AAU TAEKWONDO
SOUTHERN PACIFIC
LIABILITY WAIVER
I HEREBY ACKNOWLEDGE THIS LIABILITY WAIVER TO PARTICIPATE IN THE AAU RUMBLE HOSTED BY AMERICAN MARTIAL ARTS ACADEMY. I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT AND HEREBY RELEASE, DISCHARGE, AND WAIVE ANY AND ALL RESPONSIBILITY TO THE AAU TAEKWONDO, AMERICAN MARTIAL ARTS ACADEMY, RUMBLE ORGANIZING COMMITTEE, REFEREES, COACHES, INSTRUCTORS, AGENTS AND OTHER COMPETITORS FROM LIABILITY FROM ANY INJURY INCLUDING DEATH AND FOR DAMAGE TO OR LOOSS OF PROPERTY WHICH MAY BE SUFFERED BY MYSELF ARISING OUT OF, OR IN ANY WAY RESULTING FROM OR ATTRIBUTABLE IN WHOLE OR IN PART TO MY TRAVELING TO TRAINING FOR. BEING COACHED IN. USING ANY SPORT EQUIPMENT IN OR PARTICIPATING IN THE AAU RUMBLE BY SIGNING BELOW I ALSO GIVE PERMISSION TO USE ANY VIDEO OR PHOTOGRAPHS TAKEN OF ME DURING COMPETITION FOR THE PROMOTION OF THE AAU RUMBLE AND TAEKWONDO. AS A COMPETITOR OR PARENT/LEGAL GUARDIAN OF THE COMPETITOR I GIVE CONSENT TO ANY XRAY EXAM. MEDICAL, CHIROPRACTIC, DENTAL OR OTHER TREATMENTS DEEMED NECESSARY FOR THE SAFETY AND WELFARE OF THE CONTESTANT. I UNDERSTAND THAT THIS AUTHORIZATION IS GIVEN PRIOR TO ANY DIAGNOSIS, TREATMENTS, OR HOSPITAL CARE BEING REQUIRED, BUT IS GIVEN TO PROVIDEE THE MEDICAL/CHIROPRACTIC/DENTAL STAFF AUTHORITY TO RENDER CARE AS DEEMED ADVISABLE. IN THE CASE OF MINORS IT IS UNDERSTOOD THAT EFFORST SHOULD BE MADE TO CONTACT THE UNDERSIGNED PRIOR TO RENDERING TREATMENT, WILL NOT BE WITHHEELD IF THE UNDERSIGNED CANNOT BE REACHED. I UNDERSTAND IN CASE OF INJURY, ONLY BASIC FIRST AID WILL BE ON SITE, AND THAT I AM FULLY RESPONSIBLE IN ANY OR ALL RESULTING MEDICAL OR OTHER EXPENSES.