Texas A&M University Kendo Kyokai
		     Assumption of Risk/ Release of Liability Form

I,_________________________________ , understand and agree that the kendo practice of the 
Texas A&M University Kendo Kyokai of which I am a member, involves certain risks and that 
regardless of the precautions taken by the Texas A&M University Kendo Kyokai some bodily 
injuries may occur. Specific risks/hazards involved in kendo practice include but are not 
limited to the following:
1. Driving to or from the kendo practice 
2. Injury to the feet; blisters, bruised heel
3. Soreness in the hands, arms, and back
4. Bruises
5. Injury to the head
The likelihood of such injuries may be lessened by adhering to these safety 
rules or procedures:

1. Wearing proper kendo bogu ( kendo armor)

Knowing this information, in consideration of my participation in kendo practice 
of the Texas A&M University Kendo Kyokai, I expressly and knowingly release the 
Texas A&M University Kendo Kyokai, its representatives, officers, advisors and 
agents; the University, the State, its officers, and employees, from any and all 
claims and causes of action for property damage, personal injury or death sustained 
by me arising out of any travel or activity conducted by or under the auspices of 
the Texas A&M University Kendo Kyokai  caused by risks associated by this activity 
and/or the negligence of the sponsoring group. Participant acknowledges that the 
Texas A&M University Kendo Kyokai and the University/State are separate legal entities 
and should be treated as such. In addition, I understand and agree the 
Texas A&M University Kendo Kyokai cannot be expected to control all of the risks 
articulated in this form but may need to respond to accidents and potential emergency 
situations. Therefore, I hereby give my consent for any medical treatment that may be 
required during my participation with the understanding that the cost of any such treatment 
will be my responsibility. Neither the university nor the Texas A&M University Kendo Kyokai 
carry medical or accident insurance for the activities mentioned unless the participants 
are informed otherwise. As such, participants should review their personal insurance 
portfolio. Finally, I voluntarily and knowingly agree to protect, hold harmless, and 
indemnify the Texas A&M University Kendo Kyokai  its representatives, officers, advisors 
and agents; the University, the State, its officers, and employees, against all claims, 
demands, or causes of action for property damage, personal injury, or death, including 
defense costs and attorney's fees arising out of my participation in the kendo practice 
of the Texas A&M University Kendo Kyokai.

I have read the agreement and have willingly signed for the consideration expressed 
and with a full understanding of its purpose. Participant represents that he/she is 
eighteen (18) years of age or older and is otherwise competent to execute this agreement, 
or that his/her legal guardian is also signing.


Date: _______________________DOB___________________________________


Print Name ______________________________ ID#________________________________


Signature ____________________________________ Phone ___________________________


Local Address __________________________________________________________________

______________________________________________________________________________







In case of emergency, contact ______________________________________

at the following number ___________________________________________

Health Insurance Company Name ___________________________________

Policy Number __________________________________________________

Automobile Insurance Company Name _______________________________

Policy Number __________________________________________________

Please list any special services you may require due to an existing medical 
condition or physical disability: