Agreement Regarding Liability

I have enrolled in the personalized health and fitness program offered through The North Country Martial Arts Academy at 13 W Main Street in Norfolk, NY.  I recognize that the program may involve strenuous physical activity including, but not limited to, muscle strength and endurance training, cardiovascular conditioning and training, and other various fitness activities. I hereby affirm that I am in good physical condition and do not suffer from any known disability or condition which would prevent or limit my participation in this exercise program. I acknowledge that my enrollment and subsequent participation is purely voluntary and in no way mandated by The North Country Martial Arts Academy.”

In consideration of my participation in this program, I hereby release The North Country Martial Arts Academy and its agents from any claims, demands, and causes of action as a result of my voluntary participation and enrollment.  I fully understand that I may injure myself as a result of my enrollment and subsequent participation in this program and I hereby release The North Country Martial Arts Academy and its agents from any liability now or in the future for conditions that I may obtain. These conditions may include, but are not limited to, heart attacks, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, heat prostration, injuries to knees, injuries to back, injuries to foot, or any other illness or soreness that I may incur, including death.

30-DAY CANCELATION POLICY

We know your time is valuable, and ours is too. Out of respect for our staff and our other members, we ask that you give us 30 days' notice AND make a final monthly tuition payment if you wish to cancel your membership.

• Your membership is still active during the 30-day period, you are welcome to train throughout!  And, of course, you'll be welcomed back at the academy if you wish to resume your training! 

MEDIA RELEASE/POLICY

MEDIA CONSENT, RELEASE, AND WAIVER

I hereby give consent to The North Country Martial Arts Academy (the “organization”) to photograph, videotape, or otherwise digitally record and use images and/or sound recordings of myself or my child or children (if applicable) to use in any public media, including radio, television, internet, social media, print or in any of the organization’s or its partners’ publications, productions, or posts. I understand that the intended use of such images and information is solely for the purpose of advertising, marketing, fundraising, and/or promotional and public awareness purposes for the organization. 

I hereby waive any rights or interest in the images or recordings, as contemplated in this release. I acknowledge that this consent to use images and/or recordings is being made solely for the benefit of the organization and comes without any expectation of monetary compensation or other benefit to me. To the extent that any benefit accrues or might accrue to the organization from the use of images or information, I hereby and forever waive any interest in or claim to such benefits. 

I hereby release and forever discharge the organization (including without limitation all corporate affiliates and officers, directors, trustees, donors, employees, agents, and volunteers) from any and all claims, liability, actions, suits, demands, costs, expenses, or indebtedness arising out of, related to, or in any way connected with the use of images and materials described herein, and I hereby waive all rights and interest in and to such information and materials. 

I further acknowledge that there is no guarantee that any or all of the participants’ images or recordings will be used in any released media. I have been informed that this authorization is voluntary and is subject to revocation at any time, except to the extent that action has been taken in reliance thereon, by notifying the organization in writing at 13 W Main St Norfolk Ny 13667.