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Shukri’s Taekwondo
Participation, Assumption of Risk, and Liability Waiver

Participant full name: {name}
Date of birth: {dob}
Address: {address}
Phone: {phone}

Emergency contact name: {contact_name}
Relationship: {contact_relation}
Phone: {contact_phone}

1. Assumption of Inherent Risks

I understand that participation in taekwondo and martial arts activities at Shukri’s Taekwondo involves physical contact and strenuous exercise. This includes, but is not limited to, stretching, drills, partner work, sparring, self defense training, board breaking, conditioning, weapons practice (if offered), demonstrations, and participation in special events or tournaments.

I understand that these activities involve inherent risks, including but not limited to:

• Slips, trips, and falls

• Sprains, strains, and muscle tears

• Bruises, cuts, and abrasions

• Broken bones, dislocations, and joint injuries

• Concussions or other head injuries

• Serious injury or, in rare cases, death

I understand and voluntarily accept all risks, known and unknown, associated with participation in taekwondo, martial arts, fitness training, and any related activities at Shukri’s Taekwondo, whether occurring on or off the primary training premises.

2. Health, Medical Condition, and Insurance

I certify that {first_name} is physically and mentally capable of participating in taekwondo and related activities, and that I have not been advised by a physician or other medical professional that such participation should be avoided or limited.

Known medical conditions, allergies, limitations, or medications (if any):

I understand that it is my responsibility to consult with a physician regarding any health concerns prior to participation and to update Shukri’s Taekwondo promptly if any medical conditions change.

I understand that Shukri’s Taekwondo does not provide health or accident insurance for participants. I agree that I am solely responsible for all costs related to any medical treatment or services that may be required as a result of participation.

3. Consent to Emergency Medical Care

In the event of injury, illness, or medical emergency involving {first_name}, I authorize Shukri’s Taekwondo staff, instructors, or representatives to obtain emergency medical care, including transportation by ambulance, evaluation, and treatment, as they deem necessary and appropriate.

I understand that Shukri’s Taekwondo does not assume responsibility for the quality or outcome of any medical care that may be provided and that I am responsible for all related costs.

4. Waiver, Release, and Agreement Not to Sue

To the fullest extent permitted by law, I, on behalf of myself and, if applicable, on behalf of my minor child or ward, hereby release, waive, discharge, and agree not to sue Shukri’s Taekwondo, its owners, instructors, staff, volunteers, landlords, agents, and affiliates for any claims, demands, actions, or causes of action arising out of or related to any loss, damage, injury, or death that may be sustained by {first_name} or any property belonging to me, whether caused by ordinary negligence or otherwise, that occurs while participating in any activity, program, class, event, or while on the premises.

This includes, without limitation, claims arising from:

• Participation in classes, open training, events, or demonstrations

• Use or misuse of training equipment or facilities

• Accidental contact with other participants

• Conditions of the premises or surrounding areas

• Travel to or from offsite events or competitions organized by Shukri’s Taekwondo

5. Indemnification

I agree to indemnify, defend, and hold harmless Shukri’s Taekwondo, its owners, instructors, staff, volunteers, landlords, agents, and affiliates from and against any and all claims, demands, actions, damages, costs, or expenses (including attorneys’ fees) arising out of or related to my, or my minor child’s, participation in activities, use of the facilities, or violation of any rules or policies.

6. Supervision and Responsibility for Minors

This section applies if the participant is under 18 years of age.

I understand that taekwondo is a physical contact activity and that reasonable discipline and physical correction related to training may occur within accepted martial arts practices and school rules.

I agree that I, as parent or legal guardian, am responsible for dropping off and picking up my child on time and ensuring that my child follows all rules, instructions, and safety guidelines.

I understand that Shukri’s Taekwondo staff and instructors are not responsible for supervising my child outside of scheduled class times or events.

7. Code of Conduct and Safety Rules

I agree that {first_name} will follow all rules, policies, and instructions provided by Shukri’s Taekwondo, including:

• Showing respect to instructors, staff, and fellow students

• Practicing self control and good sportsmanship

• Using techniques only in a safe and appropriate manner

• Not engaging in horseplay, bullying, or dangerous behavior

I understand that failure to follow rules or instructions may result in suspension or termination of participation without refund.

8. Schedule, Holidays, Travel, and Canceled Classes

I understand that Shukri’s Taekwondo may close or cancel classes for:

• Federal or major holidays

• Severe weather or safety concerns

• Instructor illness or family emergency

• Instructor travel, tournaments, seminars, belt tests, or special events

• Facility maintenance or issues beyond the school’s control

I understand that occasional cancellations or schedule changes are a normal part of operating a martial arts program. In such cases, Shukri’s Taekwondo may, when reasonable, offer make up classes, alternative class times, or special events, but is not required to provide refunds or credits for individual canceled classes.

I understand that if I or my child misses classes due to vacation, travel, school events, illness, or personal scheduling conflicts, such absences do not entitle me to refunds, credits, or extensions, unless this has been explicitly agreed to in writing in a separate membership agreement.

9. Personal Property

I understand that Shukri’s Taekwondo is not responsible for any lost, stolen, or damaged personal items, including clothing, gear, electronics, or valuables brought to the facility or to any offsite event.

10. Photo and Video Release 

I give permission for Shukri’s Taekwondo to photograph or record {first_name} during classes, events, or demonstrations and to use such images or recordings for promotional, educational, or social media purposes, without compensation. I understand that {first_name} will not be identified by full name without additional permission.

I do not give permission for photos or videos of {first_name} to be used for promotional purposes.

11. Communication and Notices

I agree that Shukri’s Taekwondo may contact me using the phone number {phone}, email address, or other contact information on file regarding schedule changes, closures, billing, events, and school updates.

I understand that I am responsible for keeping my contact information up to date and for reviewing communications sent by Shukri’s Taekwondo.

12. Acknowledgment and Signature

By signing below, I acknowledge that:

• I have read this Participation, Assumption of Risk, and Liability Waiver in full.

• I understand the nature of taekwondo and martial arts activities and their inherent risks.

• I understand that by signing, I am giving up certain legal rights, including the right to sue, to the fullest extent permitted by law.

• I sign this document freely and voluntarily.

Please check one:

I am 18 years of age or older. I am signing this waiver for myself as the participant.

I am the parent or legal guardian of the minor participant named above. I am signing this waiver on behalf of my minor child or ward, and I agree to all terms on their behalf.

Signature of participant or parent/legal guardian:
Date: {sign_date}