Trial Waiver

Free Trial Liability Waiver Form

Do you have any medica conditios that prohibits you from participatng in a itense sports activity?

Yes

QUALIFIED HEALTH The student (Parent or legal guardian) warrants and represents that he/she is physically, mentally and emotionally fit to participate in the activities offered in this session and that he/she has no disability, impairment or ailment that would present a health risk as a result of such participation. If you have any injuries, physical limitations or any doubt as to your condition, you should consult your personal physician prior to engaging in these activities.

DISCLAIMER AND RELEASE OF LIABILITY The Student (Parent or legal guardian) understands and acknowledges that there is inherent risk associated with many physical activities including the practice of Krav Maga and other forms of self-defense. Student and or legal guardian voluntarily accepts these risks and hereby releases Haim Levy, Traditional Krav Maga of NJ Instructors, International and any other affiliated organizations, other students, and other participants in connection with Traditional Krav Maga from any liability that might arise as a result of any injury that may occur. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

I declare that the info I’ve provided is accurate & complete. I am 18 years of age or older an I am autorized to sign this release

Signature Date

Student Signature (Parent/Legal Guardian if Student is under 18 years of age)

Waiver Submitted! See you on the mat!

Traditional Krav Maga of NJ
- The Passion to Empower -

Free Trial Liability Waiver Form

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Authorization