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Aikara Camp

Monday, August 12, 2019 9:30 AM 09:30
Saturday, August 17, 2019 4:30 PM 16:30

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Join us for Aikara Camp 2019!

Download the Registration form & Waiver - Complete form and please email to dndframer@yahoo.com

ALTERNATIVELY, you can fill out the online form below.

Registration & Waiver Form

Name

First Name

Last Name

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Home

(###)

###

####

Phone

Mobile or other

(###)

###

####

Date of Birth

YYYY

Subject

Emergency Contact

Emergency Contact - Relationship

Have you studied martial arts before?

Yes

For how long?

Where & What style of martial arts?

Rank/Belt

Personal Medical information

(NOTE: ALL OF THE INFORMATION IN THIS SECTION WILL BE TREATED AS STRICTLY CONFIDENTIAL, AND WILL BE USED ONLY IN THE DETERMINATION OF THE APPLICANT'S FITNESS TO PARTICIPATE IN MARTIAL ARTS ACTIVITIES WITH THE AIKARA/CABC FITNESS-IN-CHRIST AND IN CASE OF EMERGENCY.)

Are you allergic to any medications or drugs? If so, please explain:

Do you have any medical/physical conditions that an emergency medical technician or medical worker should know about (for example, recent surgery, diabetes, contact lenses, etc.)? If so, please explain:

Do you have any medical/physical conditions that may affect you or your ability to participate in class (for example, knee or back problems, neck injury)? If so, please explain:

I undertake to comply with the etiquette of the DOJO (AIKARA / CABC FITNESS-IN-CHRIST) and will not do anything to bring the practice and training of AIKARA (Martial Arts) and also the SPIRITUAL learning / Biblical Principles into disrepute. I understand that my promotion to KYU RANKS (white, yellow, orange, green, blue, purple, brown belts) and to DAN RANKS (black belts) is entirely at my teacher’s discretion, and that being recommended to test for such promotion is contingent on my teacher’s assessment of my regular practice, the frequency of my class attendance, my general progress, my mental attitude and my spiritual development. Finally, I will not under any circumstances make illicit or impermissible use of the abilities and techniques that I acquire in the process of studying AIKARA / CABC FITNESS-IN-CHRIST.

AGREEMENT, ASSUMPTION OF RISKS, AND WAIVER OF LIABILITY

In consideration of membership with or permission to participate in the training program and/or related activities of AIKARA / CABC (Christ Almighty Baptist Church) FITNESS-IN-CHRIST Outreach Program. 1. I warrant that I am physically and medically able to engage in a normal routine of exercise. 2. I acknowledge that AIKARA and its INSTRUCTORS carry no insurance for liability of injury of any of its participants in the training program of AIKARA. 3. I acknowledge that I have been advised not to attempt any skill level in the training program of which I am not fully capable. I further acknowledge that I am in the learning stage in Martial Arts involving strenuous physical exercises and personal body contact and thus have inherent risks involved that can result in musculoskeletal injury and/or death. 4. I fully accept and assume responsibility for my own safety and all the risks of personal injury, death, property damage or loss resulting from my participation in all activities organized by AIKARA and do hereby hold AIKARA, its instructors, representatives, staff, the Ministry, the Committee, the Board of Deacons or, the Board of Trustees where AIKARA operates under, harmless from any and all liabilities due to liabilities suffered by me or caused by third parties to me arising or inflicted out of the activities, or variation thereof, whether occurring in the premises of CABC Gym (Dojo) or elsewhere. 5. AIKARA does not exclude individuals with medical conditions that do not expose a medically recognized threat to the health or safety of other students in the normal course of training. I understand that there are some unavoidable circumstances where these conditions may require special caution on my part to minimize danger to myself or others, and I acknowledge that it is my responsibility to act accordingly. 6. I understand that AIKARA training is an educational program both spiritual (based on Biblical principles) and physical (based on AIKARA Self Defense principles). Therefore, for safety of myself and other participants, I will practice in a considerate and conscientious manner and strictly follow the rules of the AIKARA dojo. Should I break any of these, I understand that it is the decision of the head instructor whether or not I may continue training. I will abide by the decision. 7. I agree that I WILL NEITHER SUE NOR MAKE FALSE ALLEGATIONS AGAINST the released parties described in this agreement as the result of my participation in the training and activities or at any other location where the training takes place. 8. I agree to INDEMNIFY AND HOLD HARMLESS THE REALEASED PARTIES described in this agreement from all claims, judgements and costs, including lawyer’s fees incurred in any connection with any action activity at the training. 9. In signing this agreement, I am stating that I know and am fully aware of what I am doing, that I take responsibility for my own acts, that I read carefully and understood this agreement and that I fully agree with each statement contained herein. I am aware that I may have this agreement reviewed by legal counsel.

Have you read & understand the agreement above?

YES, I make this agreement on behalf of myself, my heirs, successors, executors, state, and dependents. By signing this form, I am asserting that I am a parent of a participant and/or a participant of legal age

AIKARA, also known as CABC FITNESS-IN-CHRIST is an outreach program under the Evangelism and Outreach Ministry of Christ Almighty Baptist Church (CABC). As a tool for evangelism and discipleship, AIKARA, in its practice and instructions, uses a combination of two Japanese Martial art disciplines, namely Traditional AIKIDO and SHOTOKAN KARATE for its physical training, and BIBLICAL PRINCIPLES for its Spiritual aspect.