ITU Waiver

Please print this page, fill out and sign this waiver.  It is required to become a member of ITU and to be an ITU certified Instructor/Assistant Instructor.  When mailing in your payment for Membership and/or Instructor Certification, send this form, signed and dated.

ITU Waiver, Release and Assumption of Risk Form

I, the undersigned, desire to become a Member and/or Instructor of the International TaeKwonDo Union.  I understand that the activities in which I may participate are physically and mentally intense and may require extreme exertion and giver rise to the possibility of injury, and death to others and myself.  I confirm and agree that I am fully aware of the risk and certify that I am physically able to participate in martial arts training.  I further agree that I will comply with all the rules, regulations and instructions given to me by any Officer or Senior Instructor of the International TaeKwonDo Union or its affiliated Schools.

Further, I (on behalf of my heirs, personal representatives, executor and administrator) hereby waive, release, remise covenant not to sue and forever discharge from any claims and liabilities whatsoever without limitations that I have which arise against any Officer or Instructor of the International TaeKwonDo Union or its affiliated Schools from any expense, damage, loss, injury or liability (including attorney fees) due to my decision to become a Member/Instructor of the International TaeKwonDo Union.  I agree to indemnify and hold harmless the above mentioned entities for any and all loss, injury, damage, claim and liability.  I hereby certify that I am in good health and do not suffer from any heart condition or other ailment that could be exacerbated by the exertion involved in the activities in which I may participate.

Further, I confirm that I either have specific insurance to cover any injuries that I may sustain or that I have chosen to participate in these activities without any insurance coverage and agree to assume full responsibility of risk and bodily injury, death and property damage.  I hereby assume any and all risks, known and unknown, which may arise from my decision to become a Member/Instructor of the International TaeKwonDo Union and participate in martial arts training.  By signing this form I agree that I have been informed that I should not participate in any activity if I have any doubt or if I am uncertain as to my current medical condition.  I hereby certify that I am at least 18 years of age.  If I am not at least 18 years of age, the signature of my parent(s) and/or legal guardian(s) must appear below.

I further acknowledge that this activity is inherently dangerous and that injuries and/or death could occur as a result of my participation in martial arts training.

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Applicant's Signature                                       

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Print Name

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Date

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Parent/Guardian's Signature                              

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Print Name

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Date

Received by:______________