CENTRAL COMBAT SPORTS

I am aware that there is potential risk for injury involved in the training and participation of any physical activity, especially martial arts. I freely accept and fully assume all such risks, dangers and hazards, including but not limited to injury through physical activity and/or use of equipment and facilities, and the possibility of personal injury, death, the contraction of communicable disease such as viruses, bacteria, fungi or protists, or property damages or loss, resulting from my participation in any or all services provided by or endorsed by Central Combat Sports Inc. I am also aware that I should discuss my or my child’s participation in this activity with a physician to determine the effect on my or my child’s current health. I also acknowledge and accept that my image or my child’s image may be used for advertising purposes.

Release of liability, waiver of claims and indemnity agreement: in consideration to participate in the activities of Central Combat Sports Inc., located at 1565 Lauzon Road, Unit #2, Windsor, Ontario, N8S3N4, Canada, I hereby agree as follows:

To waive any and all claim that I have or may in the future have against Central Combat Sports Inc., its directors, officers, employees and representatives, officials, club executives, guests and players or participants (all of whom are hereinafter collectively referred to as “Releasees”).

To release the releasees from any and all liability for any loss, damage, disease, injury or expense that I may suffer or that my next of kin may suffer as a result of my participation in any service provided by or associated with Central Combat Sports Inc. Due to any cause whatsoever, including negligence, breach of contract or breach of any statutory or other duty of care. I acknowledge my responsibility to ensure adequate medical personal health, dental and accident insurance coverage, as well as protection of my personal possessions.

To hold harmless and indemnify the releasees from any and all liability for any damage to property of, or personal injury to, or costs, any third party, resulting from my participation in this activity.

This agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns or representatives in the event of my death or incapacity.

In entering into this agreement, I am not relying upon any oral or written representations or statements made by the Releasees other than what is set forth in this agreement.