I, _____________________________ hereby assume responsibility for any injury to myself or damage or loss to my property, that may occur during any Shinobi Ka sponsored activity or event, and release any and all rights or claims for damages or loss which may hereafter occur to me or my property, of any nature whatsoever, in any manner, connected directly or indirectly to the Shinobi Ka studio and any of its employees or agents. I understand that there are certain risks in any physical activities, and I hereby agree to assume such risks which include, but are not limited to, inherent dangers and hazards of weather, fatigue, stress, equipment failure, terrain, dehydration, hypothermia, combat injuries and or actions of God or governments. By signing this release, I certify and acknowledge that I have read and understand the conditions applicable to the training for which I am applying. I further certify and acknowledge that I have received and read a copy of the Shinobi Ka studio guidelines and procedures, including the policies, guidelines and procedures regarding Shinobi Ka sponsored activities, and I agree to abide by those. Participant Name: _________________________________ D.O.B.: ___________ Participant Address: _______________________________________________ Participant Phone: ____________________ Email Address: ___________________ Emergency Contact: _____________________________ Phone: ________________ Signature of Participant: ______________________________ Date: _____________ Signature of Guardian: _______________________________ Date: _____________ (If this is for a minor child, the parent/guardian must sign the form, giving permission.)