Waiver and Release of Liability

In consideration of being permitted to participate in any way in Taylors House of Karate, Inc martial arts program, we understand and acknowledge there are risks and dangers associated with martial arts activities.

I hereby release and discharge Taylors House of Karate, Inc, its owners, employees, instructors, and representatives from any and all claims, demands, damages, rights or causes of actions, resulting from use of facilities, equipment and services.

Taylors House of Karate, Inc has done everything possible to protect our students, their families and our instructors, employees, and volunteers.  We are following the Center of Disease Control and local guidelines to reduce the spread of COVID-19.  We are practicing social distancing and require all individuals (staff, volunteers, and clients) to use face coverings to reduce the risk of exposure to yourself and others.  It is also required that everyone sanitize their hands and feet before entering the workout area.

Please sign to acknowledge your agreement to comply with the instructions/information above.  Failure to comply may result in refusal of service.


Students printed name 


Students signature 


Parents printed name


Parents signature (if student is under the age of 18)

Parent’s Cell #:______________________

Student’s Cell #:_____________________

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