LEIC France 2023 - Registration Release Form


ACKNOWLEDGEMENTS, INDEMNITY & RELEASE FORM
 
HEALTH DECLARATION
By signing this document, 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 or health problems that may prevent me from training and participating in strenuous physical activities. I also hold Krav Maga training specific medical insurance that is valid abroad and covers medical facilities abroad for the relevant event.
In consideration of being allowed to participate in any way in KMG training program, related events and activities, the undersigned acknowledges, appreciates, and agrees that:
  1. The risks of injury and illness (ex: communicable diseases such as MRSA, influenza, and COVID-19) from the activities involved in this program are significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist; and,
  2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
  3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,
  4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS K.M.G. - Krav Maga Global Ltd. their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
 
CLEAR RECORD DECLARATION
By signing this document, 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 arrest by any law enforcement or government agency. I further state that I have no history of mental illness or substance abuse.
 
PHOTO RELEASE DECLARATION
By signing this document, I hereby grant and authorize K.M.G. - Krav Maga Global Ltd. and Eyal Yanilov the right to edit, alter, copy, any and make use of all photos and or videos taken of me to be used in and/or for promotional materials without payment or consideration. This grant of use includes but is not limited to publishing on the Internet and e-mails, magazines, pamphlets, advertisement fliers, and in whatever other manner K.M.G. - Krav Maga Global Ltd. and Eyal Yanilov finds useful or for any other lawful purpose.
I understand and agree that these materials will become K.M.G. - Krav Maga Global Ltd. and Eyal Yanilov's property and will not be returned. This Release extends to all formats, media, languages, and formats now known or hereafter developed. This Release shall continue indefinitely unless I otherwise revoke said Release in writing.
In addition, I waive any right to royalties or other compensation arising or related to the use of the photos. I hereby release rights to all claims, demands, and causes to action which I, my heirs, representatives, executors, administrators, or any other persons acting on the behalf of my estate have or may have because of this authorization.
I further understand and acknowledge that if I do not agree to this Photo Release Declaration, it is my responsibility to alert the photographer and proactively remove myself from the shooting area.
 
I confirm this Acknowledgements, Indemnity & Release Form against all Liabilities.
 
Health Declaration Form
 
Clear Record Declaration
 
Photo Release Declaration
 
 
 

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Signature Certificate
Document name: LEIC France 2023 - Registration Release Form
lock iconUnique Document ID: 40b7790fbdadef24f8a718107c6788c766909f02
TimestampAudit
2022-09-25 01:34 ISTLEIC France 2023 - Registration Release Form Uploaded by Ronnie Yanilov - contact@krav-maga.com IP 98.97.143.8