Toddler & Me Martial Arts and Play
This is the place to register for our Toddler & Me program



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Email address for invoice
Child's Name
Child's Age
Adult's name (any that may accompany your child)
Sessions (Tuesday)
Would you like to be invoiced for multiple sessions at once? If yes please let me know how many sessions.

1.        I hereby RELEASE AND DISCHARGE Nick Cerio’s Kenpo Bellingham (NCK Bellingham) and all related parties, other participants of Martial Arts, volunteers, company officers, directors, elected officials, agents employees, and owners of equipment and the land and buildings used for Martial Arts activities (hereinafter collectively referred to as ‘‘Released parties’’), from any and all liability, claims, demands or causes of action that I or my representatives may hereafter have for injuries, loss of life, and all other forms of damages arising out of my participation in Martial Arts activities, including, but not limited to, losses CAUSED BY THE NEGLIGENCE OF THE RELEASED PARTIES.

2.        I understand and acknowledge that Martial Arts activities have inherent dangers that no amount of care, caution, instruction, or expertise can eliminate, and I EXPRESSLY AND VOLUNTARILY ASSUME ALL RISK OF DEATH OR PERSONAL INJURY OR OTHER FORMS OF DAMAGES SUSTAINED WHILE PARTICIPATING IN MARTIAL ARTS ACTIVITIES WHETHER OR NOT CAUSED BY THE NEGLIGENCE OF THE RELEASE PARTIES.

3.        I further agree that I WILL NOT SUE OR OTHERWISE MAKE A CLAIM against the Released Parties for damages or other losses sustained as a result of my participation in Martial Arts activities.

4.        I also agree to INDEMNIFY AND HOLD THE RELEASED PARTIES HARMLESS from all claims, judgments, and costs, including attorneys’ fees, incurred in connection with any action brought against them, jointly or severally, as a result of my participation in Martial Arts activities.

5.        I will take full responsibility for, and hold harmless Released Parties for any injury, property damage, or death that I may suffer or inflict upon others or their property as a result of my engaging in Martial Arts activities.

6.        I agree that if I operate any equipment while participating in Martial Arts, I will do so in a reasonable and safe manner so as not to endanger the lives of persons or property of any individual.

7.        I further represent that this Release of Liability, Waiver of Legal Rights and Assumption of Risk shall continue in full force and effect for so long as I engage in Martial Arts activities which are in any way connected to or with the Released Parties.

8.        I further represent that I am at least 18 years of age, or that as the parent or (adult) legal guardian, I waive and release any and all legal rights that may accrue to me, to my minor child or to the minor child for whom I am (adult) legal guardian, as the result of any injury or damage that my minor child, the minor child for whom I am (adult) legal guardian, or I may suffer while engaging in Martial Arts activities.

9.        I hereby expressly recognize that this Release of Liability, Waiver of Legal Rights and Assumption of Risks is a contract pursuant to which I have released any and all claims against the Released Parties resulting from participation in Martial Arts activities including any claims related to the negligence of the Released Parties by any of the undersigned.

10.      I hereby grant and authorize Nick Cerio’s Kenpo Bellingham the right to take, edit, alter, copy, exhibit, publish, distribute, and make use of any and all pictures and video taken of thee participant to be used in and/or for legal promotional materials including, but not limited to newsletters, flyers, posters, brochures, advertisements, fundraising letters, annual reports, press kits, and submissions to journalists, websites, social networking sites, and other print and digital communications without payment or any other consideration.

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