I am aware of the risks and hazards inherent to participation in physical exercise activities, athletic training, and combative sports, including without limitation, marital arts, boxing kickboxing, karate, wrestling, grappling, interactive/contact training with others, and sparing (the “Activities”), and that such risks and hazards include physical damage and injury to myself and my property, including even death. I hereby elect to voluntarily participate in such activities, knowing that I do so at my own risk and knowing that that they may be hazardous to me.

I have been advised to consult a physician prior to undertaking this or any exercise, physical training, or fitness program, or making any changes to my diet or nutrition plan, and I understand that it is my responsibility to do so. To the best of my knowledge, I am in good health and physical condition and fully able to participate in the Activities, which may involve strenuous exercise and rigorous physical exertion. Further, I understand that it is my responsibility to convey any injuries, physical limitations, or concerns I may have, whether of a temporary or ongoing nature, to the staff and students of The Queen’s Dojo, LLC with whom I am training and that I should feel comfortable not engaging or discontinuing any activity - and am expected to do so - if I am concerned about the risk involved.

I permit the instructor(s) of The Queen’s Dojo, LLC to secure needed emergency care in case of an emergency when I cannot be contacted. I understand that any information I have provided will remain confidential within the The Queen’s Dojo, LLC program.

By signing up for classes or events, the attendee grants The Queen’s Dojo, LLC permission to use his/her likeness in a photograph and/or video in any and all publications and materials without payment or consideration made to them. The attendee realizes these photos and/or videos become the property of The Queen’s Dojo, LLC and will not be returned. The attendee authorizes The Queen’s Dojo, LLC to use, edit, copy, publish or exhibit any photo or video for any lawful purpose. The attendee waives the right to review any photo or video or to obtain royalties from the photo or video.

On behalf of myself, members of my family, my heirs, executors, administrators, successors and assigns, I hereby now and forever release, discharge and hold harmless The Queen’s Dojo, LLC and all its past, present, and future members, managers, owners, officers, employees, agents, and representatives (the “Released Parties”), now and forever, for any injury, loss, or damage to my person or property occurring at The Queen’s Dojo, LLC or arising out of or in connection with my participation in the Activities, howsoever caused, to the fullest extent allowable under applicable law and notwithstanding that such injury, loss, or damage may have been contributed to or occasioned by the negligence of any student, guest, or invitee of The Queen’s Dojo, LLC or any Released Party. I acknowledge that I have carefully read this Waiver and Release document and fully understand that it is a release of liability and I am agreeing voluntarily to waive any and all right I may otherwise have to bring a legal action against Released Parties for personal injury or property damage.