PARTICIPATION WAIVER
QUALIFIED HEALTH student warrants and represents that he/she is physically, mentally and emotionally fit to participate in the activities offered in this session and that he/she has no disability, impairment or ailment that would present a health risk as a result of such participation. If you have any injuries, physical limitations or any doubt as to your condition, you should consult your personal physician prior to engaging in these activities.
DISCLAIMER OF LIABILITY
The Student understands and acknowledges that there is inherent risk associated with many physical activities including the practice of Krav Maga and other forms of self- defense. Student and or legal guardian voluntarily accepts these risks and hereby releases GSD Advisers Inc. and Proraz LLC, its Owners and Employees, International and any other affiliated organizations, all Instructors, other students, and other participants in connection with GSD Advisers Inc. and Proraz LLC from any liability that might arise as a result of any injury that may occur.
The undersigned student has requested permission to use the facilities operated by Hudson Yards Synagogue (“Gym”). In consideration of the Gym’s granting such permission, student does hereby agree the use of all of the Gym’s facilities shall be taken at student's own risk, and that the Gym and/or any affiliated companies shall not be liable for any claims, demands, injuries, damages, action or cause of action which is wholly or partially based upon the use of the Gym and services and/or facilities of the Gym; and student does hereby expressly forever release and discharge the Gym and/or affiliated companies and/or agents and employees from all such claims, demands, injuries, damages, or actions, except those which may not be discharged under law.
VIDEO, AUDIO, AND PHOTOGRAPHIC RECORDING RELEASE
It is my understanding that Proraz LLC & GSD Advisers INC will record and photograph trainings for educational and promotional purposes. As part of this effort, a video/audio recording may be made available on the GSD Advisers Inc websites and/or social media accounts. I hereby grant GSD Advisers Inc to use any still photograph or video audio recording of me, with or without my name and information about me, either by itself or in conjunction with other photographs, for the purposes outlined above. I shall have no claim against GSD Advisers Inc or any other person, firm, or corporation by reason of any such use of my picture, likeness, comments, name, voice or information about me as described above, whether alone or in conjunction with others. I hereby release GSD Advisers Inc from any such claims. I waive any right or option to inspect or approve the finished product or other copy that may be used along with my picture, likeness, lecture, name or information about me as described above. I understand that GSD Advisers Inc shall have sole discretion to decide whether to use my picture, likeness, lecture, name, voice or information about me.
REMOVAL FROM PROGRAM
GSD Advisers Inc. may remove a student from the program at any time. Examples of behavior that may lead to an immediate removal include, but are not limited to:
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- Participating under the influence of alcohol or drugs.
- Disruptive behavior to the class or instructors.
- Negative speech (such as hate speech or threats of harm) directed at anyone.
- Threats of violence or incitement to violence against another person or group.
AUTHORIZATION
I have read, I understand, and I agree to the terms of this Agreement.
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If minor, parent signature is required as well:
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