Tournament Waiver

Competitor Name *

First

Last

Competitor date of birth *

MM/DD/YYYY

Competitor Rank *

Tournament Waiver

By checking this box I agree to the Tournament Waiver conditions below

Signature (by typing below I am signing the waiver form)

WAIVER: I understand that the practice of Karate and specifically tournament competition is inherently a contact
sport and as such, I know that physical injury can occur. As consideration for being allowed to compete in this
tournament, I hereby assume all responsibility for and all risk of damage or injury that may occur as a participant in
this tournament. Specifically, I agree to release and will hold harmless and fully indemnify for all claims which
might arise against ORDER OF ISSHINRYU MARTIAL ARTS and Bohemia Manor High School, and any persons
affiliated with this tournament in any way or cause of action on account of any injury which may occur from my
participation in the GRANDMASTER TOBY COOLING MEMORIAL TOURNAMENT. By signing this document, I
acknowledge that I have read the rules and agree to abide by them and assume full responsibility for any and all
my actions during this tournament. If under the age of 18 years, a parent or legal Guardian must sign this waiver.
Safety Gear is MANDATORY if sparring; Head, Hands, Feet, Mouth, and cups required. The undersigned has read
the above waiver and release, fully understands all and signs voluntarily.

Signature of Parent (if competitor is under 18)

By typing my name, I agree to this waiver's conditions for my child to compete in the Tournament