RELEASE OF LIABILITY WAIVER – Hit With Power By Gumsaba

In checking the box below, I agree that I willingly and knowingly enter in this release with Gumsaba, and Michelle Brown in the city of San Francisco on March12, 2020. The purpose of this seminar is to provide self defense instruction. By checking the box below, I hereby acknowledge that the following was explained to me and I agree to the following:

1.Acknowledge that I have been told that if I feel over tired, feel pain or feel out of the ordinary in any way either related to the training, or otherwise, that I should immediately stop the activity contact a physician if needed.

2. I acknowledge that exercise the related movements, can be a test of physical limits and, as with all activity, carry with it potential for bodily harm. I assume the risks of participating in this activity including the inherent dangers. I also acknowledge that I have a regular medical physician I can contact regarding any injuries I may sustain should that be necessary.

I expressly waive, release, discharge and agree not to bring a claim or lawsuit of any type for any liability, disability, personal injury, loss of use or income of any kind the following parties: Michelle Brown, Gumsaba or any of their affiliates and representatives including and insurers, except for claims arising out of intentional misconduct or gross negligence. I agree that this is the full agreement between the parties, that Gumsaba, nor anyone else has not verbally contradicted any of the terms of this release, and that I have entered into this agreement freely and voluntarily without force or coercion.