Effective immediately upon execution, I, {name}, for and in participation of activities provided by Rochester Phoenix Martial Arts, LLC, the receipt and sufficiency of which is hereby acknowledged, do hereby release and forever discharge Rochester Phoenix Martial Arts, their agents, employees, successors and assigns, and their respective heirs, personal representatives, affiliates, successors and assigns, and any and all persons, firms or corporations liable or who might be claimed to be liable, whether or not herein named, none of whom admit any liability to the undersigned, but all expressly denying liability, from any and all claims, demands, damages, actions, causes of action or suits of any kind or nature whatsoever, which I now have or may hereafter have, arising out of or in any way relating to any and all injuries and damages of any and every kind, to both person (physical and/or psychological) and property, and also any and all injuries and damages that may develop in the future, as a result of or in any way relating to the following:
- Any activity within 563 Titus Ave, Rochester, NY
- Any physical activity while under instruction or independent
- All martial arts-related activity, with or without equipment
- All seminars, events, tournaments, camps, classes, private lessons, birthday parties, etc.
Potential injuries arising from martial arts may include but are not limited to:
*Brain damage
*Broken bones
*Strains, sprains, bruising
*Disfigurement
*Cuts and scratches
*Skin infections
It is understood and agreed that payment of dues is made and received in full settlement and satisfaction of the causes of action, claims, and demands mentioned herein; that this Release contains the entire agreement between the parties; and that the terms of this agreement are contractual and not merely a recital. This Release may not be altered, amended, or modified except by a written document signed by both parties.
Furthermore, this Release shall be binding upon the undersigned and his respective heirs, executors, administrators, personal representatives, successors, and assigns. This Release shall be subject to and governed by the laws of the State of New York.
This Release has been carefully read and fully understood by the undersigned. The terms have been explained to me, and I am freely, knowingly, and voluntarily entering into this Release.