I, , the undersigned, knowingly and without duress, do voluntarily submit my entry to the 2007 Houston International Martial Arts & USA Wushu KungFu Federation National Championships (HIMAC & USAWKF).
I hereby assume all risk of physical and mental injuries, disabilities and losses, which may result from or in connection with my participation in the HIMAC & USAWKF seminars. Acting for myself, heirs, personal representatives, and assignees, I do hereby release HIMAC & USAWKF, its officers, agents, representatives, servants, employees, volunteers, and all other related members from all claims, actions, suits, and controversies at law or in equity by reason of any matter, cause, or thing whatsoever that I may sustain as a result of or in connection with my participation in the seminars.
I also understand that participation in these seminars, especially but not limited to fighting point or full contact sparring seminars, entails a great risk of injury and I assume full responsibility for all my actions, intentional or otherwise, during and in connection with my participation in the seminar. I fully understand that any medical attention or treatment afforded to me by the HIMAC & USAWKF, its officers, agents, representatives, servants, employees, volunteers, and all other related members will be first aid type only, and I hereby release the HIMAC & USAWKF, its officers, agents, representatives, servants, employees, volunteers, and all other related members from any liability for such aid.
I agree that my performance, attendance, and participation at the Competition, Seminar may be filmed or otherwise recorded or telecast live. I consent to the use by HIMAC & USAWKF of my name, likeness, voice, poses, pictures, and biographical data concerning fully or in parts, in any form or language, with or without other material through the world, without limitation, for television, radio, video, theatrical motion pictures, or any other medium by devices now know or hereafter devised, and I do hereby waive any compensation in regard thereof as well as any future rights to the aforementioned.
I have read and fully understand the waiver listed above. I also understand that all fees paid are nonrefundable. Parent or legal guardian signature is required if participant is under eighteen (18) years of age.
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Participant Signature Parent/Guardian Signature Date
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OUSTON INTERNATIONAL MARTIAL ARTS &