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Metro-United Martial Arts

Student Information Form

Student’s Name: {name}

Previous Martial Arts Training:

How Long:

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ASSUMPTION OF RISK & WAIVER OF LIABILITY

Student/Member represents that they are in good physical condition and can use the facilities of

Metro-United Martial Arts. Student/Member hereby acknowledges that they are fully aware of the

risks and hazards inherent in the practice of martial arts and fitness activities and hereby assumes

all risks of loss, damage, injury, or COVID – 19 (including death) that may be sustained by Student/Member or to their property.

Student/Member hereby accepts full responsibility for the use of, or participation in, any classes,

services, equipment, demonstrations or events, whatsoever owned, operated or sponsored by Metro-United Martial Arts, whether on-site or off-site, and hereby releases and agrees to hold harmless, its owners, officers, directors, members, employees, representatives

and agents from any loss, claim, injury, damage, or liability sustained or incurred by

Student/Member resulting therefrom.

This release shall be binding upon the heirs, distributes, next of kin, executor, and administrator of each undersigned. In signing this Agreement, the undersigned hereby acknowledges and represents that they have read this release, understand it, and signed it voluntarily.

(Student / Member Initials)

Privacy Release

I, {name}, do hereby grant Metro-United Martial Arts and any assigns,

licensees, and legal representatives of the Metro-United Martial Arts, the irrevocable right

to use my name (or any fictional name), picture, portrait, or photograph in all forms and media in

all manners, including composite or distorted representations, for advertising, trade, or any other

lawful purposes and I waive any right to inspect or approve the finished version(s), including

written copy that may be created in connection therewith. I am of lawful age and or I am the

legal guardian of the above named. I have read this release and am fully familiar with its contents.

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