1. Participation is Voluntary: The participant has been advised by Hidden Dragon LLC (hereinafter HIDDEN
DRAGON) that participation in any and all activities is voluntary. Participant understands and agrees that, if at
any time, participant feels anything to be unsafe, including but not limited to equipment, facilities and/or
activities, participant will immediately take all precautions to avoid the unsafe area, equipment, and/or activity
and refuse to participate further.
2. Understand risks of participation: Participant fully understands and acknowledges that (a) There are risks and
dangers associated with participation in martial arts events and activities which could result in bodily injury
partial and/or total disability, contraction of illness and/or disease, paralysis and death, (b) the social, physical,
mental, and economic losses and/or damages, which could result from these risks and dangers described above,
could be severe, (c) these risks and dangers may be caused by the action, inaction or negligence of the
participant or the action, inaction or negligence of others, including, but not limited to, the parties named below,
(d) there may be other risks not known to us or are not reasonably foreseeable at this time.
3. Acknowledge Risks of participation: Participant hereby acknowledges that the activities are very
dangerous and involve the risk of serious injury and/or death and/or property damage. Each of the
undersigned also expressly acknowledges that injuries received may be compounded or increased by
negligent rescue operations or procedures.
4. Acceptance of responsibility/assumption of risk of participation: Participant accepts and assumes such risks
and responsibility for the losses and/or damages following such injury, contracted illness or disease, disability,
paralysis or death, however caused and whether caused in whole or in part by the negligence of HIDDEN
DRAGON its owners, agents or employees, or by intentional conduct of parties not an owner, agent,
instructor, or employee of HIDDEN DRAGON.
5. Participant Responsibilities: I certify that I am in good health and physical condition, do not have any
communicable illnesses, conditions or diseases. I certify that I will not participate in any activities if I am not in
good health and physical condition. It is my responsibility to be aware of the demands of the activity at all
times. It is my responsibility to be adequately equipped and physically prepared. It is my responsibility to
follow the instructions of the designated class leader. Skills taught in this program will not assure my safety in
situations of self-defense. I am solely responsible for my own personal safety and the safety of others in the
program.
6. Minor Participation requirements: In consideration of being permitted to participate in any way with
HIDDEN DRAGON and/or being permitted to enter for any purpose any restricted area (here in defined as any
area where in admittance to the general public is prohibited), the parent(s) and/or legal guardian(s) of the
minor participant named below agree: Prior to participating in the below martial arts activity or event, the
Participant, parent(s) and/or legal guardian(s) will inspect the facilities and equipment to be used, and if he or
she believes anything is unsafe, the participant will immediately advise the officials of such condition and
refuse to participate.
7. Release of liability/covenant not to sue: Participant hereby releases, waives, discharges, and covenant not to sue
HIDDEN DRAGON, the martial arts facility used by the participant, including its owners, managers,
promoters, lessees of premises used to conduct the martial arts event or program, premises and event
inspectors, underwriters, consultants and others who give recommendations, directions or instructions to
engage in risk evaluation or loss control activities regarding the martial arts facility or events held at such
facility and each of them, their directors, officers, agents, employees, from all liability to the undersigned,
my/our personal representatives, assigns, executors, heirs and next to kin For any and all claims, demands,
losses or damages and any claims or demands therefore on account of any injury, including but not limited to
the death of the participant or damage to property, arising out of or relating to the events(s) caused alleged to be
caused in whole or in part by the negligence of the releasee or otherwise.
8. Release applies to all parties associated with HIDDEN DRAGON: This release applies to all parties
including HIDDEN DRAGON LLC, Jordan Carey individually and his martial community, affiliated
individuals, organizations, entities, designated instructors, guest instructors, owners and officers of these
organizations, instructors, coaches, assistants, and the owners of the property location.
9. Release construed broadly: Each of the undersigned further expressly agrees that the foregoing release, waiver,
and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the Province or
State in which the event is conducted and that if any portion is held invalid, it is agreed that the balance shall,
notwithstanding continue in full legal force and effect. This release also applies to any dependants, parents,
heirs, guardian, family or any other party having the right to pursue any and all claims on my behalf.
10. Parent must defend, indemnify, and hold harmless HIDDEN DRAGON for minor: On behalf of the
participant and individually, the undersigned partners(s) and/or legal guardian(s) for the minor participant
executes this Waiver and Release. If, despite the release, the participant makes a claim against any of the
Releasees, the parents(s) and/or legal guardian(s) will reimburse the Releasee for any money which they have
paid to the participant, or on his behalf, and hold them harmless.
11. Release applies to family, heirs etc: This release applies to any claim I or any parent, guardian, family
member, dependant, heir or any other party having the right to make a claim on behalf against HIDDEN
DRAGON, guest instructors and organizations, the owners of these organizations, the instructors, and any
owners of the property location.
12. Only sanctioned use of skills: I understand that the skills taught at HIDDEN DRAGON are to be used solely
in accord with the law, that I have been explicitly instructed to not use the skills taught at HIDDEN DRAGON
outside of class with the exception of sanctioned tournaments or MMA events. I am solely responsible for my
actions using the skills taught by HIDDEN DRAGON, and agree to defend and indemnify HIDDEN DRAGON
for any of my actions that result in claims against HIDDEN DRAGON.
13. Model Release: I agree that HIDDEN DRAGON may use my image, photo, likeness for any purpose,
including but not limited to: HIDDEN DRAGON website, promotions, instructional videos, and school advertisements.
14. Release of personal property loss: I am responsible for my own personal property and agree to release and
hold harmless HIDDEN DRAGON for any losses of personal property.
15. HIDDEN DRAGON Right to prohibit practice or participation: HIDDEN DRAGON reserved the right to
prohibit participation for any reason without providing a refund.
16. Validity of release: If any portion of this agreement shall be held invalid, illegal or unenforceable to any
extent and for any reason by any Court of competent jurisdiction the remainder of this agreement shall not be
affected thereby and shall be enforceable to the full extent permitted by law.
17. Participant Medical coverage: By signing below, participant acknowledges that they carry personal medical
insurance and/or participant understands that they are solely responsible for their own medical bills and any
injury regardless of the cause.
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 WITHOUT 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. I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF
MASSACHUSETTS THAT THIS STATEMENT IS TRUE AND CORRECT.
