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Kid's Drop-in Consent Form


In consideration of mutual agreements which I and/or my child will use the premises of TROY KICKBOXING OUTFIT (Hereinafter referred to as "business", "TKO", "studio" and/or "club"), which I acknowledge to be beneficial to me and/or my child, I acknowledge and agree to the following:


I warrant and represent that I and/or my child am in appropriate physical condition of the physical activities in which I and/or my child will participate and that such physical activates, even noncontact activities, carry a risk of serious injury including substantial permanent injuries, and/or death. Business, has advised me to consult with my physician prior to engaging in any physical activity, and that I should not participate in any activities unless approved to do so by my physician. I knowingly and voluntarily assume all risk describe above, and I will waive in advance any claim of liability resulting from those risks. On my own behalf and on behalf of my representatives, my estate and all person claiming through me directly or derivatively, I hereby agree in advance to hold harmless, release and discharge Business and any other owners, officers, employees, affiliate companies, and all other participants and non participants associate with those identified entities from any injury that I may receive whether or not from the negligent or intentional acts of those persons release. Furthermore, I agree on my behalf and behalf of my representatives, estate, successors and assigns to defend Troy Kickboxing Outfit from and against any and all claims and liability that may arise by reason of activities at the facilities, whether cause by an intentional act, or by negligence, or otherwise without limitation. This agreement to defend includes any claim, action or liability whatsoever, regardless of whether the claim is made, without limitation, by me, by someone on my behalf or someone whose class is derived from my injury or death. I acknowledge and agree (1) that it is my responsibility to cover any medical bills that I may incur and to cover myself with any medical insurance I may deem appropriate and (2) that I will not and cannot make any claim for medical coverage result from any injury or death incurred by me at the facilities of the Business. 

Troy Kickboxing Outfit shall not be liable for any loss or theft of my personal property.  I also specifically agree that Troy Kickboxing Outfit shall not be responsible for all such personal or property injuries, damages, loss or theft, even in the event of negligence, fault or failure to use due care on the part of the business, and whether such negligence, fault, or failure to use due care is present at the signing of this Agreement or takes place in the future.  I (and/or my child) agree to follow club rules as promulgated from time to time. 


Thank you. Your consent has been received.

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