Mountain Karate Academy, LLC
Member of the Eastern U.S.A. International Martial Arts Association
468 Delaware Ave., Palmerton, Pa.
I understand the nature of this activity and acknowledge that I am in good health, and proper physical condition, to participate in physical training. I acknowledge that I have disclosed any medical problems that would affect my ability to fully participate. I also understand that there are risks involved in training, and I fully accept and assume all such risks and responsibility for any injuries that may occur. I will not hold Mountain Karate Academy, or Pencor Services, responsible for any monetary compensation in the event of injury or death. Mountain Karate Academy reserves the right to accept or reject any student. MKA does not discriminate due to race, creed, color, or religion.