RELEASE INDEMNITY

I hereby voluntarily submit my application for attendance and participation in World Zendo Kai Kan Karate Tournament and do hereby assume full responsibility for all damages, injuries or losses that I may sustain or incur while attending or participating. I hereby waive all claims against the promoters, operators and sponsors of the said karate tournament for any claim for injuries that I may sustain. I fully understand that any medical treatment given to me will be First Aid only. I sign this, fully realizing that my participation or engagement in this tournament may subject me to personal injury or bodily harm. I further have read the foregoing and fully understood the contents of this release indemnity.

APPROVAL AND ACCEPTANCE BY PARENT OR GUARDIAN The undersigned, the parents or legal guardian of have read the foregoing, understand the same and do hereby accept and agree to the terms, conditions and provisions of the foregoing RELEASE INDEMNITY on behalf of ourselves and the said minor intending to be legally bound hereby.

Filling out this form and submitting the information therein constitute a legal and binding agreement between World Zendo Kai Kan Karate Organization and the name that is sent by/for the applicant.