By signing up for the class you are agreeing to the below liability waiver.

Zelle payments to: instructor@kenpomat.com or pay at the link below.

Subject: Women's Self Defense Seminar April25

Release and Waiver Liability

In consideration of services to be received as a student on these premises, the undersigned hereby releases and forever discharges Dan Charatin's Kenpo Karate Organization, LLC, its heirs, successors, administrators and assigns from any and all actions, cause of actions, liability of claims and demands upon or by reason of any damage, loss, injury or suffering known and unknown which may be sustained by in connections with and in course of receiving this school training and technical or employees of this school or any fellow students on the premises in connection therewith and within the course of taking training or lessons for the purpose designed in this application. The student hereby waives all rights to claims, actions, cause of action, demand or suit for loss, injury, damage or suffering sustained as a result of anything other than gross negligence on the part of Dan Charatin's Kenpo Karate Organization, LLC. The undersigned assumes all the risks inherent and incident to this type of sports activities as a condition for applying for admission to this school for the purpose herein above stipulated. The undersigned further states: (1) that the student is aware of the fact that the martial art of American Kenpo and self-defense may, even under the safest conditions possibly be dangerous; (2) that the student assumes the risk of injury while participating in such martial art at Dan Charatin's Kenpo Karate Organization, LLC, Glendale Heights, IL; (3) that the student has read and understands all the provisions herein contained.