By submitting this form, I attest that I/my child is to the best of my knowledge free of the following symptoms:

  • Fever
  • Cough
  • Chills
  • Muscle pain
  • Headache
  • Sore throat
  • Loss of taste or smell
  • Vomiting
  • Diarrhea

Furthermore, I attest that I/my child will not attend classes if these symptoms arise.

By submitting this form, to the best of my knowledge, I am in good physical condition and fully able to participate in Dojo classes.

I am fully aware of the risks and hazards connected with participation in martial arts, including physical injury or even death. I hereby release, waive, discharge and covenant not to sue, The Dojo LLC, its officers, instructors and personnel, other participant, owners and leasers of the premises from any and all liability for any losses and damages which may be sustained and suffered on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releasees or otherwise.