Please read the following carefully:

As an applicant of the Melbourne Budokai (Kenshikan Dojo), Naginata Introductory Course, understand that I am applying for instruction in a martial, art, an activity that involves strenuous physical activity and may result in physical contact.

I further understand that The Melbourne Budokai (Kenshikan Dojo) carries no insurance against injury to any of the participants in the Naginata Introductory Course.

I hereby acknowledge that I am assuming the risk and responsibility for any and all injuries that I may suffer due to injury, suffered by me, or caused by third parties to me arising out of practice or during The Naginata Introductory Course and the use of any facilities available.

I further acknowledge that I am responsible for providing my own personal health, medical, dental and accident insurance coverage.

I hereby release The Melbourne Budokai (Kenshikan Dojo Inc., and all of its associated persons from liability for injury or loss suffered by myself.

If you agree to the terms above, please re-enter your name and the current date below.