Kairos Academy Liability Waiver and Release Agreement
Name: {name}
Date of Birth: {dob}
address: {address}
Phone: {phone}
Emergency Contact Name: {contact_name}
Emergency Contact Phone: {contact_phone}
Emergency Contact Relation: {contact_relation}
THIS AGREEMENT IS ENTERED INTO BETWEEN THE UNDERSIGNED PARTICIPANT ("PARTICIPANT") AND UNICORN PRAXIS PTE. LTD., A COMPANY REGISTERED IN SINGAPORE (UEN 202525893H), OPERATING UNDER THE BRAND NAME KAIROS ACADEMY (THE "COMPANY").
IN CONSIDERATION OF THE SERVICES OF THE COMPANY, TOGETHER WITH ALL AGENTS, OWNERS, MANAGERS, SUCCESSORS, AFFILIATES, DIRECTORS, SPONSORS, LANDLORDS, OFFICERS, PARTNERS, INSURERS, INVESTORS, PARTICIPANTS, VOLUNTEERS, EMPLOYEES, AND ALL OTHER PERSONS ENTITIES ACTING IN ANY CAPACITY ON BEHALF OF THE COMPANY, I HEREBY UNDERSTAND, ACKNOWLEDGE AND AGREE TO RELEASE, INDEMNIFY AND DISCHARGE ON BEHALF OF MYSELF, MY SPOUSE, MY CHILDREN, MY PARENTS, MY HEIRS, MY WARDS, ASSIGNS, PERSONAL REPRESENTATIVES AND ESTATE AS FOLLOWS :
BY EXECUTION OF THIS AGREEMENT OR BY AGREEING TO THE TERMS AND CONDITIONS OF THE COMPANY, I UNDERSTAND, ACKNOWLEDGE AND AGREE THAT, ON MY OWN BEHALF, AND ON BEHALF OF ANY LISTED PARTICIPANTS UNDER THE AGE OF 18 IF ANY, AS THEIR PARENT/LEGAL GUARDIAN KNOWINGLY, VOLUNTARILY, AND FREELY ACCEPT AND ASSUME ANY AND ALL RISKS, BOTH KNOWN AND UNKNOWN, BOTH ECONOMIC AND NON-ECONOMIC, OF INJURIES, INHERENT RISKS, INCLUDING BUT NOT LIMITED TO PHYSICAL, MENTAL, SERIOUS BODILY HARM, PERMANENT DISABILITY OR EVEN DEATH, OR ANY OTHER LOSS OR DAMAGE THAT MAY BE SUFFERED WHILE ON THE PREMISES OR HOWEVER CAUSED, REGARDLESS OF WHETHER SUCH INJURIES RESULT/CAUSED IN WHOLE OR IN PART BY THE ACTION, INACTION OR NEGLIGENCE OF THE COMPANY.
BY PARTICIPATING AND ATTENDING CLASSES, EVENTS, SERVICES, SESSIONS, ACTIVITIES AND USING THE FACILITIES AND EQUIPMENT WITHIN THE COMPANY PREMISES, I HEREBY VOLUNTARILY ACKNOWLEDGE AND ASSUME FULL RESPONSIBILITY FOR ANY AND ALL INHERENT RISKS, DANGERS, DAMAGES, LOSSES, INJURIES (OR EVEN DEATH) THAT MAY OCCUR AS A RESULT OF PARTICIPATION.
I CONFIRM THAT I AM IN GOOD HEALTH AND SUFFER FROM NO DISEASE OR CONGENITAL MEDICAL CONDITIONS THAT WOULD PREVENT ME FROM PARTICIPATING IN AND UTILISING ALL SERVICES, EQUIPMENT AND FACILITIES. I HEREBY DECLARE THAT I HAVE NOT CONCEALED ANY INFORMATION REGARDING CONGENITAL DISEASES, MEDICAL CONDITIONS OR HEALTH STATUS FROM THE COMPANY THAT MAY AFFECT MY JUDGMENT AND ABILITY TO PARTICIPATE SAFELY. I AGREE TO NOTIFY THE COMPANY IMMEDIATELY OF ANY CONDITION THAT MAY AFFECT MY ABILITY TO SAFELY PARTICIPATE. THE COMPANY RESERVES THE RIGHT TO DENY PARTICIPATION IN ITS SERVICES IF HEALTH CONCERN/RISKS ARE IDENTIFIED.
