1.0 There is the inherent risk of injury in all sports.

2.0 The risk of serious injury affecting your life choices or life is relatively small.

3.0 In order to reduce the risks, you, the athlete, must listen to your coaches/instructors and learn the correct techniques required for your sport and position. Injuries must be reported to the head instructor when they occur and treatment instructions followed. 3.1 If you elect not to follow the coaches/instructors instructions, use the correct techniques taught to you or ignore medical treatment instructions, you alone are responsible for the results of this action.

4.0 You are responsible for wearing the correct uniform and all required safety equipment as it is issued to you. You are responsible for seeing that the gear is inspected and/or replaced if in need of repair or adjustment. 4.1 If you elect not to wear all of the equipment in a standard uniform or modify the equipment without permission, you alone accept the responsibility for any injury that may occur because of this alteration or neglect.

5.0 The number and types of injuries differ for all sports but fall into the following general categories:

5.1 Lacerations and abrasions (e.g., cuts and scrapes): The long-term result of these is usually minor if cared for correctly. The most common risk may result in a scar, which may be a cosmetic deformity. IF THE CUT IS DEEP ENOUGH IT MIGHT AFFECT YOUR MUSCLES, NERVES, BONES OR CIRCULATION. The result of this might be the permanent loss of the use of that muscle, paralysis, or use of the injured area.

5.2 Sprains and strains (e.g., injuries to your joints or muscles): Most of these are minor and require only therapy to recover from them. The more serious of these may require surgery and/or casting to restore the muscle or joint. There will also be the cosmetic result of a scar. THE FORCES THAT CAUSE THESE TYPES OF INJURIES MAY ALSO INJURE OTHER BODY STRUCTURES AT THE SAME TIME SUCH AS NERVES AND BLOOD VESSELS. The therapy is much longer. Because of this type of injury you may not be able to return to the same skill level that you had before the injury. You may also have an increased chance of later problems, such as arthritis, with the joint or muscle. In the most serious cases you may not be able to run, walk, get jobs requiring physical strength or skill (e.g., police or firefighting work) or perform fine motor functions (e.g., playing the piano). You may also have difficulty in performing day-to-day activities such as bending or walking.

5.3 Fractures (e.g., broken bones): If even minor fractures are ignored the result may be the loss of some physical capabilities. The more serious of these may require surgery and/or casting to restore the broken bones. There may also be the cosmetic result of a scar. THE FORCES THAT CAUSE THESE TYPES OF INJURIES MAY ALSO INJURE OTHER BODY STRUCTURES AT THE SAME TIME SUCH AS NERVES AND BLOOD VESSELS. Because of this type of injury you may not be able to return to the same skill level that you had before the injury. You may also have an increased chance of later problems, such as arthritis, with the joint or muscle. In the most serious cases you may not be able to run, walk, get jobs requiring physical strength or skill (e.g., police or firefighting work) or perform fine motor functions (e.g., playing the piano). You may also have difficulty in performing day-to-day activities such as bending or walking.

5.4 Catastrophic injuries: These types of injuries are rare but do happen. They are injuries and those not limited to your nerves, blood vessels, heart, brain, internal organs, sexual organs, eyes, ears and nose. The long-term risk of these is much more serious. You may even die from these injuries. You may lose the function of a joint or limb. You may be permanently paralyzed, not be able to move your arms or legs on your own and be confined to a wheelchair. Assistance may be required for you to perform the most basic of bodily functions, such as a bowel movement. You could be blinded or lose your hearing. Your access to the job market may be severely restricted, and your family and social life may also be very limited.

1.ASSUMPTION OF RISK

1.1 The undersigned has been fully and completely advised of the potential dangers incidental to engaging in the activity andinstructing of martial arts training offered at the ACADEMY. The undersigned has also read and understands the attached document,“Risks of Athletic Participation” (next page). The undersigned fully understands that there is the risk of serious injury or death whileparticipating in athletic activities at the ACADEMY.

1.2 Because of the dangers of participating in athletic activities at the ACADEMY, the undersigned acknowledges the importance offollowing instructions from the coaching/instructor staff regarding proper techniques, training, equipment, and safety rules.

1.3 The undersigned hereby asserts his/her participation in athletic activities is voluntary and he/she knowingly assumes any and allsuch risks of athletic participation.

2. WAIVER OF LIABILITY

2.1 The undersigned hereby voluntarily releases, discharges, waives and relinquishes any and all actions or causes of action for personalinjury, property damage, death, or loss of any kind whatsoever occurring to him/herself arising as a result of engaging or receivinginstructions in said activity or activities incidental thereto wherever or however the same may occur and for whatever period saidactivities or instructions may continue.

2.2 The undersigned does for him/herself, his/her heirs, executors, administrators and assigns hereby release, discharge, waive andrelinquish any action or cause of action, aforesaid, which may hereafter arise for him/herself and for his/her estate, and agrees thatunder no circumstances will he/she or his/her heirs, executors, administrators and assigns prosecute, present any claim for personalinjury, property damage, death or loss of any kind whatsoever against the ACADEMY, board of trustees, officers, employees, agents,representatives, coaches, instructors, volunteers, athletic directors, athletic trainers, student managers, or student athletic trainers for anyof said causes of action, whether the same shall arise by the negligence of any of said persons, or otherwise.

3.INDEMNIFICATION AND HOLD HARMLESS AGREEMENT

3.1 The undersigned for him/herself, his/her heirs, executors, administrators, and assigns agrees that in the event any claim for personalinjury, property damage, death or loss of any kind whatsoever shall be prosecuted against the ACADEMY, board of trustees, its officers,employees, agents, representatives, coaches, instructors, volunteers, athletic directors, athletic trainers, student managers, or studentathletic trainers, he/she shall HOLD HARMLESS and INDEMNIFY the ACADEMY, its board of trustees, officers, employees, agents,representatives, coaches, instructors, volunteers, athletic directors, athletic trainers, student managers, or student athletic trainers fromany and all claims or causes of action by whomever or wherever made or presented for personal injury, property damage, death, or lossof any kind whatsoever.

4.PERMISSION TO TREAT AND REFER

4.1 In the event of an injury or illness, I give permission to Monk Wise Martial Arts Academy LLC Instructors and Staff, to offer basictreatment, and/or referred for diagnosis and/or emergency treatment if necessary. If I am a minor I understand that my parents orguardian’s signature is required.

ACKNOWLEDGMENT The undersigned has read the foregoing “assumption of risk”, “waiver of liability”, “indemnification and hold harmless agreement”, “permission to treat and refer”, and “risks of athletic participation”, fully understands their terms, and understands that he/she is giving up substantial rights, including the right to sue. The undersigned acknowledges that he/she is signing the agreement freely and voluntarily.