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I knowingly and without duress do voluntarily submit my registration for my child to Malee’s School of Tai Chi & Kung Fu (hereinafter referred to as “the School”) to participate in the School’s 2019 Chinese Culture & Kung Fu Summer Camp (hereinafter referred to as “the Summer Camp”), to be held from August 5 to 9, 2019.

I hereby assume all risk of physical and mental injuries, disabilities, and losses which may result from or in my child’s connection with my participation in the Summer Camp. Acting for myself, heirs, personal representatives, and assignees, I do hereby release the School, the teachers, their agents, representatives, servants, employees, volunteers, and all other related members from all claims, actions, suits, and controversies at law or in equity by reason of any matter, cause, or thing whatsoever that I or my child may sustain as a result of or in connection with my participation in the Summer Camp.

I also understand that participation in the Summer Camp entails a risk of injury, and I assume full responsibility for all of my and my child’s actions, intentional or otherwise, during and in connection with my participation in the Summer Camp. I fully understand that any medical attention or treatment afforded to me by the School, teachers, their agents, representatives, servants, employees, volunteers, and all other related members will be of the first aid type only, and I hereby release the School, the teachers, their agents, representatives, servants, employees, volunteers, and all other related members from any liability for such aid.

I agree that my and my child’s performance, attendance and participation in the Summer Camp may be filmed or otherwise recorded. I consent to the use of my name, likeness, voice, poses, pictures, and biographical data concerning fully or in parts, in any form or language, with or without other material without limitation, for television, radio, video, or any other medium by devices now known or hereby devised, and I do hereby waive any compensation in regard thereof as well as any future rights to the aforementioned.

I have read and fully understand the waiver listed above.
Parent or legal guardian signature is required if participant is under eighteen (18) years of age.