Thank you so much for your purchase! There is just one last thing…

Please take a moment and complete the following:

Waiver

Thanks for taking a moment to fill this out. If you are submitting waivers for more than one person in your family, you can use this form for up to three people. PLEASE NOTE: If you omit any required information, you will be brought back to this page after clicking "submit" and we will NOT receive your waiver. Please check all boxes and complete all required fields (marked *).

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
    If you answered YES to either of these questions, you should consult your doctor before becoming more physically active.
    In consideration of your acceptance of this form, I for myself, my heirs, executors, administrators and assigns, forever waive, release and discharge any and all rights, claims for damages, unknown, that I may have against NAGA Martial Arts, Self Defense, Community (formerly Tulen Center), their employees, members, or instructors, for any and all injuries in any manner arising or resulting from my participation in classes. I attest and verify that I have full knowledge of the risks involved in any martial arts, self-defense, weights, exercise, and fitness programs and that I freely and voluntarily assume those risks as incident to participation, and that I will assume and pay my own medical and emergency expenses in the event of accident, illness, or other incapacity, regardless of whether I have authorized such expenses, and that I am medically and physically fit and able to participate in classes. I also give consent to NAGA (formerly Tulen Center), its owners, teachers, employees and other students to give minor emergency first aid and/or advice to me. I hereby release claims I have towards them for giving me such treatment. All dues and payments for classes are non-refundable and non-transferable. I give NAGA (formerly Tulen Center) permission to use any photos taken of me for publicity.
  • By typing in my name, I acknowledge my signature on the waiver.
  • By typing in my name, I acknowledge my signature on the waiver.

Thanks again and we look forward to seeing you soon!