2004
IKF
Amateur North American Classic
NO REGIONAL
WALKOVER
REGISTRATION FORM
PAGE 1 Of 2
CHOOSE "1" RULE DIVISION |
MALE |
FEMALE |
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PAGE 2 Of 2
RELEASE
FROM LIABILITY
This RELEASE of Liability is a
Legal Contract binding upon You, ____________________________ The International
Kickboxing Federation (Hereafter know as IKF), TKO Sports Group Inc., Wyndham
Palace Resort and Spa and any and all companies, federations or organizations
associates, officials, employees and staff of this event. Read It Carefully And
Obtain Legal Assistance If You Do Not Understand It.
1: Voluntary
Application. I, the undersigned, acknowledge and state that I have
voluntarily applied to compete in the 2004 IKF Amateur North American
Classic Kickboxing Championships on August 13th, 14th & 15th at the
Wyndham Palace Resort and Spar in Orlando, Floridaa, USA.
2: Assumption of risk. I am aware
& understand that in general, full contact fighting is a dangerous &
hazardous activity, & in particular, the techniques & methods of this
convention, all in which as a competitor in this competition, I shall be
participating, is an extremely dangerous & hazardous event. I am voluntarily
& of my own free will submitting an application to compete in this event
with full knowledge & understanding of the hazards involved. I hereby
consent & agree to completely accept alone any & all risks of injury or
death, & I verify & confirm this statement by placing my initials here:
_____
3: Release:
In consideration for (a) being accepted as a competitor of the 2004 IKF
Amateur North American Classic Kickboxing Championships, (b) being entitled
to participate in activities conducted and sponsored by the IKF (International
Kickboxing Federation and (c) being permitted to use facilities and equipment,
whether owned or leased by The IKF and all associates, officials, employees,
staff, TKO Sports Group Inc., Wyndham Palace Resort and Spa and fellow
participants and trainers/coaches. I hereby agree that I, my heirs,
distributees, guardians, successors in interest and legal representatives (collectively
referred to as "Releasor") will not make a claim or file an action
or suit against, sue, or attach the property of (a) the 2004 IKF Amateur
North American Classic Kickboxing Championships, which would include The
IKF or any and all of their officials, affiliated organizations, and/or their
directors, officers, employees, agents or managers, fellow participants,
trainers, TKO Sports Group Inc., Wyndham Palace Resort and Spa or any and all
of their affiliated organizations, and/or their directors, officers, employees,
agents or managers and (b) any or all manufacturers, distributors, wholesalers,
suppliers and/or retailers of the facilities and equipment I will use in
connection with any and all activities conducted and/or sponsored by The IKF and
TKO Sports Group Inc., Wyndham Palace Resort and Spa and any and all of these
companies, federations or organizations associates, officials, employees and
staff (collectively referred to as the "suppliers"), The
Suppliers and shall collectively be referred to as "Releasees"
for damages, injury, emotional distress claims, bodily injury claims, and
punitive damages, whether known or unknown, foreseen or not, due to or resulting
from the acts, conduct, negligence, or misfeasance of, or omissions or failures
to act by, the Releasees, or any of them. (a) being accepted as a competitor of
the 2004 IKF Amateur North American Classic Kickboxing Championships,
(b) being entitled to participate in activities conducted and sponsored by the
IKF and TKO Sports Group Inc., Wyndham Palace Resort and Spa and (c) being
permitted to use facilities and equipment, whether owned or leased by The IKF
and all associates, officials, employees, staff or by TKO Sports Group Inc.,
Wyndham Palace Resort and Spa or by fellow participants and trainers/coaches.
I hereby agree that I, my heirs, distributees, guardians, successors in interest
and legal representatives (collectively referred to as "Releasor")
will not make a claim or file an action or suit against, sue, or attach the
property of (a) the 2004 IKF Amateur North American Classic Kickboxing
Championships, which would include The IKF or any and all of their
officials, affiliated organizations, and/or their directors, officers,
employees, agents or managers, fellow participants, trainers, and (b) any or all
manufacturers, distributors, wholesalers, suppliers and/or retailers of the
facilities and equipment I will use in connection with any and all activities
conducted and/or sponsored by The IKF, TKO Sports Group Inc., Wyndham Palace
Resort and Spa and any and all of these companies, federations or organizations
associates, officials, employees and staff (collectively referred to as the "suppliers")
and TKO Sports Group Inc., Wyndham Palace Resort and Spa and any and all of
these companies, federations or organizations associates, officials, employees,
staff. The Suppliers and shall collectively be referred to as "Releasees),
for damages, injury, emotional distress claims, bodily injury claims, and
punitive damages, whether known or unknown, foreseen or not, due to or resulting
from the acts, conduct, negligence, or misfeasance of, or omissions or failures
to act by, the Releasees, or any of them.
