DISCLAIMER

1. VOLUNTARY PARTICIPATION. I have asked to participate in this Martial Arts Training Camp. I understand that I will be participating in a semi contact activity and agree to do so at my own wish and discretion.

2. WAIVER OF CLAIM. I waive any claim I may have against any   student, Twin Lake camp, the instructors of this camp, or other participants of this camp for any injury, damage, loss, sickness, or even death arising out of my participation in the camp's activities both scheduled and voluntary.

3. PHYSICAL CONDITION. I represent that I am free from any physical condition that would cause my participation in the camp to be inadvisable.

4. MEDICAL ATTENTION. If I am injured or become ill while participating in this camp, I give permission for the Karate Camp Instructors, designated First Aid personnel, or Camp Staff to secure necessary medical assistance for me at my expense. I waive any claim I may have against anyone who may furnish me medical assistance under such circumstances.

5. UNDERSTANDING. I understand that this Camp furnishes no insurance for medical coverage or other loss I may have; and that it is my responsibility to obtain my own medical insurance.

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DATE                                 PRINT NAME

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SIGNATURE OF CAMPER

If camp member is under 21 years of age, both parents must sign this portion or guardians if both are available.

We are the parents of __________________________, a minor who wishes to participate in the Karate Camp. By signing below, we give our permission for our child to participate under conditions 1 through 5 stated above.

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PRINT NAME OF PARENT OR GUARDIAN SIGNATURE
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PRINT NAME OF PARENT OR GUARDIAN SIGNATURE