Registration Form
March 8-9, 2024, Aikido Seminar with Ishiyama Shihan (7th dan) in Vancouver, BC

If you have any issues with the registration form, please contact us at vancouverwestaikikai@gmail.com
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Name *
Adult or Youth (U18) *
Phone number *
Dojo *
Rank *
Emergency contact name *
Emergency contact phone *
Waiver
Vancouver West Aikikai
WAIVER AND RELEASE OF LIABILITY

By signing this form you give up important legal rights.  Please read carefully!

This is a binding legal agreement.  As a Participant in the programs, activities and events of Vancouver West Aikikai, the undersigned acknowledges and agrees to the following terms. 

The Participant acknowledges and agrees to the terms outlined in this document. When applicable, the Participant’s parent/guardian acknowledges and agrees to the terms on behalf of the Participant and references in this document to the Participant agreeing to or acknowledging a risk or term is understood to be referring to the Participant’s parent/guardian agreeing to or acknowledging the risk or term on behalf of the Participant.


ACTIVITIES
The Participant is voluntarily participating in the sport of aikido and the spectating, orientation, instruction, activities, events, programs, and services (collectively the “Activities”) of the Canadian Aikido Federation and the Dojo (if applicable). The Activities may include but are not limited to including events, training, instruction, personal or strength training, dry land training, training using machines or weights, nutritional and dietary programs, orientational or instructional sessions or lessons, and aerobic and anaerobic conditioning programs.
The Canadian Aikido Federation, the Dojo (if applicable), and their respective directors, officers, committee members, members, employees, contractors, instructors, volunteers, officials, participants, agents, sponsors, owners/operators of the facilities in which the Activities take place, and representatives (collectively the “Organization”) are not responsible for any injury, personal injury, damage, property damage, expense, loss of income or loss of any kind suffered by a Participant during or as a result of the Activities and/or, when the Participant is the age of majority or older, when caused by the negligence of the Organization.

RISKS
The Activities have foreseeable and unforeseeable inherent risks, hazards and dangers that no amount of care, caution or expertise can eliminate,
including without limitation, the potential for serious bodily injury, permanent disability, paralysis, and loss of life. These risks include:
a) Health: executing strenuous and demanding physical techniques; physical exertion; overexertion; stretching; dehydration; fatigue;
cardiovascular workouts; rapid movements; lack of fitness or conditioning; traumatic injury; sprains and fractures, spinal cord injuries, bacterial
infections; rashes; and the transmission of communicable diseases, including viruses of all kinds, bacteria, parasites or other organisms or
any mutation thereof
b) Premises: defective, dangerous or unsafe condition of the facilities; falls; collisions with objects or barriers that are a part of the premises;
dangerous, unsafe, or irregular conditions on the mat, floor or other surface; and travel to and from the premises
c) Use of equipment: mechanical failure of the equipment; negligent design or manufacture of the equipment; the provision of, or the failure by,
the Organization to provide any warnings, directions, instructions or guidance as to the use of the equipment; failure to wear safety or
protective equipment; and failure to use or operate equipment within the Participant’s own ability
d) Contact: contact with participants, sports equipment, or other persons; and other contact that may lead to serious bodily injury, including but
not limited to concussions and/or other brain injury or serious spinal injury
e) Advice: negligent advice regarding the Activities
f) Ability: failing to act safely or within the Participant’s own ability or within designated areas
g) Sport: the sport of aikido and its inherent risks, including but not limited to striking objects or individuals with parts of the body; collisions with
the wall, floor, other students, or instructors; tumbling, falling, or being thrown to the floor; and executing strenuous and demanding selfdefence
escapes and other physical techniques
h) Conduct: the Participant’s conduct and conduct of other persons including any physical altercation between participants
i) Travel: travel to and from the Activities

Cyber. The Organization may offer or promote online programming (such as webinars, remote conferences, workshops, and online training) which have
different foreseeable and unforeseeable risks than in-person programming. These risks include privacy breaches, hacking, technology malfunction or
damage.

Negligence. The Organization may be negligent, which may include failure by the Organization to take reasonable steps to safeguard or protect the
Participant from the risks, dangers and hazards associated with participation in the Activities.

