Release and Liability Waiver Agreement
Raven Self Defense Academy, LLC
46 E State St Hurricane UT 84737
www.RavenSelfDefense.com
804-665-4184
To the best of my knowledge, I am in good physical condition and fully able to participate in this course. I am fully aware of the risks and hazards connected with the participation in KaJuKiBo, Jiu-Jitsu, Judo, Kickboxing, Karate, Boxing, Mixed Martial Arts, Bootcamp Training, Yoga, Weightlifting, or Aerobics, including physical injury or even death, and hereby elect to voluntarily participate in said event, knowing that the associated physical activity may be hazardous to me and my property. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OR LOSS, PROPERTY DAMAGE, PERSONAL INJURY, OR ANY ILLNESS INCLUDING BUT NOT LIMITED TO COVID-19., that may be sustained by me, or loss or damage to property owned by me, as a result of participation in this course. I further certify that I am at least 18 years of age. If under 18, my parent/guardian is the below signed. I hereby RELEASE, WAIVE, AND DISCHARGE . Raven Self Defense Academy LLC, and their officers, servants, agents, and employees (hereinafter referred to as RELEASES) from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage, injury, or any illnesses including but not limited to COVID-19, including death, that may be sustained by me, or to any property belonging to me, while participating in physical activity, or while on or upon the premises where the event or the practice of the above mentioned activities are being conducted. It is my expressed intent that this release and waiver of liability agreement agreement shall bind the members of my family, spouse heirs, assigns and personal representative, and shall be deemed as a RELEASE, WAIVE, and DISCHARGE the above named RELEASES. I hereby further agree that this Release and Waiver of Liability agreement and Hold Harmless Agreement shall be constructed in accordance with the laws of the State of Utah. In signing this release, I acknowledge and represent that I HAVE READ THE FOREGOING Release and Waiver of Liability Agreement and Hold Harmless Agreement, UNDERSTAND IT AND SIGN IT VOLUNTARILY as my own free act and deed; no oral representations, statements or inducements, apart from the foregoing written agreement has been made; and I EXECUTE THIS RELEASE FOR FULL, ADEQUATE AND COMPLETE CONSIDERATION FULLY INTENDING TO BE BOUND BY SAME.