PRO Martial Arts Photo/Video Release Form/Authorization to use photos and/or audio/visual material:

I hereby authorize Pro Martial Arts and/or anyone affiliated with Pro Martial Arts to use, reproduce, and/or publish photographs and/or video that may pertain to me and/or my children including image, likeness, materials, broadcast public service advertising (PSA’s) or for other related endeavors. This material may also appear on the corporation’s internet webpage/various social media platforms. this authorization is continuous and may only be withdrawn by my specific rescission of this authorization. Consequently, the corporation may publish materials, use my name, photograph and/or make references to me in any manner that the corporation deems appropriate in order to promote the Pro Martial Arts Corporation. I authorize pro martial arts to send me occasional promotional communication.

Liability waiver

I hereby agree to allow myself/my child to participate in the Pro Martial Arts Fitness Programs(s) given by Pro Martial Arts, its officers, directors, employees, coordinators, and agents, upon the understanding and agreement that:
1) I represent to us that your child has no physical, mental, or emotional illness that could impair their participation or that could make participation injurious. While every effort will be made on our part to make the events and facilities as safe as possible, you realize that any physical activity has the potential for injury and you waive any claim of accidental and/or negligent tort damage against Pro Martial Arts and/or our principles, officers, or instructors, resulting from the activity.
2) I also release Pro Martial Arts from any liability arising from my use of any and/or all equipment provided by Pro Martial Arts.
3) I understand I will be held responsible for any negligent damage (replacement/repair) to equipment I am using that is owned or provided by Pro Martial Arts. I hereby acknowledge an assumption of risk by accepting and agreeing to allow myself/my child to participate in Pro Martial Arts activities.

Permission to Participate

Detail

First Name Required	First Name, field is required
Last Name Required	Last Name, field is required
Birthday Required	Month:, field is requiredDay:Year:
Mailing	Street City Country ProvincePostal code United States
Primary Phone Required	, field is required
Secondary Phone
Primary Email Required	Email, field is required
Parent's Name Required	Parent's Name, field is required
- Required	-, field is required, to switch between list items use arrow buttons. And how did you hear about us?
How did you hear about us	How did you hear about us How did you hear about us?
May we text you	May we text you , to switch between list items use arrow buttons. Yes
Who can we thank for the referral	Who can we thank for the referral Who can we thank for the referral?