The undersigned, henceforth referred to as Student, acknowledges the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.
Student further acknowledges that Glens Falls Karate Academy LLC has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.
Student further acknowledges that Glens Falls Karate Academy LLC can not guarantee that student will not become infected with the Coronavirus/Covid-19. Student understands that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of Student and others, including, but not limited to, Glens Falls Karate Academy LLC staff, other students, or their families.
Student voluntarily seeks services provided by Glens Falls Karate Academy LLC and acknowledges that he/she is potentially increasing their risk of exposure to the Coronavirus/COVID-19. Student acknowledges that he/she must comply with all procedures set by Glens Falls Karate Academy LLC while attending their appointment.
Student agrees to monitor his/her health and to refrain from entering the building if he/she experiences any of the following:
- Symptoms of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
- International travel within the last 14 days.
- Travel to a highly impacted area within the United States of America in the last 14 days.
- Exposure to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
- Diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities.
Student is following all CDC recommended guidelines to limit his/her exposure to the Coronavirus/COVID-19.
Student herewith assumes all risks of personal injury incident to the course of instruction in the study of martial arts arising from him/her in a course provided by Glens Falls Karate Academy LLC. The undersigned further agrees that he/she shall at no time maintain to claim personal injury sustained as a result of the aforementioned instruction and to not hold Glens Falls Karate Academy LLC harmful of such injury.
Student hereby represents he/she is physically fit to take the prescribed course of instruction and participate in the above described art of self-defense.
Student understands that during the course of instruction, employees, and/or other students or authorized persons may be engaged in a course of conduct requiring physical contact; and he/she gives full consent to such contact as required by the training.
Student recognizes that regular class attendance is important for student progress and understands that it is the student’s responsibility to attend scheduled classes. Lessons are not conducted on national holidays. Student further understands that official belt rank recognition and certification will be issued after completion of examination by sanctioned qualified persons of Glens Falls Karate Academy LLC.
As a member of Glens Falls Karate Academy LLC, Student promises to comply with all the rules and regulations of the business and the traditions of the martial arts. Student agrees to strict observance of the rules and regulations relative to training, including the use of protective equipment required by the academy. This equipment will largely eliminate the possibility of accident or injury; however the academy does not warrant the protective equipment.
Student shall hold the Glens Falls Karate Academy harmless for any liability occurring from the use of martial arts techniques outside the dojo and supervision of the trained instructors; Student shall not hold the Glens Falls Karate Academy liable for any injuries, damages, etc. NOT caused by or resulting from the negligence of the owners, operators, or persons in charge of such establishment, or their agents, servants or other employees.
This instrument shall constitute a full and complete release for any claim for personal injury arising out of the aforesaid instruction in consideration for the named person being accepted as a student for the aforesaid instruction.
Student authorizes the use of videos, testimonials, or photos of Student or Student’s family at Glens Falls Karate Academy LLC or at intramural, tournaments, or other related events to be used in promotional materials by Glens Falls Karate Academy LLC.