UNARMED COMBAT TRAINING/COMBATIVES

Personal Injury Waiver 

 

 

I hereby affirm that I am in good physical condition and do not suffer from any disability that would prevent or limit my participation in any defense classes taken with  _______________  and the Military Police.

 

I hereby release the U.S. Army Military Police, Provost Marshals Office and any fellow participants from any claims, demands, and causes of action arising from my participation during any class instructed by  _____________________.

 

I fully understand that I may injure myself and I hereby release the U.S. Army Military Police, Provost Marshals office and any fellow participants from any liability now or in the future, including, but not limited to pulls or tears (muscles, ligaments or tendons), muscle strains, broken bones, joint dislocations, hyper extensions of bones and joints, ankle, knee, hip, lower back, shoulder, elbow, wrist, finger or toe injuries, heart attacks, strokes, loss of vision, concussion, dental trauma, death, or any other injury or illness however caused, occurring during or after my participation in any Combatives Tactics training conducted by _____________.

 

Before starting this or any other exercise program, always consult your doctor.

 

All students are required to undergo a thorough medical examination prior to engaging in any form of physical contact training .

 

 

 

 

I hereby affirm that I have read fully, understand and agree with the above statements.

 

 

Signature:  

 

 

Date:

 

 

Printed Name: