Conditions for providing martial arts instruction and any other related activities and services for or on behalf of ____________________________
I/WE ____________________________________________________________ (Name/s)
Representing _____________________________________________(Association/Business)
of _____________________________________________________ (address) agree to indemnify and keep indemnified and to hold harmless ______________________ and Aikido Yuishinkai Australia Inc. its servants and agents and each of them from and against all actions, costs, claims, expenses and damages whatsoever which may be bought or made or claimed against them or any of them arising out of or in relation to the provision by you of martial arts instruction and any other related activities at the training location at any other arranged location. I/we also accept to maintain current professional indemnity and public liability insurances for the services provided.
SIGNED______________________________DATE______________________
PRINT NAME___________________________________________________________
ON BEHALF OF ______________________________________
(Association or Business)
POSITION HELD ___________________________________
IN THE PRESENCE OF ________________________________
(WITNESS SIGNATURE)
DATE ______________________
NAME & ADDRESS OF WITNESS
__________________________________________________________________
__________________________________________________________________