Body Awake Jujitsu, Mindfulness Meditation & Tai Chi  863-559-7449


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TRAINING AGREEMENT AND REGISTRATION FORM

NOTICE TO STUDENT: SIGN THIS AGREEMENT ONLY AFTER YOU HAVE READ IT IN FULL.

APPLICATION AND AGREEMENT

1. I hereby make application for training to be rendered by Frank Raimondi's Body Awake Jujitsu hereinafter referred to as the SCHOOl, and upon acceptance by the SCHOOL as indicated by the execution of this application form, I hereby agree to obey and follow all of the SCHOOL rules and regulations which I understand are set up for the keeping of the orderly operation of such SCHOOL and for the welfare and the protection of its students.

2. I, the undersigned applicant, parent or legal guardian, state that the applicant is in good health and has no physical or mental condition that would be aggravated by participation in the course of instruction.

3. In consideration of the school accepting me as a student, I agree to undertake all instructions and exercises and use all facilities at my own risk.

I understand that the SCHOOL, it's agents, servants and employees shall not be responsible or liable for any claims, actions or causes of actions for injuries or damages to my person or property, including without any limitation claims of any kind or nature whatsoever arising out of or in any manner connected with SCHOOL activities and instruction caused by either the active, or passive negligence of the SCHOOL, its agents, servants or employees and other students.

I hereby agree to forever release, discharge, hold harmless, and indemnify the SCHOOL, it's agents, servants, employees from any and all claims, demands, damages, actions and causes of action, expenses, damages or loss based upon such negligence of the SCHOOL, it's agents, servants, employees or other students.

I fully understand that any medical treatment given me will be of a first aid type only. I consent that any pictures furnished by me or any picture taken of me in connection with the SCHOOL can be used for publicity, promotion or television showing, and waive compensation in regard thereto.

Signature of student:
Date:

IF THE STUDENT IS A MINOR, THE SIGNATURE OF HIS PARENT OR LEGAL GUARDIAN IS REQUIRED

Signature of parent or guardian:                                                               
Relationship:                                                                    
Date:                                                          
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