PlayDojo Co. Accident Waiver and Release of Liability Form
I hereby give my permission for my child/children OR myself (the participant at PlayDojo)(named as student on the membership) to participate in the PlayDojo programs, classes and camps.
In the event of illness, injury, and/or accident, I authorize the instructor or any PlayDojo employee to act on my behalf. They may approve any and all non-emergency or emergency treatment and are authorized to sign any and all medical release or required form(s) on my behalf. In the event of an emergency, I understand that I will be notified of the situation as soon as practicable. I agree to pay any necessary expenses not covered by PlayDojo's student accident policy incurred in the medical treatment of my child or myself, including, but not limited to all transportation costs to and from a medical facility, and, if necessary, transportation to my home or medical facility of choice.
I understand that classes or camps at PlayDojo Co. may, in its sole discretion, dismiss any participant for inappropriate, disrespectful, or dangerous behavior at any time. In this event, I understand that I will not receive a refund of fees for unattended days. If my child (or I) breaks or damages any property as a result of their direct or indirect behavior, I hereby agree to pay for its repair or replacement.
I understand that the risks associated with martial arts activities could result in injury and/or death to my child or myself (the student). I hereby assume these risks and, knowing them, hereby give my child permission to participate. I understand that the PlayDojo is not liable for any injuries or other occurrences due to indoor and outdoor camp activities or related risks, and/or the actions or omissions of PlayDojo instructors, coaches, volunteers, employees, trustees, directors, officers, or any other entities being released.
I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity in which my child or I may participate, and that it will govern the actions and responsibilities at said activity.
In consideration of my application and permitting my child (or myself) to participate in this activity, I hereby:
WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the PlayDojo Co., its trustees, officers, employees, camp counselors, volunteers, entities or other persons released, for my child’s or my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to them including their traveling to and from this activity;
INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE PlayDojo Co., its trustees, officers, employees, volunteers, or other entities or persons released from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise.
I understand that while participating in this activity, my child (or I) may be photographed. I agree to allow their photo, video, or film likeness to be used for any legitimate purpose by the activity holders, producers, sponsors, organizers, and assigns.
The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. The PlayDojo Co., its Trustees, directors, officers, and all its employees, acting officially or otherwise are hereby released from any and all claims, demands, actions, or causes of action on account of any injury to my child (or myself) that may occur. This release binds my heirs, executors, administrators, and/or assigns.
I CERTIFY THAT I HAVE READ THIS DOCUMENT, FULLY UNDERSTAND ITS CONTENT, AND AGREE TO ITS TERMS. By checking the box I agree to all terms above.
PlayDojo
