SEMINAR REGISTRATION FORM

Seminar participation requires accepting the "Affirmation of Liability Release" waiver. For those under the age of 18, please print this waiver and have it signed by your parent and guardian. For those over 18 you may accept the waiver below directly.

Name E-mail Phone number Rank Home dojo? Health concerns Emergency Contact Seminar fees (check what applies for you) If single classes are selected above, please let us know which classes you plan on attending. Saturday evening catered dinner $25
Please indicate how you would like to pay
Interac etransfer (Canadian bank accounts only): Please send to psadojo@aikivictoria.ca
PayPal, Credit or debit card: If selected, we will contact you with a PayPal payment request
Cash in-person at seminar
Affirmation and Liability Release (Waiver)
I have read the Affirmation and Liability Release (below).
I understand that selecting 'accept' will function as my signature, indicating my agreement with the terms of the Affirmation and Liability Release, and further that it may affect my legal rights, including the right to sue.
I accept and agree to the terms of the Affirmation and Liability Release.
I am under 18 and have printed the waiver and will have it signed by my parent or guardian
Submit

Affirmation and Liability Release

Please read carefully before signing.

I acknowledge that I am applying for instruction in a martial art involving strenuous exercise and personal body contact. I have been advised and am informed that there are inherent hazards in practicing Aikido.  Before enrolling, I have had the opportunity to observe Aikido classes and ask questions about the risks inherent in practicing Aikido. I understand that there is always an inherent risk of injury that cannot be eliminated.  Such injuries may include, but are not limited to, pulled muscles, dislocated joints, and broken bones. I hereby personally assume all risk in connection with my Aikido practice for any harm, injury or damage that may befall me as a result of my participation, whether foreseen or unforeseen.

AKI Canada Society does not exclude individuals with medical conditions that do not pose a medically recognized threat to the health or safety of other students in the normal course of training.  I understand that there are some unavoidable circumstances where these conditions may require special caution on my part to minimize danger to myself or others, and I acknowledge that it is my responsibility to act accordingly. In particular, I understand that some students may be infected with diseases like HIV/AIDS and hepatitis that can be transmitted by exchanges of blood or other bodily fluids, and that I may be training with them.  I understand that it is my responsibility to read and follow Aikido Kenkyukai International Canada’s posted procedures for dealing with injuries to myself and others that could present opportunities for exposure to blood or other bodily fluids.

In consideration of AKI Canada Society accepting this registration I, for my child, myself, my heirs, executors, administrators and assigns release all officers or employees from any claims, demands, damages, actions, or causes of action arising out of or in consequence of any loss, injury or damage to my person or property incurred while attending at or participating in AKI Canada Society sponsored Aikido classes, Aikido seminars or other meetings, notwithstanding that any such loss, injury or damage may have arisen by reason of the negligence or gross negligence of AKI Canada Society  and its servants, agents, members, directors, officers or employees. 

I understand that signing this document may affect my legal rights including the right to sue.   I have fully informed myself of the contents of this affirmation and release by reading it before signing it.