Participator's Name *

First Name

Last Name

Parent's Name *

First Name

Last Name

Phone *

(###)

###

####

T-shirts Size *

130cm

140cm

150cm

160cm

170cm

180cm

190cm

200cm

*Allergies to any medications? *

Yes

No

*Take any medications regularly? *

Yes

No

*Wear contact lenses? *

Yes

No

*Epilepsy (seizures)? *

Yes

No

*Lung disease? *

Yes

No

*Heart disease? *

Yes

No

*Diabetes? *

Yes

No

*High blood pressure? *

Yes

No

WAIVER AND RELEASE OF LIABILITY *

WAIVER AND RELEASE OF LIABILITY, ASSUMPTION OF RISK, AND PARENTAL CONSENT AND INDEMNITY AGREEMENT In consideration of your acceptance of my entry or that of the minor child, I do hereby, for myself or the minor child, my heirs, executors, and administrators waive, release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless any and all rights and claims for damages which I may have or may accrue to me against Red Tiger Martial Arts, LLC and all members of this tournament, or their respective officers, medical committee, agents, representatives, successors, volunteers, owners and lessor of premises on which the tournament takes place, assignees and against any competitor for any and all damages which may be sustained by me or the minor child, in connection with my association with or entry in the above tournament. I understand the nature of Taekwondo activities and believe that my experience and capabilities, or that of the minor child, to be qualified to participate in this tournament. I understand that Taekwondo activities involve risks and dangers of serious bodily injury, including permanent disability, paralysis and death. These risks and dangers may be caused by myself or the minor child's own actions, or inactions, and/or the actions or inactions of others participating in the tournament. I have read this agreement, fully understand it's terms, understand that I or the minor child have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by the law and agree that if any portion of this agreement is held to be invalid that the balance, notwithstanding, shall continue in full force and effect. I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WTHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. Waiver and Release of Liability, Assumption of Risk And Parental Consent and Indemnity Agreement In consideration of your acceptance of my entry or that of the minor child, I do hereby, for myself or the minor child, my heirs, executors, and administrators waive, release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless any and all rights and claims for damages which I may have or may accrue to me against Red Tiger Martial Arts, LLC and all members of this tournament, or their respective officers, medical committee, agents representatives, successors, volunteers, owners and Sarasota County Agricultural Fair Association, Inc., assignees and against any competitor for any and all damages which may be sustained by me or the minor child, in connection with my association with or entry in the above tournament. I understand the nature of Taekwondo activities and believe that my experience and capabilities, or that of the minor child, to be qualified to participate in this tournament. I understand that Taekwondo activities involve risks and dangers of serious bodily injury, including permanent disability, paralysis and death. These risks and dangers may be caused by myself or the minor child’s own actions, or inactions, and/or the actions of inactions of others participating in the tournament. I have read this agreement, fully understand it’s terms, understand that I or the minor child have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by the law and agree that if any portion of this agreement is held to be invalid that the balance, notwithstanding, shall continue in full force and effect.

I have read and agree to the WAIVER AND RELEASE OF LIABILTY, ASSUMPTION OF RISK, AND PARENTAL CONSENT AND INDDEMNITY AGREEMENT.