TERMS
In consideration of the Organization allowing the Participant to participate in the Activities, the Participant agrees:
a) That the Participant is not relying on any oral or written statements made by the Organization or their agents, whether in a brochure or
advertisement or in individual conversations, to agree to participate in the Activities
b) That when the Participant practices or trains in their own space, the Participant (or the Participant’s parent/guardian, if applicable) is
responsible for the Participant’s surroundings and the location and equipment that is selected for the Participant
c) That the Participant’s mental and physical condition is appropriate to participate in the Activities and the Participant (or the Participant’s
parent/guardian, if applicable) assumes all risks related to the Participant’s mental and physical condition
d) To comply with the rules and regulations for participation in the Activities
e) To comply with the rules of the facility or equipment
f) That if the Participant observes an unusual significant hazard or risk, the Participant will remove themselves from participation and
immediately bring their observations to a representative of the Organization
g) The risks associated with the Activities are increased when the Participant is impaired and the Participant will not participate if impaired in any
way
h) That it is the Participant’s (or the Participant’s parent/guardian, if applicable) sole responsibility to assess whether any Activities are too
difficult for the Participant. By the Participant commencing an Activity, the Participant (or the Participant’s parent/guardian, if applicable)
acknowledges and accepts the suitability and conditions of the Activity
ACTIVITIES STATUS
The Participant (and the Participant’s parent/guardian, if applicable) agrees that the Organization has the discretion to cancel or modify the structure of
any Activities due to a public health or safety issue, which may include removing specific disciplines or age groups from an event, changing an event
format, or changing the manner in which individuals become eligible to participate, and will not hold the Organization responsible for any damage, loss,
expense or injury resulting from any changes in gathering size as mandated by any Government Order, Act, Regulation, Statute or Bylaw
The Participant (and the Participant’s parent/guardian, if applicable) agrees that, if a new pandemic" or "outbreak of disease" or "health emergency
would require them in the future, the Organization may implement and enforce guidelines for participation that may include adhering to ‘Return to Play’
protocols, signing declarations of compliance, or requiring that personal protective equipment be worn by Participants (and their parents/guardians, if
applicable). The Organization has the discretion to remove any Participant (and their parents/guardians, if applicable) who does not comply with the
Return to Play protocols, sign a declaration, or wear personal protective equipment. When required, the Participant is responsible for providing their own
personal protective equipment.
DISCLAIMER
When the Participant is the age of majority or older, the Participant assumes all risks arising out of, associated with or related to, participation in the
Activities and waives any and all claims that the Participant may have now or in the future against the Organization. The Participant, when the age of
majority or older, accepts and fully assumes all such risks and possibility of personal injury, death, property damage, expense and related loss, including
loss of income, resulting from participation in the Activities.
When the Participant is the age of majority or older, the Participant forever indemnifies and releases the Organization from any and all liability for any
and all claims, demands, actions, damages (including direct, indirect, special and/or consequential), losses, actions, judgments, and costs (including
legal fees) (collectively, the “Claims”) which the Participant has or may have in the future, that might arise out of, result from, or relate to, participation in
the Activities, even though such Claims may have been caused by any manner whatsoever, including but not limited to, the Organization’s negligence,
gross negligence, negligent rescue, omissions, carelessness, breach of contract and/or breach of any statutory duty of care of the Organization.
For all Participants. The Organization is not responsible or liable for any damage to the Participant’s vehicle, property, or equipment that may occur as a
result of the Activities. This Agreement is intended to be as broad and inclusive as is permitted by law of the province/territory of the Participant’s home
Dojo and if any portion thereof is held invalid, the balance shall continue in full legal force and effect. The Participant (or the Participant’s
parent/guardian, if applicable) agrees to file any lawsuit against the Organization in the province/territory of the Participant’s home Dojo and further
agrees that the substantive law of that province/territory will apply with regard to conflict of law rules.
ACKNOWLEDGMENT
The Participant (and the Participant’s parent/guardian, if applicable) acknowledges that they have read and understand this Agreement, that they have
executed this Agreement voluntarily, and that this Agreement is to be binding upon themselves, their heirs, spouse, children, parents, guardians, next of
kin, executors, administrators and legal or personal representatives. They further acknowledge that by signing this Agreement they have waived their
right to maintain a lawsuit against the Organization on the basis of any claims from which they have released herein.


Vancouver West Aikikai Code of Conduct: I further acknowledge that I have read the Vancouver West Aikikai Code of Conduct and that I am aware, accept and will abide by the major principles, among which are:  I will adhere to the given instructions and will not not engage in a self-serving practice in class. I will avoid doing ara-waza (vigorous or rough techniques), kaeshi-waza (counter techniques), henka-waza (modified or unexpected techniques), or renraku-waza (combination techniques), unless instructed to do so. I will avoid unproductive resistance or competition with others, avoid using unnecessary force or displaying competitive or aggressive attitude and I will make every effort to prevent injuries.
Check to confirm that you have read and agreed to the terms of the VWA Waiver above. *
Required
Registration fees - regular, and 50% discounted for U18 and full students *
Party chez Liz *
Payment Options
  • We prefer the fees to be paid by electronic transfer to pay2vwa@gmail.com. Please note the amount you selected above, and make an e transfer in that amount to pay2vwa@gmail.com.
  • If you wish to pay by credit card (via PayPal), please follow the payment link on the next page (after you press the Submit button on this form). Please note that a 5% extra will be automatically added to the posted fees to offset the PayPal processing fees.
If you have any payment related questions, please email Liz McKinlay (lizmckinlay69@gmail.com).
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