I HEREBY FULLY AND FOREVER RELEASE, WAIVE, DISCHARGE AND HOLD HARMLESS, THE COMPANY, ITS INSURERS, EMPLOYEES, OFFICERS, DIRECTORS, ASSOCIATES AND ALL OTHER PERSONS AND ENTITIES RELATED, FROM ANY AND ALL CLAIMS, DEMANDS, SUITS, ACTIONS, DAMAGES, RIGHTS OF ACTION OR CAUSES OF ACTION, WHATSOEVER, PRESENT AND FUTURE, WHETHER THE SAME BE KNOWN OR UNKNOWN, ANTICIPATED OR UNANTICIPATED, ARISING OUT OF OR RESULTING FROM THE USE OF SAID EQUIPMENT, FACILITIES, PREMISES AND/OR PARTICIPATING IN CLASSES, EVENTS, SERVICES, SESSIONS AND ACTIVITIES ON, IN, AROUND AND OFF THE PREMISES.
I FULLY UNDERSTAND AND AGREE THAT THE COMPANY IS NOT RESPONSIBLE WHATSOEVER FOR ANY PROPERTY THAT IS LOST, STOLEN OR DAMAGED WHILE ON, IN, AROUND AND OFF THE PREMISES.
I UNDERSTAND THAT THE PREMISES DO NOT HAVE ANY GUARDS OR MEDICAL PERSONNELS ON DUTY. STAFF MEMBERS OF THE COMPANY AND THE LANDLORD MAY BE IN THE BUILDING BUT ARE NOT RESPONSIBLE FOR THE SAFETY OR MYSELF AND/OR MY GUESTS, MY SPOUSE, MY CHILDREN. I UNDERSTAND ALL RISKS AND DANGERS INVOLVED IN PARTICIPATING IN THE ACTIVITIES.
I UNDERSTAND THAT THE PREMISES MAY HAVE SURVEILANCE CAMERAS IN USE, OF WHICH KAIROS ACADEMY IS NOT OBLIGED TO RELEASE OR SHARE ANY FOOTAGE EXCEPT WHEN AND WHERE LEGALLY REQUIRED.
IN THE EVENT OF ANY INJURY OR MEDICAL SCENARIOS, I ACKNOWLEDGE THAT THE COMPANY DOES NOT PROVIDE MEDICAL, NURSING, OR HEALTH ADVISORY SERVICES, INCLUDING ANY MEDICAL DIAGNOSIS, TREATMENT, OR EMERGENCY CARE. I AGREE THAT PARTICIPATION IN ACTIVITIES IS AT MY OWN RISK AND I AM SOLELY RESPONSIBLE FOR MY OWN MEDICAL NEEDS AND AGREE TO BEAR ALL COSTS INCURRED.
THE COMPANY RESERVES THE RIGHT TO ASK ANY MEMBER WHO DOES NOT COMPLY WITH SAFEY INSTRUCTIONS, BUILDING MANAGEMENT RULES AND REGULATIONS TO LEAVE THE PREMISES AT ANY TIME. NON-COMPLIANCE MAY RESULT IN SUSPENSION OR TERMINATION OF MY MEMBERSHIP.
THE STAFF, TRAINERS, COACHES AND INSTRUCTORS HAVE THE AUTHORITY AND RIGHTS TO STOP A MEMBER FROM PARTICIPATING IN A CLASS IF THEY DEEM THAT CONTINUED PARTICIPATION COULD CAUSE INJURY AND/OR DAMAGE.
I HEREBY ASSIGN, GRANT, AND CONSENT TO THE COMPANY AND ITS LEGAL REPRESENTATIVES THE IRREVOCABLE, PERPETUAL, AND UNRESTRICTED RIGHT TO USE AND PUBLISH PHOTOGRAPHS, VIDEOS, OR ANY OTHER MEDIA FOR PROMOTIONAL, ADVERTISING, EDUCATIONAL OR MARKETING PURPOSES ACROSS ALL FORMS OF PLATFORMS AND MEDIA WITHOUT LIMITATION OR COMPENSATION.
THIS AGREEMENT SHALL BE GOVERNED BY AND CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE REPUBLIC OF SINGAPORE.
I HAVE READ, UNDERSTOOD AND AGREE TO THIS WAIVER AND RELEASE OF LIABILITY AND ASUSMPTION OF RISK AGREEMENT.
I AM AT LEAST 18 YEARS OF AGE AND I VOLUNTARILY AGREE TO ALL ITS TERMS OR MY PARENT/GUARDIAN HAS REVIEWED AND ACCEPTED THIS AGREEMENT ON MY BEHALF.
Member or Parent/Guardian Name:
Date: {sign_date}
Kairos Academy
