WAIVER, RELEASE, & INDEMNITY AGREEMENT
HEAVEN AND EARTH AIKIDO CENTER, LLC (the "Dojo") operates the Aikido Dojo located at 688 Spring St., Herndon, VA 20170 (https://www.heavenandearthaikido.org).
The Dojo offers classes, instruction and training in the martial art Aikido, sponsors workshops, seminars and hosts or may host other activities (whether in the Dojo or outside the Dojo), and all activities related or incidental thereto (together, "Aikido Activities").
Aikido Activities involve, among other things, observing, sitting, stretching, twisting, rolling, falling, striking, grabbing, throwing, pinning, kicking, weapons training, and many other potentially dangerous or injurious activities, whether as a participant or spectator, and whether or not under the supervision or instruction of Anthony Breda, the Dojo's Instructors, visiting instructors, principals, employees, attorneys or agents (together, the "Affiliates") or co-participants, which may result in personal injury, property damage or death.
For and in consideration of the Dojo permitting you to participate in or observe Aikido Activities and whether or not under the supervision or instruction of the Dojo, any Affiliates or co-participants (but except for fraud, willful injury, recklessness, violation of law or the knowing increase in the risk of harm beyond what is inherent in learning, practicing or performing Aikido Activities), you, and on behalf of your heirs, executors and administrators, hereby voluntarily, knowingly and expressly:
(1) forever assume any and all risks, whether known or unknown, inherent in Aikido Activities and agree to be challenged to perform beyond your (then) current ability;
(2) forever release, relieve, discharge, waive and relinquish any and all claims, actions or causes of action for personal injury, property damage or wrongful death, arising out of, regarding, respecting or concerning the active or passive negligence of the Dojo, any Affiliates or co-participants, as a result of engaging in any Aikido Activity including from COVID-19 or other infectious diseases; and
(3) forever indemnify and hold harmless the Dojo, the Affiliates and co-participants from any and all claims or causes of action by whomever, whenever or wherever made or presented for personal injuries, property damage or wrongful death occasioned by any Aikido Activity; and
(4) I understand that this release discharges the Dojo, any Affiliates or co-participants from any liability or claim that I, my heirs, or any personal representatives may have against the Dojo, any Affiliates or co-participants with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, Aikido Activities.
The Dojo welcomes you to the Seminar. In consideration of the Dojo allowing you to participate in or observe the Seminar, the Dojo requests that you acknowledge that you have read the Dojo's Waiver, Release and Indemnity Agreement (the "Release"), and agree to be bound by all of the terms, conditions, covenants and agreements set forth therein, which are hereby incorporated herein by reference.
Printed Name of Student:
Signature of Student (Parent/Guardian if student is under 18):