WAIVER FOR BIRTHDAY PARTY PARTICIPANTS

Fill this form and

• submit it on line, or
• print out the form and submit it in person.

Field with a red asterisc (*) must be completed. We respect the privacy of your information: see our Privacy Policy.

This waiver is intended for those taking part in a birthday party or other event at the PACIFIC MARTIAL ARTS FEDERATION USA INC. (Also known in this agreement as PMA, PMAF, PACIFIC MARTIAL ARTS) The validity of this waiver is not limited to the date listed below but will be construed as covering subsequent visits for any period thereafter.

I,  * (print your name here) as a parent or legal guardian signing for my child/children (please complete PART B below)
      Note: Only parents or legal guardians may sign for a minor.

agree for my child/children to participate in a birthday party at the Pacific Martial Arts (PMA). I affirm that my child is in good physical condition & health, and further agree that I enter into this event freely and voluntarily. I understand that said event involves physical contact and that there is a possibility of physical injury associated with said activities. Such injury can include but not limited to bruises, lacerations, bone injury, neck and head injury, back injury, ankle sprains, bleeding, etc. The instructors will exhort you to do things during the party and games. Such running and jumping can result in injury. I assume the risk of any such physical injury and agree that no action may be taken on account of any said injury against PMA, and the PMA assignees, and its instructors and employees, except in the event of gross negligence on the part of said school. This waiver remains in force for any future classes or events at Pacific Martial Arts.

If submitting on line: I agree that this electronic submission represents my authority as if I was signing in person and the email included is my personal email. (Please type your name in the box below in lieu of a signature.)