Carolina Historical Fencing Association LLC - LIABILITY WAIVER,  Midlands Madness 2024
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I Recognize and understand that martial arts training is an activity that involves physical contact and that my participation might result in serious injury, including permanent disability or even death, and severe social and economic loss. Recognize and understand that such risk may be due to not only my own actions, but also the action, inaction or negligence of others, the regulations of participation, or the conditions of the premises, or of any of the equipment used. Recognize that there may be other risks that are not known to me or to others or not reasonably foreseeable at this time. Agree to inspect the facilities, equipment and pairings prior to participation. I will immediately inform an instructor if I believe that anything is unsafe or beyond my capability and refuse to participate. Assume all of the foregoing risks and accept personal responsibility for any damages that may result from injury, permanent disability or death. Enter martial arts training and/or competition entirely of my own free will and understand the importance of following the rules of training and competition. I certify that I am in good physical condition, and have no disease, injury or other condition that would impair my performance or physical and mental well-being during intense training practice and/or competition. Grant permission in case of injury to have a doctor, nurse, athletic training or other emergency medical personnel provide me with medical assistance or treatment for such injury. Release, waive, discharge and covenant not to sue, Robert Daniel Davis Jr, Connor Wood Gibson, Daniel R Bernardo Carolina Historical Fencing Association LLC, its affiliated organizations and governing bodies, their officers, instructors and personnel, other members of the organizations, participants, supervisors, coaches,sponsoring organizations or their agents, and if applicable, owners and leasers of the premises from any and all liability to the undersigned, his or her heirs and next of kin for any and all claims, demands, losses and damages which may be sustained and suffered on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releasees or otherwise. I grant permission to Carolina Historical Fencing Association LLC and its agents or employees, to use photographs taken of me or my minor child/children in classes or events of Carolina Historical Fencing Association LLC for use in publications such as brochures, newsletters, and magazines, and to use the photographs on display boards, and to use such photographs in electronic versions of the same publications or on Carolina Historical Fencing Association LLC web sites, social media or other electronic form or media, and to offer them for use or distribution in other non-company publications, electronic or otherwise, without notifying me. I hereby waive any right to inspect or approve the finished photographs or printed or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the photograph. I hereby agree to release, defend, and hold harmless Carolina Historical Fencing Association LLC Robert Daniel Davis Jr, Connor Wood Gibson Daniel R. Bernardo, and its agents or employees, including any firm publishing and/or distributing the finished product in whole or in part, whether on paper or via electronic media, from and against any claims, damages or liability arising from or related to the use of the photographs, including but not limited to any misuse,distortion, blurring, alteration, optical illusion or use in composite form, either intentionally or otherwise, that may occur or be produced in taking, processing, reduction or production of the finished product, its publication or distribution.

ASSUMPTION OF RISKS. I understand that while CAROLINA HISTORICAL FENCING ASSOCIATION LLC, WELLWITHIN MARTIAL ARTS, LLC, DANIEL BERNARDO, ROBERT DAVIS, AND CONNOR GIBSON have undertaken reasonable steps to lessen the risk of transmission of COVID-19 in connection with the Services, CAROLINA HISTORICAL FENCING ASSOCIATION LLC, WELLWITHIN MARTIAL ARTS, LLC, DANIEL BERNARDO, ROBERT DAVIS, AND CONNOR GIBSON are not responsible in any manner for any risks related to COVID-19 in connection with the Services Rendered. I understand that the World Health Organization has classified the COVID-19 outbreak as a pandemic. I further understand that COVID-19 is a highly contagious and dangerous disease, and that contact with the virus that causes COVID-19 may result in significant personal injury or death. I am fully aware that participation in the Services (including any related travel) carries with it certain inherent risks related to COVID-19 transmission (“Inherent Risks”) that cannot be eliminated regardless of the care taken to avoid such risks. Inherent Risks may include, but are not limited to, (1) the risk of coming into close contact with individuals or objects that may be carrying COVID-19; (2) the risk of transmitting or contracting COVID-19, directly or indirectly, to or from other individuals; and (3) injuries and complications ranging in severity from minor to catastrophic, including death, resulting directly or indirectly from COVID-19 or the treatment thereof. Further, I understand that the risks of COVID-19 are not fully understood, and that contact with, or transmission of, COVID-19 may result in risks including but not limited to loss, personal injury, sickness, death, damage, and expense, the exact nature of which are not currently ascertainable, and all of which are to be considered Inherent Risks. I hereby voluntarily accept and assume all risk of loss, personal injury, sickness, death,damage, and expense arising from such Inherent Risks. Furthermore, I represent and warrant that I do not suffer from any medical condition or disease that might in any way hinder or prevent me from receiving the Services, including, to my knowledge, COVID-19. This COVID-19 Assumption of Risk, Release, and Waiver of Liability Agreement (“Agreement”) shall be binding on my heirs, executors, administrators, successors, and assigns. I expressly agree that this Agreement is intended to be as broad and inclusive as is permitted by applicable laws, and that if any portion of this Agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect. This Agreement contains the entire understanding of the parties relating to the subject matter, and shall not be altered, modified, amended, waived or supplemented in any manner whatsoever except by a written agreement signed by both parties hereto or their duly authorized representatives. This Agreement may be executed, made and delivered electronically. To the maximum extent permitted by applicable law, I (a) covenant and agree not to elect a trial by jury with respect to any issue arising out of this Agreement or the Services that is triable of right by a jury, and (b) waive any right to trial by jury with respect to such issue to the extent that any such right exists now or in the future. This waiver of right to trial by jury is given knowingly and voluntarily. I have read and understood this Agreement and enter into it voluntarily in consideration of the opportunity to participate in the Services at CAROLINA HISTORICAL FENCING ASSOCIATION LLC, WELLWITHIN MARTIAL ARTS, LLC. I acknowledge I am giving up legal rights and/or remedies which may be available to me. I HAVE READ THE ABOVE WARNING, WAIVER, RELEASE, AND ASSUMPTION OF RISK. I FULLY UNDERSTAND ITS CONTENTS, AND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT. I HEARBY SIGN IT VOLUNTARILY WITHOUT ANY INDUCEMENT,ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY.

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To participate in Carolina Historical Fencing Association LLC activities, classes, and events each individual must agree to follow the rules and procedures outlined here. All participants of Carolina Historical Fencing Association LLC are expected to follow these rules and procedures in this document: https://docs.google.com/document/d/19O2tPot-_8eg96ozo_c3ocum18mZ6TIwU27tuPr5oHY/edit?usp=sharing


Have you read and agreed to the rules?

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By entering your name in the response below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge. For a parent or guardian signing for a minor, please enter your signature below. 
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