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Safe Exit

Participant Registration Form

Thank you for registering for the Women’s Self-Empowerment Course! Please complete this form and submit it prior to the start of the class.

Participant Information

Emergency Contact Information

Health and Medical Disclosure

Do you have any medical conditions, injuries, or physical limitations that may affect your participation in the course:(Required)

Waiver and Release Form

Your safety and well-being are our top priorities. Please carefully read and sign this Waiver and Release Form.

Acknowledgement of Risks

I understand and acknowledge that participation in self-defence activities involves inherent risks, which may include, but are not limited to:

Section Break

● Physical exertion and possible overexertion. ● Contact with other participants and instructors. ● Potential for slips, trips, and falls. ● Risk of sprains, strains, bruises, or other injuries. ● Unexpected incidents resulting from the physical nature of the activities.
Consent
Physical exertion and possible overexertion.

● Contact with other participants and instructors.

● Potential for slips, trips, and falls.

● Risk of sprains, strains, bruises, or other injuries.

Unexpected incidents resulting from the physical nature of the activities.
Consent
● Physical exertion and possible overexertion.

● Contact with other participants and instructors.

● Potential for slips, trips, and falls.

● Risk of sprains, strains, bruises, or other injuries.

● Unexpected incidents resulting from the physical nature of the activities.

Release of Liabilty

Consent
In consideration of my voluntary participation, I hereby release and discharge:

● The organizers, including YWCA, BKK.JKA, and their representatives.

● The instructors, staff, and volunteers.

● The facilities and venue used for the program.

From any and all liability, claims, demands, or causes of action arising out of or related to any injury, illness, or damage I may sustain during or as a result of participating in this course.

Proper Use of Skills

I acknowledge that the self-defence skills taught during this course are intended for use exclusively in life-or-death situations. I understand and agree that these techniques must not be used under any other circumstances, including but not limited to acts of aggression, retaliation, or conflict resolution. By clicking the box, I confirm my understanding and acceptance of the risks, release the above-named parties from liability, and agree to use the learned skills responsibly and ethically.
Consent(Required)

Participant Agreement

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Contact

510-25th Street East,
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E: chuntington@ywcasaskatoon.com

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