ACKNOWLEDGEMENTS, INDEMNITY AND RELEASE FROM LIABILITIES:
I state that I have no criminal convictions, am not currently under indictment or prosecution for any offense, and am not wanted for questioning or arrests by any law enforcement or government agency.
I further state that I have no history of mental illness or substance abuse. I state that I am in good health and of sound mind and body capable of enduring rigorous physical training and that I have no physical limitations, mental or health problems that may prevent me from training and participating in strenuous physical activities. I undertake to purchase and provide a health insurance policy specific for Krav Maga training, also valid overseas and covers overseas medical facilities, for the relevant dates of this event. Following the approval of this application, a down payment of €450 will be required in order to reserve my place of which a non-refundable amount of up to €450 out of the full amount of the Early Bird price – €690, will be charged for cancellation fees. The balance must be paid no later than the commencement date of the event. I wish to participate in the event offered by KMG at the specified dates. I, the undersigned, with the knowledge that training Krav Maga involves some potential danger, agree to occupy and use the premises provided by KMG and hereby release to the full extent of the law KMG and its instructors, staff, agents, servants, contractors and employees from all claims and demands of every kind in respect of or resulting from any accident or damage to property or injury or death that I may suffer in the premises or the building for which KMG is or could become liable for. I will and do hereby undertake to indemnify KMG, their instructors, agents, servants, contractors and employees from and against all actions, claims, demands, costs and expenses for which KMG, its agents, servants, contractors, and employees shall or may become liable in respect of or arising from: (a) Loss or damage to any property of the undersigned which may be within or without the premises of KMG; (b) Loss, damage, injury or death from any cause whatsoever to property or person caused or contributed to by the use of the premises of KMG, or their contractors by the under signed; (c) Loss, damage, injury or death from any cause whatsoever to property or person within or without the premises provided by KMG by any act, omission, neglect, breach or default by KMG, its agents, servants, contractors, employees, invitees or licensees to the undersigned. By ticking this box I declare that I have read, understood and agree to all of the above.690