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ADULT & MINOR AMATEUR ATHLETIC WAIVER & RELEASE OF LIABILITY

I am applying to enter this Martial Arts Seminar, and understand the risk of injury, damages or losses involved. I, my executor, Administrator or Assign herewith forever RELEASE AND DISCHARGE said The Westland Salvation Army, Japanese Martial Arts Academy, Mr. Oscar Silvera, all their owners, agents, servants and employees, my fellow students and affiliated organizations from any and all liability by reason for any harm or injury that I may sustain during this seminar.

Personally assume all risk of hurt of injury, and have sufficient medical insurance to cover total and al risk of any injury I may sustain.

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JAPANESE MARTIAL ARTS ACADEMY
13101 Eckles Rd.
Bldg 2, Suite 208
Plymouth, MI 48170

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