Self Defense Training

T & W Martial Arts

and

FindMonica Foundation Inc.

(Self Defense Training for Children and Young Adults)

Waiver / Release of Liability & Registration Form

I or my child(ren) wish to participate in self-defense training. I certify that I am eighteen years of age or older, or that my legal guardian has signed below to allow me to attend. I understand that self defense training is inherently dangerous and I knowingly and willingly assume all risk of injury or other damage associated with such training. I release all teachers, students, and other parties from any claim of any and all liability that may result from any injury received, and i hereby waive all claims that I or anyone else on my behalf, may make with respect to such injury or damages. I agree for myself and my successors that the above representations are contractually binding, and not mere recitals, and that should I or my successors assert any claim in contravention to this agreement, I and my successors shall be liable for the expenses including, but not limited to, legal fees incurred by the other party or parties in defending unless the party or parties are adjudged finally liable on such claim for willful and wanton negligence. this aggreement shall not be construed as a modification of any other provision, or as a consent to any subsequent waiver or modification.


Applicant's Full Name:
Applicant's Address
Today's Date:
Email Address:
Phone number:
Emergency Contact:
Child 1 Full Name:
Child 1 Age:
Any Medical Conditions?
Child 2 Full Name:
Child 2 Age:
Any Medical Conditions?
Child 3 Full Name:
Child 3 Age:
Any Medical Conditions?

By completing this form I agree to the above provisions.




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