Student Name *

First Name

Last Name

Student Date of Birth *

MM

DD

YYYY

Parent/Guardian Name

If student(s) are under 18 years of age.

First Name

Last Name

Phone *

(###)

###

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Release and Waiver of Liability *

I release, save and hold harmless and indemnify Haechi TTKD Group Inc., its instructors, agents, employees and students, from and against all claims, actions, costs and expenses and demands in respect to death, injury, loss or damage to my person or property/death, injury, loss or damage to the person or property of my child, or to any other person or property, whosesoever and howsoever caused, arising out of or in connection with my taking part in Tae Kwon Do classes, and attendance at the premises of Haechi Traditional Tae Kwon-Do and notwithstanding that the same may have been caused, contributed to or occasioned by any act, failure or omission, including gross negligence, negligence or breach of any contractual, statutory, or common-law obligation of Haechi Traditional Tae Kwon-Do or any of its instructors, agents, employees and students.

I am Fully Aware of and Accept *

All the risks and dangers involved in physical training and the participation in classes, tests, gradings, demonstrations, tournaments and competitions, particulars of which include but are not limited to: all manner of injury resulting from falling and impacting the ground or floor, being struck by the hands or feet of others, from the use of the hands, feet or other body parts in the breaking of boards or other objects, or from over exertion of muscles, bones, joints or other body parts as well as strains, sprains or breakage of said body parts.

COVID-19 Waiver *

I understand that the novel coronavirus SARS-CoV-2 and any resulting disease (together with any mutation, adaptation or variation thereof, "COVID-19") is a significant health risk and carries a high risk of transmission through physical or shared contact. I will follow Alberta Health Services recommendations for COVID-19, and the School’s Return to Train guidelines including not attending class if I have any symptoms of COVID-19.