Winter Sparring Camp Application & Waiver


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Camp Dates: Thursday, December 22nd through Friday, December 23rd

BUYER’S INFORMATION:

First Name: Last Name:    Date of Birth:  
Address:  
City/Town: State: Zip Code:  

Primary Phone: Secondary Phone:   
Email:

FIRST MEMBER’S INFORMATION:

First Name: Last Name:    
Date of Birth:    
Martial Arts School Name: City/Town: Grandmaster’s/Master’s/Instructor’s Full Name:  

SECOND MEMBER’S INFORMATION – If Applicable:

First Name: Last Name:    
Date of Birth:     
Martial Arts School Name: City/Town: Grandmaster’s/Master’s/Instructor’s Full Name:  

TERMS & WAIVER:

In consideration of your acceptance of my entry. I do hereby, for myself, my heirs, executors, and administrators waive, release forever discharge any and all rights and claims for damages, which I may have or may accrue to me against the Dragon Yong-in Martial Arts Association or its Directors, and/or all persons associated with the event in any capacity, and all members of the training seminar, or their respective officers, agents, representatives, successors, and/or assigns, and against any of my competitors for any and all damages which may be sustained by me in connection with my association or entry in the above athletic meet and competition, and in connection with any medical services provided to me in connection with any such injury or illness, or which may arise out of traveling to, participating in, and returning from this athletic meet. I understand that Tae Kwon Do is a body contact sport, and I agree with rules given by Dragon Yong-in Martial Arts. I further understand that I may be dismissed from the premises without compensation or refund if my conduct is not courteous and cooperative for the successful operation of the training camp. I waive any compensation what so ever for the use of pictures, movies, etc. of me by the promoter. I hereby agree to all terms and conditions of the liability waiver above.

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Dragon Yong-in Martial Arts https://dragonyong-in.com
Signature Certificate
Document name: Winter Sparring Camp Application & Waiver
Unique Document ID: 33a3e5d113c45fbc832cb2a6b00824913f993203
Timestamp Audit
2016-11-02 12:51:52 ESTWinter Sparring Camp Application & Waiver Uploaded by DYMA Sales - sales.dyma@gmail.com IP 108.44.178.198