURY OR ILLNESS AND THAT THE DBT JUDO DOJO AND THE TRI-STATE DENVER BUDDHIST TEMPLE DOES NOT HAVE ON STAFF MEDICAL PERSONNEL OR EQUIPMENT TO TREAT INJURIES THAT MAY ARISE.
IN CONSIDERATION OF BEING ACCEPTED AS A GUEST OF THIS DOJO, I AGREE TO ABIDE BY ALL THE APPLICABLE RULES AND REGULATIONS OF THIS ORGANIZATION AND OF THE TRI-STATE DENVER BUDDHIST TEMPLE, DBT JUDO DOJO AND THE USJI WHICH GOVERNS THIS SPORT.