Liability Waiver | One Dojo

ONE DOJO WAIVER RELEASE OF LIABILITY

In consideration of the risk of injury while participating in One Dojo (the "Activity"), and as consideration for the right to participate in the Activity, I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily enter into this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in the Activity, and do hereby release and forever discharge One Dojo, Homeschool Dojo, Westside Dojo, Thomas Davis, Wesley Lynch, and Gabrielle Lynch, located at 8157 White Settlement Rd., White Settlement, Texas 76108, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any physical or psychological injury, including but not limited to illness, paralysis, death, damages, economical or emotional loss, that I may suffer as a direct result of my participation in the aforementioned Activity, including traveling to and from an event related to this Activity

I AM VOLUNTARILY PARTICIPATING IN THE AFOREMENTIONED ACTIVITY AND I AM PARTICIPATING IN THE ACTIVITY ENTIRELY AT MY OWN RISK. I AM AWARE OF THE RISKS ASSOCIATED WITH TRAVELING TO AND FROM AS WELL AS PARTICIPATING IN THIS ACTIVITY, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO, PHYSICAL OR PSYCHOLOGICAL INJURY, PAIN, SUFFERING, ILLNESS, DISFIGUREMENT, TEMPORARY OR PERMANENT DISABILITY (INCLUDING PARALYSIS), ECONOMIC OR EMOTIONAL LOSS, AND DEATH. I UNDERSTAND THAT THESE INJURIES OR OUTCOMES MAY ARISE FROM MY OWN OR OTHERS' NEGLIGENCE, CONDITIONS RELATED TO TRAVEL, OR THE CONDITION OF THE ACTIVITY LOCATION(S). NONETHELESS, I ASSUME ALL RELATED RISKS, BOTH KNOWN OR UNKNOWN TO ME, OF MY PARTICIPATION IN THIS ACTIVITY, INCLUDING TRAVEL TO, FROM AND DURING THIS ACTIVITY.

I agree to indemnify and hold harmless One Dojo, Homeschool Dojo, Westside Dojo, Thomas Davis, Wesley Lynch, and Gabrielle Lynch against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone on my behalf, including attorney's fees and any related costs, if litigation arises pursuant to any claims made by me or by anyone else acting on my behalf. If One Dojo, Homeschool Dojo, Westside Dojo, Wesley Lynch, and Gabrielle Lynch incurs any of these types of expenses, I agree to reimburse One Dojo, Homeschool Dojo, Westside Dojo, Wesley Lynch, and Gabrielle Lynch.

I acknowledge that One Dojo, Homeschool Dojo, Westside Dojo, Thomas Davis, Wesley Lynch, and Gabrielle Lynch and their directors, officers, volunteers, representatives, and agents are not responsible for errors, omissions, acts or failures to act of any party or entity conducting a specific event or activity on behalf of One Dojo, Homeschool Dojo, Westside Dojo, Wesley Lynch, and Gabrielle Lynch. I acknowledge that this Activity may involve a test of a person's physical and mental limits and may carry with it the potential for death, serious injury, and property loss. The risks may include, but are not limited to, those caused by terrain, facilities, temperature, weather, lack of hydration, condition of participants, equipment, vehicular traffic and actions of others, including but not limited to, participants, volunteers, spectators, coaches, event officials and event monitors, and/or producers of the event.

I ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS "WAIVER AND RELEASE" AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. I EXPRESSLY AGREE TO RELEASE AND DISCHARGE One Dojo, Homeschool Dojo, Westside Dojo, Wesley Lynch, and Gabrielle Lynch AND ALL OF ITS AFFILIATES, MANAGERS, MEMBERS, AGENTS, ATTORNEYS, STAFF, VOLUNTEERS, HEIRS, REPRESENTATIVES, PREDECESSORS, SUCCESSORS AND ASSIGNS, FROM ANY AND ALL CLAIMS OR CAUSES OF ACTION AND I AGREE TO VOLUNTARILY GIVE UP OR WAIVE ANY RIGHT THAT I OTHERWISE HAVE TO BRING A LEGAL ACTION AGAINST Homeschool Dojo, Westside Dojo, and Wesley and Gabrielle Lynch FOR PERSONAL INJURY OR PROPERTY DAMAGE.

To the extent that statute or case law does not prohibit releases for negligence, this release is also for negligence on the part of One Dojo, Homeschool Dojo, Westside Dojo, Thomas Davis, Wesley Lynch, and Gabrielle Lynch, its agents, and employees. In the event that I should require medical care or treatment, I agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance. In the event that any damage to equipment or facilities occurs as a result of my or my family's willful actions, neglect or recklessness, I acknowledge and agree to be held liable for any and all costs associated with any actions of neglect or recklessness.

This Agreement was entered into at arm's-length, without duress or coercion, and is to be interpreted as an agreement between two parties of equal bargaining strength. Both the Participant(s) (listed below) and One Dojo, Homeschool Dojo, Westside Dojo, Thomas Davis, Wesley Lynch, and Gabrielle Lynch agree that this Agreement is clear and unambiguous as to its terms, and that no other evidence will be used or admitted to alter or explain the terms of this Agreement, but that it will be interpreted based on the language in accordance with the purposes for which it is entered into. In the event that any provision contained within this Release of Liability shall be deemed to be severable or invalid, or if any term, condition, phrase or portion of this agreement shall be determined to be unlawful or otherwise unenforceable, the remainder of this agreement shall remain in full force and effect, so long as the clause severed does not affect the intent of the parties. If a court should find that any provision of this agreement to be invalid or unenforceable, but that by limiting said provision it would become valid and enforceable, then said provision shall be deemed to be written, construed and enforced as so limited.

EMERGENCY CONTACT INFORMATION

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Phone Number

PARTICIPANT INFORMATION

I, the undersigned participant, affirm that I am of the age of 18 years or older, and that I am freely signing this agreement. I certify that I have read this agreement, that I fully understand its content and that this release cannot be modified orally. I am aware that this is a release of liability and a contract and that I am signing it of my own free will. Participant Name(s):

Participant 1 First Name

Participant 2 First Name

Participant 3 First Name

Participant 4 First Name

Participant 5 First Name

Participant 6 First Name

Participant 7 First Name

Participant 8 First Name

Participant 1 Last Name

Participant 2 Last Name

Participant 3 Last Name

Participant 4 Last Name

Participant 5 Last Name

Participant 6 Last Name

Participant 7 Last Name

Participant 8 Last Name

Participant 9 First Name

Participant 9 Last Name

Participant 10 First Name

Participant 10 Last Name

First Name

Last Name

Date of Birth

Address

PARENT/GUARDIAN WAIVER FOR MINORS

In the event that the participant(s) is/are under the age of consent (18 years of age), then this release must be signed by a parent or guardian, as follows. I hereby certify that I am the parent or guardian of the participant(s) named above, and do hereby give my consent without reservation to the foregoing on behalf of the individual(s).

Parent/Guardian First Name

Parent/Guardian Last Name

Relationship to Participants

HEALTH LIMITATIONS

Do you have any limitations or physical restrictions we should be aware of?

Yes

Please specify anything we should know about:

SIGNATURE/ACKNOWLEDGEMENTS

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

I declare that I have legal authority to sign this waiver for all parties included herein.

I declare that the info I’ve provided is accurate & complete

Your Signature

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