General Waiver - Self-Defense Training

fill out the waiver below so we have it on file!!!

Name *

First

Last

Guardian Name (n/a if not relevant) *

First

Last

Email *

Phone Number *

What is your age? *

If under 18 guardian is completing this form on the participant's behalf.

What is your gender? *

Male
Female

Do you have any martial arts, self-defense, or firearms experience? Tell us about it. *

What is your fitness level? *

Athletic
Above Average
Average
Below Average

Is there anything else you would like us to know? Tell us about it. *

I understand that self-defense/martial arts can be dangerous and may result in damages and/or injuries, including death. I also understand that Rapid Self-Defense LLC cannot guarantee my safety if I am in a self-defense situation. I agree that Rapid Self-Defense LLC (its owner, employees, independent contractors, landlords, venues, and/or affiliates) are not liable for any damages and/or injuries, including death, that may result from using what I learn for self-defense, and/or for practice, and/or for any other purpose. *

I agree.

If the participant is a minor then the guardian is completing this form on their behalf acknowledging the waiver covers the minor as well.

Do you consent to Rapid Self-Defense LLC using any recording (video, picture, and/or audio) of you for promotional and/or any other legal purpose? *

Rapid Self-Defense LLC reserves the right to record any course for liability reasons. We will not use a recording of you without your permission. If the participant is a minor the guardian is completing the form on their behalf.

CONTACT US!

605-981-0922

info@rapidselfdefense.org

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