Milan Martial Arts Academy Trial Class Registration

Complete the form below and we will contact you to get started with your Martial Arts journey! 


Classes for all ages!

Early Skillz - 3 & 4 year olds

Basic Skillz - 5 & 6 year olds

Core Skillz - 7 to 9 year olds

Extreme Skillz - 10 to 14 year olds

Adults - 15 and older

INFO

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AGREEMENT

WARNING, WAIVER, RELEASE OF LIABILITY, ASSUMPTION OF RISK FOR (insert student name) .

THIS AGREEMENT MUST BE SIGNED BY ALL PERSONS AND/OR LEGAL GUARDIANS, IF UNDER 18 YEARS OLD, WHO WISH TO PARTICIPATE IN ANY MILAN MARTIAL ARTS ACADEMY CLASS, AFTER SCHOOL PROGRAM, SUMMER CAMP, EVENT, OR ACTIVITY.

PART A

In consideration of being allowed to participate in any way in the classes, events, and/or activities of Milan Martial Arts Academy, I,

  1. Recognize and understand that martial arts training is an activity that involves physical contact and that my participation might result in serious injury, including permanent disability or even death, and severe social and economic loss.

  1. Recognize and understand that such risk may be due to not only my own actions, but also the action, inaction or negligence of others, the regulations of participation, or the conditions of the premises, or of any of the equipment used.

      3. Recognize that there may be other risks that are not known to me or to others or not reasonably foreseeable at this time.

      4. Agree to inspect the facilities, equipment and pairings prior to participation. I will immediately inform an instructor if I believe that anything is unsafe or beyond my capability and refuse to participate.

      5. Assume all of the foregoing risks and accept personal responsibility for any damages that may result from injury, permanent disability or death.

      6. Enter martial arts training and/or competition entirely of my own free will and understand the importance of following the rules of training and competition.

      7. I certify that I am in good physical condition, and have no disease, injury or other condition that would impair my performance or physical and mental well-being during intense training practice and/or competition.

  1. Grant permission in case of injury to have a doctor, nurse, athletic training or other emergency medical personnel provide me with medical assistance or treatment for such injury.

  1. Release, waive, discharge and covenant not to sue, Milan Martial Arts Academy, its affiliated organizations and governing bodies, their officers, instructors and personnel, other members of the organizations, participants, supervisors, coaches, sponsoring organizations or their agents, and if applicable, owners and leasers of the premises from any and all liability to the undersigned, his or her heirs and next of kin for any and all claims, demands, losses and damages which may be sustained and suffered 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 realeasees or otherwise.

PART B

In consideration of being allowed to participate in any way at Milan Martial Arts Academy, related events and activities, the undersigned acknowledges, appreciates, and agrees that:

  1. The risks of injury and illness (ex: communicable diseases such as MRSA, influenza, and COVID-19) from the activities involved in this program are significant, potentially life-threatening, and while particular rules, equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist; and,

  2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

  3. I acknowledge that I am aware that there are risks to me of exposure to directly or indirectly arising out of, contributed to, by, or resulting from:

    • An outbreak of any and all communicable disease, including but not limited to, the virus “severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2),” which is responsible for Coronavirus Disease (COVID-19) and/or any mutation or variation thereof;

PART C

I grant permission to Milan Martial Arts Academy and its agents or employees, to use photographs taken of me or my minor child/children in classes or events of Milan Martial Arts Academy for use in publications such as brochures, newsletters, and magazines, and to use the photographs on display boards, and to use such photographs in electronic versions of the same publications or on Milan Martial Arts Academy web sites or other electronic form or media, and to offer them for use or distribution in other non-company publications, electronic or otherwise, without notifying me.


I hereby waive any right to inspect or approve the finished photographs or printed or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the photograph.


I hereby agree to release, defend, and hold harmless Milan Martial Arts Academy and its agents or employees, including any firm publishing and/or distributing the finished product in whole or in part, whether on paper or via electronic media, from and against any claims, damages or liability arising from or related to the use of the photographs, including but not limited to any misuse, distortion, blurring, alteration, optical illusion or use in composite form, either intentionally or otherwise, that may occur or be produced in taking, processing, reduction or production of the finished product, its publication or distribution.


I have read and understand the above:
(Must be signed my parent or guardian if student is under 18 years of age)

SIGN HERE