Competitor Indemnity and Consent form
for the SZA NATIONAL OPEN INVITATIONAL CHAMPIONSHIPS, 30 SEPTEMBER 2023, hosted by Shotokan-ZA (www.shotokan.org.za).
Sign in to Google to save your progress. Learn more
Email *
My child/I belong to the following Dojo/Club: *
Full Name and Surname of Parent/Guardian or Competitor (if over 18): *
I, in my capacity as 
*

do hereby indemnify and hold harmless SHOTOKAN-ZA, the organizers or anyone else involved in any way with the event, from any death, injury, disability and all claims, causes of action, losses, damages, costs, expenses (including but not limited to attorney's fees), either known or unknown, now existing or arising in the future that I may have of whatever kind or nature, which I/my child mentioned below may suffer as a result of my/his/her participation in this SHOTOKAN-ZA tournament.

I acknowledge that the participation by myself/the aforesaid child in any of the events is on my/his/her own free will and is at own risk. 

I further agree that any pictures taken of me/him/her in connection with the event can be used by the association for publicity or promotion without compensation to me/him/her.

I acknowledge and agree that myself/the previously mentioned child will be subject to, and bound by all the provisions of the Tournament Rules as published on the WUKF website.

Competitor Name and Surname: *
Contact Number:
*
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy