2025 Genbu-Kai Holiday Banquet

I, the undersigned, do hereby voluntarily submit my application for attendance and participation in the Shito Ryu Karate Do Genbu Kai Super Summer Seminar, and do hereby assume full responsibility for any damages, injuries, or loss that I may incur, including exposure to Covid, if any, while participating or attending. I hereby waive all claims against the promoters, officials, or sponsors, or Japan Karate Federation, Inc. or Shito-Ryu Karate-Do Genbu-Kai International or the City of Costa Mesa or their employees, of said Seminar, individually or otherwise, for any claims or injuries I might sustain. I fully understand that any medical treatment given to me will be of a first aid nature only. I also consent that any pictures furnished by me or taken of me in connection with the Seminar may be used for publicity, promotion, or television showing, and I waive compensation in regard thereto. Participants bear sole liability and responsibility for exposure to or infection with Covid.