Student Name *

Please complete and sign this form prior to participating in classes or fitness programming at ‘Ohana Martial Arts. Completed forms must be submitted online. We are eliminating paper form by 2020.

First Name

Last Name

Phone *

(###)

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Secondary Emergency number *

(###)

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Would you like to receive emails about future class and organizational happenings? *

Yes

No

I already get emails

Permission to use images of your Player 'Ohana Sports is authorized by to use video or photographs of you student for advertising, publicity and public relations. Video-footage will only be used by 'Ohana Sports. No further claims may be made. If there is a court ordered safety issue with use of photos/videos such as foster children please let us know in advance.

Agree

Players acting in an un-sportsman like or dangerous fashion will be sat out, parents called and asked to leave the field immediately. *

No exceptions.

Agree

Full Responsibility Waiver I, _____________________________, take sole responsibility for any personal injury I or my participating family members may incur over the course of any and all 'Ohana Sports programs we may participate in. I acknowledge that participation in this program exposes me to potential risks and I release all instructors or fitness coaches from any and all liabilities regarding an injury and will cover all medical costs associated with injuries from participation. I shall not now or in the future prosecute any lawsuit against 'Ohana Sports or its directors, board of directors or instructors. I’m aware that this agreement will be legally binding. I have read and understood this Injury Waiver and Medical Release Form as a participant or a parent/guardian. *

Agree

I understand that there are risks in attending programming and me or my family may be inadvertently exposed to illness, including COVID. ‘Ohana Sports follows all laws and regulations and should Kona have widespread community spread of any illness or virus, this class may close for the protection of the participants and community. I release 'Ohana Sports, all instructors or fitness coaches from any and all liabilities regarding illness, closures and will cover all medical costs associated with illness from participation. I shall not now or in the future prosecute any lawsuit against 'Ohana Sports or its directors, board of directors or instructors. Students and staff with active cold symptoms are not allowed at class. We will safely isolate participants with new symptoms until you come to pick them up. Parents are expected to be available or have an appointed adult able to come pick up sick playerss. *

Agree