Request edit access
Arnis (Filipino Martial Arts)
TRADITIONAL and SPORTS ARNIS

Every 3rd Saturday of the Month Commencing on January 20, 2024
9:00 am to 12:00 nn

Reisky Karate Dojo, Freemason Hall, 14042 Grosvenor Road, Surrey, British Columbia  V3R 5G5
Tel. No. 778-871-1544
Email: info@reiskymartialarts.com


Monthly Fee: CA$25
Annual Fee: CA$25 (commencing every January 1)
E-transfer: info@reiskymartialarts.com

** Arnis sticks will be available for use during class

Sign in to Google to save your progress. Learn more
Master Shishir Alan Inocalla (the "Michaelangelo" in the Teenage Mutant Ninja movie and TV series)
Guro Neil Tabangcura and Lakan 1 Rei Jiloca
First Name of Participant *
Last Name of Participant (Family Name) *
Email *
Contact Number(s) of Participant *
Gender *
Required
Date of Birth *
MM
/
DD
/
YYYY
Address (House/Apt. No. / Street / City / Province / Postal Code *
Name of Parent(s) / Guardian if Participant is Under 18 years old (type "N/A" if not applicable) *
Contact Number(s) of Parent(s) / Guardian if Participant is Under 18 years old (type "N/A" if not applicable) *
Contact Person in Case of Emergency: *
Relationship of Participant to Contact Person in Case of Emergency *
Contact Number(s) of Contact Person in Case of Emergency *
Any medical condition(s) to declare? *
If yes, please specify: (type "N/A" if not applicable) *
WAIVER OF LIABILITY FOR ALL CLAIMS AND RELEASE OF LIABILITY

PLEASE READ CAREFULLY BEFORE REPLYING

By answering "YES" below, the Participant and/or the Participant’s Parent / Guardian understands, acknowledges and assumes the inherent risks in participating in the Arnis program, including, but not limited to:

1. the potential for bodily injury or illness (including contraction of COVID-19 or any of its subvariants);

2. contact or interaction with others who may have been exposed to COVID-19 or any of its subvariants;

3. permanent disability, paralysis, or loss of life;

4. collision with natural or manmade objects;

5. dangers arising from adverse weather conditions;

6. imperfect venue or field of play conditions;

7. equipment failure;

8. participants of varying skill levels;

9. inadequate safety measures;

10. circumstances known, unknown or beyond the control of the program organizer, its partners, sponsors, agents, affiliates, directors, employees, officer, therapists, or volunteers (together, the “Organization”); and

11. negligence or omission of the Organization (collectively, the “Risks”)

In consideration for allowing the Participant to participate in the Arnis program, the Participant and/or the Participant’s Parent / Guardian:

a. release, discharge and forever hold harmless the Organization from any and all liability for damages or loss arising as a result of the Risks of participation in or in connection with the Arnis program;

b. waive any right to sue the Organization in respect of all causes of action (including for injuries or illness caused by their own negligence), claims, demands, damages or losses of any kind that may arise as a result of the Risks of participation in or in connection with the Arnis program, including without limitation the right to make a third-party claim or claim over against the Organization arising from the same; and

c. freely assumes all risks associated with the Risks, anything incidental to the Risks, which may arise as a result of participation in or in connection with the Arnis program.

YOU ARE GIVING UP LEGAL RIGHTS TO ANY AND ALL FUTURE CLAIMS AGAINST THE ORGANIZATION.

I confirm that I have read and fully understand this waiver and release of liability. I signify "YES" to this waiver and release of liability voluntarily without any inducement, assurance, or warranty being made to me.

DO YOU AGREE TO THE ABOVE WAIVER OF LIABILITY FOR ALL CLAIMS AND RELEASE OF LIABILITY?

 *

PHOTOGRAPHY AND VIDEO RELEASE:

I hereby authorize the Arnis program organizer to photograph and/or take video of the participant while performing Arnis activities, individually or as a group and such photo and/or video may be used by the Arnis program organizer for the purpose of print, online, or social media marketing and advertisements.

DO YOU AGREE TO THE ABOVE PHOTOGRAPHY AND VIDEO RELEASE?

 *
Complete Name of Person Responding to the WAIVER OF LIABILITY FOR ALL CLAIMS AND RELEASE OF LIABILITY and PHOTOGRAPHY AND VIDEO RELEASE *
Relationship to the Participant of the Person Responding to the WAIVER OF LIABILITY FOR ALL CLAIMS AND RELEASE OF LIABILITY and PHOTOGRAPHY AND VIDEO RELEASE (type "N/A" if not applicable)
 *
Date Read and Responded to the WAIVER OF LIABILITY FOR ALL CLAIMS AND RELEASE OF LIABILITY and PHOTOGRAPHY AND VIDEO RELEASE *
MM
/
DD
/
YYYY
Any background in Arnis or any martial arts? Please specify.
QUESTIONS OR COMMENTS? 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms