Grandmaster Lim, Hyun Soo Hapkido & Kuhapdo Seminars 2005
Assumption of Risk Agreement, Release and Consent
Read Carefully Before Signing
Name: ______________________________Email:_____________Phone #:___________
Address:________________________________ City, State, Zip_________________
Date of Birth:___________ Style(s): __________________________Rank(s):_________
Any physical disabilities? Yes______ No______ (If yes, list here)_______________
The undersigned, _______________________________(fill-in your first and last name)assumes all
responsibility and risk for any and all of damages, injuries, or losses that the undersigned may sustain
or incur while, attending, participating in exercises/techniques or using the training equipment or
facilities, and traveling to and from the Hapkido and/or Kuhapdo (sword) seminars. I, the undersigned
hereby releases, discharges, and waives all claims, demands, rights of causes of action, present or
future, whether known, anticipated or unanticipated, and resulting from or arising out of, or incident to
my (the undersigned and participant) use (or intended use) of the techniques taught at this seminar(s)
against title sponsors, promoters, organizers, operators, hosts, schools, owners, officers, directors,
employees, black belts, instructors, masters, students, other participants, agents, affiliates,
Grandmaster Lim, the Jungki Kwan, Grandmaster Lim's Korea Jungki Hapkido & Kuhapdo Association,
Iron Eagle Hapkido & Karate Inc., Safe, Inc., Master Michael D’Aloia, and Master Sheryl Glidden.
I understand that Hapkido & Kuhapdo are physical activities that require the participant/undersigned to
be in good physical health. Al participants should consult a health care professional before
undertaking any physical activity.
I understand that martial arts training is dangerous.
My participation in this seminar(s) is voluntary.
Furthermore, I understand that my participation in this seminar will automatically authorize the
organizers permission to use any photographs or video taken during the seminar for personal or
public usage such as promotion, articles, show, and advertising without additional consent and without
compensation at this time or any other time. I also understand that no videotaping will be allowed
during this seminar.
I understand that no refunds will be issued.
I have read and understand and sign the foregoing assumption of risk agreement, and release and
Participant's Name:(Please print.)_______________________________________
Parent/Guardian Signature if Participant is a Minor__________________________
Parent/Guardian Name (Please print.)_____________________________________