The undersigned participant (“Participant”) in consideration of being permitted to participate training and educational programs and all other activities associated with the study of karate and the Martial Arts conducted by Master Fusei Kise, Supreme Instructor Isao Kise, Hanshi John Shipes, Steve Apsega, Stan Leach, and other black belt certified instructors of Shorin-Ryu Schools of Karate, (“the Instructors”), having a principal place of study and the courses conducted at 136 River Road, Orrington, 398 Front Ridge Rd Orland, and 318 Wilson Street Brewer for himself/herself, his/her spouse, his/her minor child, legal representatives, heirs, employees, and assigns, does hereby fully and forever release and waive any right with respect to any and all loss or damage and any claim of damages resulting from participation, training, competing, demonstration, and any other activity, passive or active, as part of the Karate and Martial Arts programs including but not limited to for injury to Participant’s person or property, even injury resulting in death of participant, whether caused by the negligence of the instructors or otherwise. Participant acknowledges that Karate and the Martial Arts is a physically dangerous activity and accepts full responsibility for any injury that might result from participating in this activity.

Participant agrees to indemnify the Instructors and each of them from any loss, liability, damage, or cost they may incur due to the presence of Participant in or upon the premises where the classes are taught and/or competitions or demonstrations are held whether caused by the negligence of the Instructors or otherwise.

Participant hereby assumes full responsibility for the risk of bodily injury, death, or property damage due to the negligence of the Instructors or otherwise while in or upon the premises where the classes are taught and/or competitions are held while competing, officiating in, working, or for any purpose participating in the activity of Karate and the Martial Arts and/or competitions or demonstrations stemming therefrom.

Participant expressly agrees that this release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the State of Maine, and that if any portion thereof is held invalid, it is agreed that the balance shall, not withstanding, continue in full legal force and effect.

Participant states that he/she is eighteen (18) years of age or older. If participant is not eighteen years or older, this release must be signed by Participant’s parent or legal guardian.

Participant states that he/she has carefully read the foregoing release and knows the contents thereof and signs this release as his/her own free act.