East Coast Martial Arts Permission and Liability Waiver
By acknowledging below and entering you name and date, the student (parent or legal guardian) recognizes the risk
involved and agrees to the following terms and conditions required by East Coast Martial Arts in
conjunction with participating in our classes/programs.
The undersigned student, and or parent/guardian, releases East Coast Martial Arts, its officers,
employees, and instructors from all liability for any and all damages and injuries suffered or sustained
while at the elementary school or on East Coast Martial Arts School premises and under the instruction,
supervision or control of East Coast Martial Arts, or its employees.
The student, participant, or legal guardian, therefore, hereby agrees to individually provide for the
possible future medical expenses which may be incurred as a result of any injury sustained while
participating in any class, during training, or performing for East Coast Martial Arts.
This form also acts as a release for East Coast Martial Arts to be able to use any pictures, videos, etc., for
use as promotional tools or in any other use East Coast Martial Arts deems necessary.
ASSUMPTIONS OF RESPONSIBILITIES NO RISK
Martial Arts are a potentially dangerous activity. Bumps, bruises, scrapes, and soreness, are common
place and most students will encounter this sort of minor injury from time to time in their training. More
serious injuries are possible, including sprains, strains, twists, cramps, and injuries of similar magnitude,
and students can expect to encounter these injuries frequently. The possibility of more serious injury
exist, including fractured bones, broken bones, torn ligaments, though not all students encounter such
serious injuries. There remains, despite safety precautions, the remote possibility of crippling death,
though this is certainly not expected in this martial arts class or any workshop and training the ECMA
provides.
I understand the above statement of risk, and I understand the rights and responsibilities for my own
safety (or the safety of my child), understanding and accepting the risk involved with martial arts
training. Even if the instructor has informed me that no serious injury has ever happened in this school
or with any of the instructors, I understand that this does not mean that there is no possibility of harm.
By assuming this risk, I completely absolve all instructors, staff, guests, students, landlord, management
companies, and any and all other parties of liability for my harm, unless intentionally caused in criminalconduct.
I understand that the instructors, senior instructors, or others may have some skill in first aid, CPR, and
at their discretion, I authorize them to use those skills and techniques to assist in any circumstance in
which they judge their skills would be necessary or helpful.
This acknowledgement of risk and waiver of liability, having been read thoroughly and understood
completely, is signed voluntarily as to its content and intent, I hereby give my permission to trained
medical professionals to administer emergency medical treatment to myself or child, should sickness or
accident occur in my absences or in the event I cannot give permission.