KKIA
1234 N Santa Fe Ave, Suit., 123
Vista, CA 92083
(760) 815-1254
shorinkansandiego@yahoo.com
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Hold Harmless Waiver and Release

I understand that karate OR Gymnastics is a contact sport. As such, I am aware that I am participating in an activity that
involves physical contact and injuries may occur, which may potentially involve great bodily harm or even death and I do so at
my own risk. I waive any claim or cause of action I may have against the promoters of the event, the judges, and other
competitors, and any other affiliated or instructor or entities. I further agree not to indemnify and hold harmless to the
promoters, judges, and any other affiliated in instructor or entities from any and all causes of action or claims which may
arise from another competitor due to my participation or actions in this event. I state that I do not suffer from any physical and
mental conditions, which may affect my participation in this event. I further agree to conduct myself in a sportsmanlike
manner and understand that if I fail to do so, I may be ask to leave from the event and not entitled to a refund. Placing your
name bellow will serve as an electronic Signature that you have read this( hold of harmless waiver and release)
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GYMNASTIC / KARATE
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760-815-1254
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OFFICE HOURS ARE MONDAY,TUESDAY AND THURSDAY 3:30-6:30
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