Karnos Kim Taekwondo LLC Liability Waiver/Information Sheet
  This agreement is made on the date below between the undersigned— a student, a student’s parent/legal guardian, guest, or other person wishing to use the facilities of or otherwise be associated with the Karnos Kim Taekwondo, a Colorado Limited Liability Company, hereinafter Karnos Kim TKD  
Sign in to Google to save your progress. Learn more
Please read the following before agreeing:
  Nature of Martial Arts: I understand that martial arts and other activities performed within the premises of AXIS International Academy and Spring Canyon Park through Karnos Kim TKD, including but not limited to styles taught at Karnos Kim TKD, involve a variety of physical and mental techniques, some of which involve physical contact between myself and other students, instructors and training equipment, including, but not limited to, punching, blocking, kicking, throwing, rolling and grappling. I understand that I may be participating in simulated self-defense scenarios that may be physically and/or emotionally stressful. With this knowledge, I voluntarily assume the full risk and responsibility for any and all bodily injury, death, or property damage arising from the actions or conduct of the Karnos Kim Taekwondo, LLC, its instructors, or other students; from my actions or conduct while on premises operated by Karnos Kim Taekwondo, LLC, or during a Karnos Kim Taekwondo, LLC sponsored event; or from my actions or conduct as a Karnos Kim Taekwondo, LLC affiliated person. I understand that all sports carry an inherent risk of bodily injury, death, or property damage and I fully accept this risk. I acknowledge that the Head Instructor of the Karnos Kim Taekwondo, LLC has the sole responsibility to set the curriculum, manage the business of the school, and determine the ranking of the students, except for black belt students where the responsibility also rests with the World Taekwondo Federation. School rules, regulations, and policies have been developed in order to promote safe and effective operation of the school. I understand that such rules will be made publicly available and I fully agree to abide by these rules as long as I am associated with Karnos Kim TKD. I acknowledge that many of the techniques taught in Karnos Kim TKD programs are intended strictly for physical fitness and defense of oneself or others, and that these techniques are not to be used in an aggressive manner against any person or property. I understand that I may be expelled at any time from participation in a program or event if the instructors learn that I used these techniques in an aggressive manner against anyone or anything. I understand that certain self defense scenarios involve techniques that could be perceived to be of a sexual nature (for example, groin strikes or certain grappling moves) and/or accidental contact and that I am always free to practice such techniques with a partner of my choosing or on a mannequin or other pad. 

Medical Treatment: I understand that I will be responsible for the costs of any medical treatment. In the event of a minor injury, I hereby give permission for instructors to give first aid and CPR and will hold them harmless for any consequences of administered first aid and/or CPR. In the event of an injury, condition, or death that surpasses the capabilities of the instructor on duty, I hereby give permission to obtain qualified emergency medical assistance to myself or my child/children and do not hold the Karnos Kim Taekwondo or any Independent Contractors liable for such occurrence. 

Teaching: I understand that advanced training at this school requires exercising responsibility for others, which may and often includes being put in charge of classes, learning how to teach what I know, and practicing leadership through teaching. This is part of my normal training, and whether supervised or not, is part of my rank requirement for advancing to upper ranks. I understand that I am not an employee and that I am learning valuable skills by teaching. If I am not available to teach, or if there are no classes available to teach, then I may exercise my teaching and leadership responsibilities in some other way by mutual agreement with my instructor.  

Travel: I understand that at times it may be necessary to travel to other locations for activities relating to my martial arts development, and that as a matter of convenience transportation may be provided by instructors, volunteers, students, or people otherwise affiliated with Karnos Kim TKD. I voluntarily assume the full risk and responsibility for any and all bodily injury, death, or property damage arising from such travel, and understand that I will be allowed to provide for my own transportation if I so desire. 

General: I agree that this agreement shall be binding upon my heirs, next of kin, representatives, and assigns and that they: (a) will not make a claim against Karnos Kim TKD for any injury, death, or property damage resulting directly or indirectly from my participation in a Karnos Kim TKD program or event; and (b) will release and discharge Karnos Kim TKD from any claims or demands arising from injury, death, or property damage to me caused by my participation in a Karnos Kim TKD program or event. I promise to defend, indemnify, and hold harmless Karnos Kim TKD from any claims made by third parties alleging injury or damage resulting from my conduct and activities while on Karnos Kim TKD premises or during a Karnos Kim TKD sponsored event, from my conduct as a Karnos Kim TKD student, and from my use of any techniques learned in an Karnos Kim TKD program. I have not requested nor received any warranties as to the effectiveness of any Karnos Kim TKD program. I understand that this release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the state of Colorado and that if any portion thereof is held invalid, I agree that the balance shall, notwithstanding, continue in full force and legal effect.
Parent/Guardian who is agreeing to the terms below: *
Student(s) who will be participating: *
 I have carefully read this agreement and fully understand its contents. I am aware that this agreement is a release of liability and responsibility between myself and Karnos Kim Taekwondo, LLC; its volunteers; its instructors; and all other employees and affiliated members. I voluntarily agree to each of the terms and provisions thereof and sign this agreement on my own free will. If I am under 18 years of age, I have advised a Karnos Kim TKD instructor of this fact, and I have shown this agreement to my parent or legal guardian. My parent or legal guardian hereby consents to my participation in Karnos Kim TKD programs/events and further agrees to be bound in full by the terms and provisions of this agreement as evidenced by their selecting agreed below. *
  Photo Release: I irrevocably authorize Karnos Kim Taekwondo, LLC, its successors and assigns, and those acting under its authority to copy, use, publish, for art, advertising, trade, or any other lawful purpose whatsoever, photographic or digital images or videos of me in which I may be included in whole or in part. I understand that I will receive no compensation for the use of these images.  
*
Please use this space to inform us of any pertinent medical information/conditions, including allergies.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy