45 lines
2.8 KiB
HTML
45 lines
2.8 KiB
HTML
<html lang="en"><head>
|
|
<meta http-equiv="content-type" content="text/html; charset=UTF-8">
|
|
<title>Pa-Kua Cambridge Acknowledgement and Assumption of Risks</title>
|
|
<meta charset="UTF-8">
|
|
<meta name="viewport" content="width=device-width,initial-scale=1,minimum-scale=1">
|
|
<meta name="author" content="Pa-Kua International League">
|
|
<link rel="stylesheet" href="style.css" media="all" />
|
|
<link rel="stylesheet" href="print.css" media="print">
|
|
</head>
|
|
|
|
<body>
|
|
<div id="logo"><img src="pakua-logo-greyscale.svg" alt="logo of the Pa-Kua International League" /></div>
|
|
<h1>Acknowledgement and Assumption of Risks</h1>
|
|
<p>
|
|
I, <input type="text" class="name" /> , born <input type="text" placeholder="DD" class="date" />/<input type="text" placeholder="MM" class="month" />/<input type="text" placeholder="YYYY" class="year" /> am completing this assumption of risk form in relation to my wishes to participate within a class, activity, course, seminar, grading, competition, training session or lesson provided by Pa-Kua Cambridge and any of the clubs of the Pa-Kua International League registered instructors, coaches, Masters, or staff.
|
|
</p>
|
|
<p>
|
|
I confirm that I understand in full that any activity in which I participate will carry inherent risks associated with any practice or competition within combat arts, martial arts or self defence. Furthermore, I understand that the risk of serious injury is present and I have been briefed on the relevant safety rules and regulations in place to help protect me and my fellow students during training.
|
|
</p>
|
|
<p>
|
|
I confirm that I understand the nature of the activity in which I am about to participate, and appreciate that any practice of combat, self defence or martial art usually includes a degree of martial arts based fitness training. With this in mind, I can agree that I am fit to participate and agree to assume all risks associated with the above, hereby withdrawing any liability from the named club, instructors, association or other relevant parties.
|
|
</p>
|
|
<p>
|
|
Should I be unclear on any risks involved, or not feel comfortable releasing the above named from all positions of liability, I will not sign this document. Please take my signature as my acceptance and assumption of all risks involved, as described to me by my instructor and stated within this document.
|
|
</p>
|
|
|
|
|
|
<p>
|
|
The club should retain this document for future reference. If the named wishes to obtain a copy, the instructor must make this available within 21 days without charge.
|
|
</p>
|
|
|
|
<div class="signatures">
|
|
<div>
|
|
<strong>Signed by</strong>
|
|
<p>Signature</p>
|
|
</div>
|
|
<div>
|
|
<strong>Instructor</strong>
|
|
<p>Printed Name</p>
|
|
<p>Signature</p>
|
|
</div>
|
|
</div>
|
|
|
|
</body>
|
|
</html>
|