St. Joan of Arc Lititz Martial Arts Karate Program
Classes Every FRIDAY
Classes Begin: September 18th
Class times:
PreK 2:30pm-3pm
K-8 3:15pm-3:45pm
No classes Oct 23rd (Karate Tournament) or Nov 27th (Holiday)
Classes are $90 per student per month

Karate Program Sessions are non-refundable.
Cancellations require a 30 day notice.

WAIVER: I warrant and represent that I am in appropriate physical condition of the physical activities in which I will participate and that such physical activities, even noncontact activities, carry a risk of serious injury including substantial permanent injuries, and/or death. Lititz Martial Arts has advised me to consult with my physician prior to engaging in any physical activity, and that I should not participate in any activities unless approved to do so by my physician. I knowingly and voluntarily assume all risks described above, and I will waive in advance any claim of liability resulting from those risks.

On my own behalf and on behalf of my representatives, my estate and all persons claiming through me directly or derivatively, I hereby agree in advance to hold harmless, release and discharge Lititz Martial Arts and any other owners, officers, employees, affiliate companies, and all other participants and non participants associate with those identified entities from any injury that I may receive whether or not from the negligent or intentional acts of those persons released.

Furthermore, I agree on my behalf and behalf of my representatives, estate, successors and assigns to defend Lititz Martial Arts from and against any and all claims and liability that may arise by reason of activities at the facilities, whether caused by an intentional act, or by negligence, or otherwise without limitation.

This agreement to defend includes any claim, action or liability whatsoever, regardless of whether the claim is made, without limitation, by me, by someone on my behalf or someone whose class is derived from my injury or death. I acknowledge and agree (1) that it is my responsibility to cover any medical bills and that I may incur and to cover myself with medical insurance in any measure I deem appropriate and (2) that I will never and cannot make any claim for medical coverage resultant from any injury or death incurred by me at the facilities of the Lititz Martial Arts.

Lititz Martial Arts shall not be liable for any loss or theft of my personal property. I also specifically agree that Lititz Martial Arts shall not be responsible for all such personal or property injuries, damages, loss or theft, even in the event of negligence, fault or failure to use due care on the part of Lititz Martial Arts AND whether such negligence, fault or failure to use due care is present at the signing of this Agreement or takes place in the future.

PHOTO CONSENT: I hereby consent to Lititz Martial Arts and any other photographers or companies that the main business, Lititz Martial Arts may choose in taking photographs or video image of me while in classes both in person and virtually or otherwise in the public premises of Lititz Martial Arts and hereby irrevocably grant the right to use my image or likeness in such images or photographs in any advertising, promotion, marketing materials including any and all social media, print media, or on the website.

Brennan Ganteaume
Owner and Chief Instructor
Lititz Martial Arts
717-626-1111
www.lititzmartialarts.com

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*If the student is under 18 years old, a parent's signature is required instead.