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STUDENT WAIVER &
LIABILITY RELEASE FORM
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STUDENT WAIVER FORM
OUR ADDRESS
995 W Williams Ave, Fallon, NV 89406
Phone Number
432-331-4366
Email Address
challenderscombatclub@yahoo.com
ASSUMPTION OF RISK
I understand that martial arts training involves physical activity and inherent risks, including but not limited to contact, falls, and physical exertion.
I acknowledge that participation is voluntary and that I assume full responsibility for any risk of injury.
LIABILITY RELEASE
I release and hold harmless Ryūshin Budo Kai, its instructors, and representatives from any claims, liabilities, or demands arising from participation in training activities.
I understand that students are expected to follow all safety instructions and dojo rules.
MEDICAL AUTHORIZATION
In the event of injury or medical emergency, I authorize Ryūshin Budo Kai to seek medical treatment on behalf of the student if I cannot be reached.
CODE OF CONDUCT AGREEMENT
I acknowledge that training at Ryūshin Budo Kai is a privilege and that students are expected to demonstrate discipline, respect, and adherence to dojo standards.
MEDIA RELEASE
I understand that failure to follow conduct expectations may result in suspension or removal from the program.
I do NOT grant media permission.
PAYMENT ACKNOWLEDGMENT
I understand that the initial enrollment package ($100) is required to begin training.
I understand that after the introductory month, tuition is $100 per student per month.
Student Signature
Parent / Guardian Signature (if under 18)
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