Online Membership Application
Adult Members Only
RELEASE OF RESPONSIBILITY
I Certify that I have been made aware of potential hazard involved in
martial arts and training for self defense. I am physically fit and
have no medical condition which would preclude me from participation
in these activities.
I understand that during the course of instruction,
Instructors and/or other members or
authorized persons will be engaged in a course of conduct requiring physical
contact; and I give full consent to such contact as is required by the training.
The undersigned shall indemnify and same harmless
agents and employees, against all damage, loss or expense which they or any of
them incur as a result of any claim or action which may at any time be made or
instituted on behalf of the above named member including, without being limited
to, any claim or action based upon the negligence of
PeopleSafe®, its agents,
members or employees.
I promise to uphold the principals,
ideals and regulations of PeopleSafe®. I acknowledge that my
membership is voluntary and subject to review by PeopleSafe®.
Further, I understand that by
submitting this information via electronic transmission that I
acknowledge the above statement of certification in lieu of a signature.
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