Registration and Release of Liability Waiver

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Registration and Release of Liability Waiver

I understand that this seminar involves movement, physical contact, and the possibility or risk of injury. I assume all responsibility for such occurrence of injury and agree to hold harmless and blameless Hyland Hills Dojo, all guest instructors and the participants of the seminar.

Sign in to Google to save your progress. Learn more

* Indicates required question

Email *

Your email

Name *

Your answer

City/Town *

Your answer

State *

Your answer

I acknowledge being informed of the risks and consent to participation.
*

Yes

Required

Next

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy