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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:

1. 1. Participating under the influence of alcohol or drugs.
   2. Disruptive behavior to the class or instructors.
   3. Negative speech (such as hate speech or threats of harm) directed at anyone.
   4. Threats of violence or incitement to violence against another person or group.

PREGNANCY

In the event that I am currently, was recently, or may become pregnant, I understand and acknowledge that I have read and agree to the following:

1. I understand that my participation in Guardian Self Defense (hereafter, "GSD") training, programs, and activities while pregnant or immediately following a pregnancy may increase the risk of accident, injury, illness, and temporary or permanent disability to me and, if applicable, my unborn child.
   
2. I understand that my participation in GSD training, programs, and activities may impose undue physical strain on my body while pregnant or immediately following a pregnancy and to my unborn child, if applicable.  
   
3. I understand that my participation in GSD training, programs, and activities while pregnant or immediately following a pregnancy may result in injury to me and, if applicable, my unborn child, including but not limited to serious bodily injuries with respect to bones, muscles, organs, and cardiac capacity.
   
4. I understand that participation in physical activities, especially those involving physical contact, while pregnant or immediately following a pregnancy and particularly after the first trimester, are generally considered high risk by many accredited medical colleges due to the risk of abdominal impact and injury.
   
5. I understand my ability to participate in GSD training, programs, and activities may be compromised due to musculoskeletal changes that I am currently experiencing or recently experienced due to pregnancy. I understand and personally assume responsibility for monitoring my health and what activities I can safely participate in.
   
6. I understand that protective equipment, my own or as provided by GSD, may not sufficiently prevent me, while pregnant or immediately following a pregnancy, and my unborn child, if applicable, from experiencing an injury.
   
7. I understand that the extent and intensity of my participation in GSD training, programs, and activities will be determined by me and my doctor, and that none of the GSD instructors, trainers, or staff members are responsible for the extent to which I participate.
   
8. I understand that the GSD instructors, trainers, and staff members are not medical professionals of any kind, including but not limited to doctors, nurses, or public health professionals. I understand that the GSD instructors, trainers, and staff members are not responsible for my medical condition and participation choices.
   
9. I understand that I personally assume any and all risks associated with participating in GSD training, programs, and activities while I am pregnant or immediately following a pregnancy.
   
10. I understand that there may be additional risks not mentioned above, which may be unknown or unforeseeable at this time. I assume responsibility for these risks, and will cease participation in GSD training, programs, and activities if I do not feel safe.
    
11. Should a provision of this waiver and release be found invalid or void as against public policy by any court of competent jurisdiction, the remainder of the agreement shall nonetheless remain in full force and effect.
    
12. I acknowledge that I have read this agreement, understand all the provisions, and have had the opportunity to ask questions and receive answers from the GSD instructors, trainers, and staff members about this waiver and release.

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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