Tournament registration form and waiver
Canadian
Shuai-Chiao
(Kung Fu – Wrestling) Championship
Registration, Accident Waiver, and Release of Liability Form
This forms pertains to the Canadian Shuai-Chiao
(Kung Fu – Wrestling) Championships.
Participant’s Name: ___________________________________________
Age: ______ Gender: ____________
Intended Weight Division: _____________pounds
To assume all the risks with participating in any and all activities associated with this tournament, including any risks that may arise form negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.
To certify that they are physically fit, have sufficiently prepared or trained for this activity, and have not been advised to not participate by a qualified medical professional, and that there are no health-related reasons or problems preclude their participation in this activity.
To acknowledge that this Accident Waiver, and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity, and that it govern the participant’s actions and responsibilities at said activity.
In consideration of this application, and being granted permission to participate in this activity the participant takes action for themselves, their executors, administrators, heirs, next of kin, successors, and assigns as follows:
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To waive, release, and discharge from any and all liability, including, but not limited to liability arising from negligence or fault of the entities or persons released, for their death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to them, including traveling to and from the activity, the following entities or persons: The Warrior-Scholar Kung Fu Academy, The Wu Shen Shuai-Chiao Kung Fu Academy, and others school affiliated with The Wu Shen Temple Kung Fu Association, and their directors, officers, employees, instructors, and volunteers;
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To indemnify, hold harmless from any and all liabilities or claims made as a result of participation in this activity whether caused by the negligence or otherwise, and promise not to sue the entities nor persons mentioned in this document.
To acknowledge that the Warrior-Scholar Kung Fu Academy, The Wu Shen Shuai-Chiao Kung Fu Academy, and others school affiliated with The Wu Shen Temple Kung Fu Association, and their directors, officers, employees, instructors, volunteers, and agents are not responsible for their errors, omissions, acts, or failures to act, of any party or entity conduct and activity on their behalf.
To acknowledge that this activity may involve tests of a person’s physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, equipment, temperature, weather, condition of the participant, vehicular traffic, lack of hydration, monitors, and/or producers of the activity. These risks are not only inherent to participants, but are also present for volunteers.
To consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity.
This Accident Waiver, and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.
The undersignedhereby certifies that they have read and understood this document, and are aware that this is a release of liability, and a contract and they sign it of their own freewill.
Furthermore, I have read and understood all the rules of this tournament as provided on the webpage: https://temujin18.wixsite.com/warrior-scholar-kung/events .
Signature Date
_________________________________ ______________________
If the participant is under 18, a parent’s printed name and signature are required:
_______________________________________ ___________________________________
Parent’s printed name Parent’s signature