4:
Application of State Law: In further
consideration of (a) being accepted as a competitor in the 2004 IKF Amateur
North American Classic Kickboxing Championships, (b) being entitled to
participate in activities conducted and sponsored by The IKF, TKO Sports Group
Inc., Wyndham Palace Resort and Spa and any and all of these companies,
federations or organizations associates, officials, employees and staff, and (c)
being permitted to use facilities and equipment, whether owned or leased by The
IKF, TKO Sports Group Inc., Wyndham Palace Resort and Spa and any and all of
these companies, federations or organizations associates, officials, employees
and staff, I hereby agree that this Release from Liability shall be interpreted
under and construed in accordance with the Florida State law only, without the
benefit of and fully disregarding all Florida State conflicts of laws
provisions, so that any and all disputes, contentions, disagreements or
controversies arising from or related to (a) this Release from Liability, (b)
the application for acceptance into the Challenge, or (c) my participation in
any and all activities conducted or sponsored by The IKF, TKO Sports Group Inc.,
Wyndham Palace Resort and Spa and any and all of these companies, federations or
organizations associates, officials, employees and staff and Shall be
interpreted under and in accordance with only the Florida State law regardless
of my domicile or residency; and that the only court in which an action or suit
may be brought in connection with the foregoing shall be the court of original
jurisdiction of the State of Florida. Further, I waive any right I may have to
assert the doctrine of forum non conveniens or similar doctrine or to object to
venue with respect to any proceeding brought in accordance with this Release,
and I stipulate that the Florida courts shall have in personam jurisdiction
and venue over me for the purpose of litigation any dispute, controversy, or
proceeding arising out of or related to this Release, The IKF, TKO Sports Group
Inc., Wyndham Palace Resort and Spa and any and all of these companies,
federations or organizations associates, officials, employees and staff.
5: Health Advisory and Condition.
I hereby acknowledge and understand that participating in this event involves
extremely strenuous physical activity and heavy physical contact, and that I
have been advised to consult a physician before commencing and undertaking such
activity. I hereby represent that, to the best of my knowledge, I am in good
physical health and condition, sufficient to undertake this dangerous and
hazardous competition.
6: Knowing and Voluntary Execution. I hereby declare that I
have read this Release from Liability, and that I fully understand the meaning
and importance of its contents. I acknowledge that this Release is a binding
contract among The IKF, TKO Sports Group Inc., Wyndham Palace Resort and Spa
and any and all of these companies, federations or organizations associates,
officials, employees, staff and myself, and that under this contract I am
releasing The IKF (International Kickboxing Federation) TKO Sports Group Inc.,
Wyndham Palace Resort and Spa and any and all of these companies, federations
or organizations associates, officials, employees and staff from all liability
for claims I may have against them. I further declare and represent that I am
at least 18 years of age, that I have full legal capacity to be bound by this
contract, and that I am signing this contract of my own free will and accord.
Executed at _________________AM/PM, on this
_________day of ____________________, in the year 2004.
Applicant
If OVER 18 Sign Below - If Not See Below
Signature:
_________________________________________ Print Name:
_____________________________
UNDER 18 FIGHTER - PARENTAL WAIVER
I, ____________________________ (parent/guardian) the parent
and guardian of ___________________________ (minor fighters name) hereby
agree to the above RELEASE FROM LIABILITY on behalf of the minor named herein
and bind myself and said minor to the terms and conditions of this waiver and
release. I have legal capacity and authority to act for and on behalf of the
minor name herein, and I agree to indemnify and hold harmless the persons or
entities mentioned above for any claims or liabilities assessed against them.
Signature:
_________________________________________ Print Name:
_____________________________