AUTHORITY TO TREAT
I, the undersigned, give the instructors, staff and responsible adults the power to authorize medical or other treatment of the person named above under “Student Name,” subject to the limitations listed below, if any. If I am not the person so named, I am the parent, guardian or adult responsible for the person named, and I have the legal right to grant this power. Treatment may be made without regard to whether I or any other parent, guardian or adult responsible has been contacted or has consented to the specific treatment, provided it does not conflict with the limitations outlined below. This authority begins on the date signed and continues indefinitely.
By giving my authorization, I assume responsibilities for all decisions made provided they are reasonable decisions under the circumstances based upon the knowledge and understanding of the person making the decisions, and I trust their judgment and offer the benefit of the doubt to them in any claim or legal proceeding. This presumption may only be overcome by clear and convincing evidence that they acted with malice or willful gross negligence, and if so, they may still be liable.
I understand the instructors, senior students, or others may have some skills in First Aid and CPR and at their discretion, I authorize them to use these skills and techniques to assist in any circumstance in which they judge these skills necessary or helpful.
ADVISORY OF RIGHTS AND RESPONSIBILITIES
Safety is not the sole responsibility of instructors and staff. Everyone in class is responsible for their own safety and the safety of those around them. All students have the right and responsibility to be excused from any exercise they believe to be harmful. All students must evaluate each situation in the context of their skill and current physical condition, and conduct each drill in a manner that is safe. If an instructor gives an instruction that is unsafe for the student, it is the student’s responsibility to inform the instructor that the skill may be unsafe. The instructor will routinely excuse the student from unsafe exercises and drills. The instructor may ask for an explanation and the student is expected to provide one.
All students have a responsibility to train and conduct themselves in a manner conducive to the safety of all students and instructors. Students must provide adequate space to those training and practicing so they themselves are not accidentally struck; this is especially important when others are practicing with weapons.
In the event of an injury, students have the right and responsibility to evaluate the extent of harm, stopping what they are doing even if it includes a partner, and determining if it is safe to continue. Unless a student is certain that further practice will not create or worsen a problem, all students are encouraged to stop what they are doing and inform an instructor. In the event of a serious injury or the appearance of a serious injury, all students, instructors, staff and visitors, notably parents, have the right to call a stop to a particular training exercise.
If a student notes an unsafe training situation, which may include a student performing a skill incorrectly, a student not being careful about others, a defect in a piece of training equipment, a potentially dangerous obstacle or condition on the floor, or anything else that may cause or lead to harm of students, instructors, staff, visitors, or guests, then the student is expected to correct the situation if within his ability or notify an instructor or staff member immediately. If something is simple to correct, such as picking up a weapon left on the floor, the student should correct the situation. If the situation requires the authority of the instructor or staff, then the instructor or staff should be notified immediately.
ASSUMPTION OF RESPONSIBILITIES AND RISK
Martial arts can be a potentially dangerous activity. Bumps, bruises, scrapes, scratches and soreness are commonplace, and most students will encounter these sorts of minor injuries from time to time in their training. More serious injuries are possible and can include: sprains, strains, twists, cramps, and injuries of similar magnitude; students can expect to encounter these injuries infrequently. The possibility of even more serious injuries exists and can include: fractured bones, broken bones and torn ligaments; though not all students encounter such serious injuries. There remains, despite safety precautions, the remote possibility of crippling or death, though this is certainly not expected in this martial arts class.
I understand the above statement of risk, and I understand the rights and responsibilities of students. I assume responsibility for my own safety (or the safety of my child) and understand and accept the risks involved with martial arts training. Even if the instructor has informed me that no serious injuries have ever occurred in this school or with any of the instructors, I understand that this in no way implies that there is no possibility of harm. By assuming this risk, I completely absolve all instructors, staff, guests, students, landlords, management companies, and any and all other parties of liability for my harm, or the harm of my child, unless intentionally caused in criminal conduct.
I understand that Invicta Academy LLC (DBA Taekwondo Academy Jessica Melendez Utah), is a limited liability company.
