Sanda/Sanshou Registration

Statement of Waiver & Release of Liability
I, the undersigned, knowingly and without duress, do voluntarily submit this form to the said Shaolin Institute; Shaolin Chan Foundation-US Open Challenge and; Shaolin Interschool Competition organization committee and related organizations and affiliates (hereafter organization committee and affiliates). I do hereby assume all risk of personal, physical, or mental disabilities, injuries or losses, which may result from participating in the said US Open Challenge and Shaolin Interschool Competition and acting for myself, my heirs, personal representatives, and assignees, I hereby release the said organization committee and affiliates, their officers, agents, representatives, servants, employees, and all other related members from all claims actions, suits, controversies and claims at law or in equity by stand that there is a risk in all activities, and I assume full responsibility for my actions, during and in connection with said organization committee and affiliates. I fully understand that any medical treatment given to me will be of the first aid type only, and I consent to such emergency treatment if deemed necessary. I further consent that any photos furnished by me, or any photos/videos taken of me in connection with the organization committee and affiliates can be used for publicity or television and I waive all compensation in regards thereto. By signing your name and date below you indicate that you consent to the Statement of Waiver and Release of Liability above and that you are at least 18 years of age. If you are under 18 years of age, a parent must sign in lieu of the minor.