1. Recognize and understand that martial arts training is an activity that involves physical contact and that my participation might result in serious injury, including permanent disability or even death, and severe social and economic loss.
2. Recognize and understand that such risk may be due to not only my own actions, but also the action, inaction or negligence of others, the regulations of participation, or the conditions of the premises, or of any of the equipment used.
3. Recognize that there may be other risks that are not known to me or to others or not reasonably foreseeable at this time.
4. Agree to inspect the facilities, equipment and pairings prior to participation. I will immediately inform an instructor if I believe that anything is unsafe or beyond my capability and refuse to participate.
5. Assume all of the foregoing risks and accept personal responsibility for any damages that may result from injury, permanent disability or death.
6. Enter martial arts training and/or competition entirely of my own free will and understand the importance of following the rules of training and competition.
7. I certify that I am in good physical condition, and have no disease, injury or other condition that would impair my performance or physical and mental well-being during intense training practice and/or competition.
8. Grant permission in case of injury to have a doctor, nurse, athletic training or other emergency medical personnel provide me with medical assistance or treatment for such injury.
9. Release, waive, discharge and covenant not to sue, SHOTOKAN FL , LLC, its affiliated organizations and governing bodies, their officers, instructors and personnel, other members of the organizations, participants, supervisors, coaches, sponsoring organizations or their agents, and if applicable, owners and leasers of the premises from any and all liability to the undersigned, his or her heirs and next of kin for any and all claims, demands, losses and damages which may be sustained and suffered on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releases or otherwise.
I HAVE READ THE ABOVE WARNING, WAIVER, RELEASE, AND ASSUMPTION OF RISK. I FULLY UNDERSTAND ITS CONTENTS, AND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT. I HEARBY SIGN IT VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY.
PHOTO RELEASE FORM I grant permission to SHOTOKAN FL , LLC and its agents or employees, to use photographs taken of me or my minor child/children in classes or events of SHOTOKAN FL , LLC for use in publications such as brochures, newsletters, and magazines, and to use the photographs on display boards, and to use such photographs in electronic versions of the same publications or on SHOTOKAN FL , LLC websites or other electronic form or media, and to offer them for use or distribution in other non-company publications, electronic or otherwise, without notifying me.
I hereby waive any right to inspect or approve the finished photographs or printed or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the photograph. I hereby agree to release, defend, and hold harmless SHOTOKAN FL , LLC and its agents or employees, including any firm publishing and/or distributing the finished product in whole or in part, whether on paper or via electronic media, from and against any claims, damages or liability arising from or related to the use of the photographs, including but not limited to any misuse, distortion, blurring, alteration, optical illusion or use in composite form, either intentionally or otherwise, that may occur or be produced in taking, processing, reduction or production of the finished product, its publication or distribution.
I have read and understand the above and by signing below I agree to the terms:
Drop off and Pick up Routine:
In order to ensure the safety of our students we will require to know who is bringing the student, and who is picking them up. We will provide an index card specific to your child/children, which must be shown when picking them up from our camp. If the same parent is not dropping off and picking up the child, we will verify through ID. We will also have a sign in/sign out sheet. Drop off is permitted between 9:15am-9:30am daily. Pick up is permitted between 1:00pm-1:10pm daily.
Payment and Details:
Each student will receive snacks and refreshments daily, as well as a new starter karate uniform to keep. To provide these services as well as detailed Karate training each day of the camp, the total fee for the week is $130 per child. If your child/children cannot be in attendance for the entire week, the fee is $25 per day per child.
In order to have your children’s karate uniforms in time for the first day of camp, we will need a (minimum of) a 50% down payment ($50) the Wednesday before the start day of the camp. This will ensure that we are able to have a uniform for each child. The next page will have a size chart specific to the uniform. Please provide your child’s size where noted on the first page of this packet.
How to Pay?
Checks and Cash are accepted. Please make checks out to “Shotokan FL, LLC.” We also accept PayPal Payments- the information is as follows: https://paypal.me/ShotokanFL?locale.x=en_US
We also accept Venmo & Zelle as a form of payment. Please let us know if this is the payment you would like to use.
To register your child please print this form and drop it off to our location. Our address is: 11628 US Highway 1 Sebastian, Florida This can be done during the following times:
Tuesday: 5-7:30pm Wednesday: 5:30-8:30pm Friday : 5-7:30pm Saturday: 10-11:30am
If you are unable to print, you can stop by our dojo at any of the listed times to pick up a packet. Please email us about this so we can have one printed for you. If you are unable to stop by at any of these times, please email (shotokanflsummerprogram@gmail.com) or text (772-828-7541) to schedule a time.
Keep in mind coming to one of the times listed will allow you to see our karate program in action.
Due Dates:
As mentioned in the last paragraph, please have at least 50% of the payment and this informational packet to our location by the Wednesday before your child’s summer program start date.
For students enrolling in:
Session #1 May 30th- June 3rd: Please have this information/Payment in by May 25th
Session #2 June 6th- June 10th: Please have this information/Payment in by June 1st
Session #3 June 13th - June 17th: Please have this information/Payment in by June 8th
Session #4 June 20th -24th: Please have this information/Payment in by June 15th
Session #5 June 27th - July 1st: Please have this information/Payment in by June 22nd
Session #6 July 11th - July 15th: Please have this information/Payment in by July 6th
Session #7 July 25th -July 29th: Please have this information/Payment in by July 20th
Session #8 August 1st - 5th: Please have this information/Payment in by July 27th
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Facebook: https://www.facebook.com/ShotokanFL
Website: https://WWW.ShotokanFL.com
Instagram: https://www.instagram.com/shotokanfl/
Email (for summer program): shotokanflsummerprogram@gmail.com
Regular Business Email: shotokanfl@gmail.com
Summer Program Contact Phone Number: 772-828-7541
Regular Business Phone Number: 772-277-0808