PLEASE SIGN WAIVER - FOR EACH COMPETITOR:

For the IWKA 2009 Championships Competition in Pittsburgh, June 18, 19, and 20, 2009:

WAIVER: I understand that the practice of Karate, and specifically, tournament competition, is inherently a contact sport, and as such, know that physical injury can occur. As consideration for being allowed to compete in this tournament, I hereby assume all responsibility for and all risk of damage or injury that may occur as a participant in this tournament. Specifically, I agree to release and will hold harmless and fully indemnify for any claims which might arise, the Isshinryu Karate Academy of Pittsburgh, the IWKA and/or Hilton Hotel of Pittsburgh and any persons affiliated with this tournament in any way from any and all claims or causes of action on account of any injury or damage which may occur from my participation in the IWKA World Championships Tournament. By signing this document, I acknowledge that I have read the rules and agree to abide by them and assume full responsibility for any and all of my actions during this Tournament. If under the age of 18 years, a parent or legal guardian must also sign this waiver.

Print Competitor's Name:

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Date:______________

Parent/Guardian Self