06 Visiting instructor release

Visiting Instructor Release and indemnity Document

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 

__________________________________________________________________

__________________________________________________________________