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uechi deshi application
 
First Name:  
Last Name:  
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UPON THE ACCEPTANCE DATE ABOVE, I HEREBY RELEASE AND AGREE TO HOLD HARMLESS THE BUSINESS,
IT'S OWNERS, OFFICERS, DIRECTORS, REPRESENTATIVES, INSTRUCTORS AND EMPLOYEES FROM ANY LOSS,
DAMAGE OR INJURY TO ANY PERSON OR PROPERTY IN ANY WAY RESULTING FROM OR ARISING IN
CONNECTION WITH THIS COURSE WHATSOEVER. I KNOW THE RISK AND DANGER TO MYSELF, CHILD(REN),
AND PROPERTY WHILE ON SAID PREMISES OR WHILE PARTICIPATING OR ASSISTING IN THIS MARTIAL ARTS
COURSE. MY CHILD(REN) AND MYSELF PARTICIPATION IS VOLUNTARY AND IN RELIANCE, UPON MY OWN
JUDGEMENT AND ABILITY. I HEREBY ASSUME ALL RISK OF LOST AND DANGER.

BY CLICKING BELOW YOU ARE SUBMITTING THAT YOU ARE 18 YEARS OR OLDER
AND AGREE TO ALL TERMS AND CONDITIONS STATED ABOVE.

 


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