{name}
In consideration of the above names, I for myself, my heirs, administrators, executors and assigns release and forever discharge Riverview East Karate, and their affiliates, owners, directors, instructors, guest instructors, officers, employees, agents, assigns, legal representatives, successors and heirs from all manner of actions, causes of action, debts, accounts, bonds, contracts, claims and demands for which has been or may be sustained due to negligence on the part of Riverview East Karate, and their affiliates or as a consequence of my participation in activities hosted by Riverview East Karate, and their affiliates. I acknowledge that I do not have any physical limitations, medical ailments, physical or mental disabilities that would limit or prevent me from participating. If required, I consent to obtaining a medical examination and clearance.
I hereby acknowledge and agree that I have carefully read this Agreement and fully understand the same, and that I am freely and voluntarily executing the same. I understand that by signing this Agreement, I agree to be forever prevented from suing or otherwise claiming against Riverview East Karate, and their affiliates for any property loss or personal injury that may be sustained while participating in or preparing for the activities, exercises and classes.
From time to time during the year, the media and/or River East Karate may be reporting on our events. On occasion, while covering these events, students are interviewed and/or still or moving images of them are taken for use by club staff or the media. Quotes or images may be used by the media or in club publications or videos, social media accounts or on websites (club websites). Please note that on River East Karate publications (club websites, and social media accounts), you and/or your child may be identified by your/their full name, and may be included with their image, on River East Karate publications (club websites and social media accounts).