Annual Membership Renewal

Application Type Annual Membership Renewal

PERSONAL DETAILS

This questionnaire should cover any conditions, which may affect your physical ability. This is to highlight to your instructor any specific safety precautions necessary for you and the people you are training with. Please tick the appropriate box. Are you?

For participation in Japan Karate Association World Federation of Australia and Australian Karate Federation training, competition and related karate activities please read the following:

Part A

Japan Karate Association World Federation of Australia (JKA/WF Australia) and Australian Karate Federation (AKF) training, competition, and related Karate-Do activities are designed to be non-contact. Due to the very nature of Karate-Do, physical and mental demands can be very high. Techniques are often delivered at high speed and participants are required to move with rapid changes of direction. Also, due to the nature of training and competition, participants may be required to train with, and compete against others of mixed ranges of age, weight, height and skill levels.

Various musculoskeletal injuries may result simply due to the high velocity movement. Also, unintentional physical contact may result during technique delivery, evasion or application of unbalancing or counter techniques.

As a member of JKA/WF Australia, you agree to follow the directions of the Sensei / Teacher. Also, you agree to apply yourself, to the best of your endeavours, to development of your character, to be sincere, to foster and display a spirit of effort, to apply proper etiquette and display courage without impertinence.

You are advised of this inherent risk and the participation commitment expected and by signing this Informed Consent and Participation Committment Form, and taking part in JKA/WF Australia and AKF Karate activities, (or if a parent or legal guardian allowing your child or ward to take part), you knowingly accept that risk and committment for yourself (or your child or ward) and absolve JKA/WF Australia and the AKF of any injury, physical or otherwise, that may result due to these inherent risks and participation committment.

I acknowledge and agree that any media products produced by the Association can be used to promote the JKA/WF Australia. This consent is giving under the understanding that I will receive no monetary value in return and that the Association is the true owner of the media product.

Part B

Therefore, as a parent or legal guardian of the nominated Junior Age Participant named above, I declare that I have read and fully understand the above outlined inherent risks of Karate-Do and the endeavours expected of participants (as per part A) and give my informed consent for participation in JKA/WF Australia, AKF and any other Karate activities that the JKA/WF Australia participate in.

Part C

As a physically fit and mentally competent adult, I declare that I have read and fully understand the above outlined inherent risks of Karate-Do and the endeavours expected of participants (as per Part A) and give my informed consent for participation in JKA/WF Australia, AKF and any other Karate activities that the JKA/WF Australia participate in.

I have read and understood the above Terms & Conditions.

Waiver of Liability and Indemnification Agreement.

In consideration of the Japan Karate Association World Federation of Australia, JKA, and The Martial Way, hereinafter referred to as the "Club," I, the undersigned, warrant that I am physically and medically able to engage in the routine of exercise.

I acknowledge and understand that while the Club will exercise proper care in the conduct of its Dojo's, I will attend entirely at my own risk. I understand that neither the Club, its instructors, servants, nor any other individuals shall be responsible for any personal or bodily injury that I may suffer while at a training facility of the Club.

I hereby indemnify and hold harmless the Club, its instructors, servants, and all other persons from and against all legal liability (contractual or otherwise) to me in respect of bodily injury and/or damage or loss of property, arising by any means whatsoever, including the negligence or default (wilful or otherwise) of the Club, its instructors, servants, or any one or more of them or any person for whose negligence or default the Club is or may be liable or raising out any defect, whether latent or patent in the equipment or premises of the Club.

I pledge that I will at all times obey the Rules and Regulations as set down by the Club. I further agree that if I resign from the Club or if at any time, I am found guilty of any infringement of the Rules and Regulations which results in my expulsion, I will not be entitled to any reimbursement of fees.

WHERE PARTICIPANT IS UNDER 18 YEARS OF AGE

I being the parent or guardian release HEREBY ACKNOWLEDGE AND AGREE:

I have read the whole of this document and understand it. I consent to the person named in this acknowledgement and release participating in the activity of Martial Arts. I am aware of the risk, dangers, and obligations set out above in this acknowledgement and release. IN CONSIDERATION OF the person named in this Acknowledgement and Release being accepted to participate in Martial Arts I agree to release and indemnify The Martial Way and JKA/WF Australia in the same manner and to the same effect and extent as if I were the person first named in this Acknowledgement and Release and the person participating in Martial Arts.

By accepting below, I acknowledge that I have read, understood, and agree to the terms of this waiver. I understand that this agreement is binding and enforceable in accordance with the laws of the state of Australia.

I have read and understood the above terms of the The Martial Way and accept the Waiver of Liability and Indemnification Agreement.