Adult & Minor Amateur Athletic Waiver and Release of Liability

In consideration of being allowed to participate in any way in the Pennsylvania Shotokan Karate Club (P.S.K.C.) /USA Elite Training Camp (USA E.T.C.) athletics/sports program, and related events and activities, the undersigned:

I. Agrees that prior to participating, they (if under 18) Parents or Guardian, will inspect the facilities and equipment to be used, and if the participant and/ or Parent or Guardian, believes anything is unsafe, they will immediately advise their coach or supervisor or P.S.K.C./USA E.T.C. personnel of such condition(s) and refuse to participate.

II. Acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inaction's or negligence but the action's or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time. Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death.

III. Release, waive, discharge and covenant not to sue the P.S.K.C./USA E.T.C. instructors, its officers, its affiliated clubs, regional sports organizations, their respective administrators, directors, agents, coaches and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessees of the premises used to conduct the event, all of which are Hein after referred to as 'releases' from any and all liability to each of the undersigned, his or heirs and next of kin for any and all claims, demands, losses or damages on account of injury including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releases or otherwise.

IV. All registrations are final, no refunds will be given. This is not negotiable. I fully understand that any medical treatment given will be of a first aid treatment type only. I consent that any pictures furnished by me or any pictures taken of me in connection with the P.S.K.C./USA E.T.C. can be used for publicity, promotion or television showing now or in the future, and I waive compensation in regard thereto. All participation in any event or class in the training is by permission only. P.S.K.C./USA E.T.C. or authorized agent(s) reserve the right to refuse entry to any person, school, team or club.

V. Statement of Health. By my and/or Parent/Guardian's electronic signature below, I confirm that I am in sound health and there is no reason why I cannot participate in the P.S.K.C./USA E.T.C. event. The undersigned has read the above waiver and release, understand that they have given up substantial rights by signing it and sign it voluntarily. Please read entire form before signing.