PKB/PMT/PBSC
FIGHTER REGISTRATION

SEMI-CONTACT TOURNAMENTS

Fighter Registration

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First Name(Required)

Last Name(Required)

Address(Required)

Street Address City State ZIP Code

Phone(Required)

Email(Required)

Date of Birth(Required)

Age(Required)

Height(Required)

Gender(Required)

Estimated Weight(Required)

Rule Style(Required)

Experience Level(Required)

Have you ever fought an amateur or pro fight?(Required)

Yes

TRAINER INFORMATION

Academy Name(Required)

Trainer Name(Required)

Trainer Phone(Required)

Trainer Email(Required)

RELEASE OF LIABILITY/WAIVER OF CLAIMS

This Release of Liability (“Release”) is a legally binding agreement entered into by the undersigned individual, identified via electronic signature (the “Participant” or “Releasor”), in favor of Mr. Don Rodger, Apex Martial Arts Center LLC, and all affiliated event organizers, in connection with a semi-contact martial arts tournament held at 737 Center Street, Apex, North Carolina 27502, and/or any other designated third-party venue (collectively, the “Venue”).

This Release applies to, and shall be binding upon, Apex Martial Arts Center LLC, the International Kickboxing Federation (IKF), Johnny Davis Enterprises dba AK Promotions, the Venue and its owners, and all associated officers, directors, employees, agents, contractors, volunteers, vendors, sponsors, and sanctioning bodies involved in any capacity with the planning, execution, or participation in the event (collectively, the “Releasees”).

Scope of Release

The Participant, on behalf of themselves and their heirs, legal representatives, assigns, and successors (collectively, the “Releasor Parties”), knowingly and voluntarily releases, waives, discharges, and agrees to hold harmless the Releasees from any and all claims, demands, actions, causes of action, liabilities, damages, costs, or losses—whether known or unknown, foreseen or unforeseen—arising from participation in the event. This includes, without limitation, claims resulting from training, competition, instruction, equipment or facility use, or travel to and from the event, regardless of whether such claims arise from the Releasees’ ordinary negligence, acts, omissions, or otherwise.
Waiver and Covenant Not to Sue
The Releasor expressly waives any and all rights to bring a lawsuit, demand arbitration, or pursue other legal action against the Releasees based on injuries or damages arising out of the event. This includes claims for bodily injury, emotional distress, property damage, wrongful death, pain and suffering, or any other type of loss, whether direct or indirect.
Application of State Law

In consideration of being permitted to participate in this event and related activities, the Participant agrees that this Release shall be governed exclusively by the laws of the State in which the event is held. All disputes, claims, or controversies arising out of or relating to this Release, the Participant’s application, or participation in the event shall be resolved solely under that State’s laws, without regard to conflict-of-law principles, including those of the Participant’s residence. Any legal proceedings shall be brought exclusively in the courts of original jurisdiction within the State where the event occurs. The Participant waives any right to object to such venue or assert that it is inconvenient and knowingly consents to personal jurisdiction of those courts.
Assumption of Risk.
I hereby acknowledge and fully understand that participation in semi-contact fighting is inherently dangerous and involves substantial risk of serious bodily injury, permanent disability, or death. I am further aware that the specific techniques and methods employed in this competition are extremely hazardous, and that the nature of this event may include repetitive head trauma which, over time, may contribute to long-term neurological conditions, including but not limited to chronic traumatic encephalopathy (CTE).

With full knowledge and appreciation of these risks, I voluntarily and of my own free will submit my application to compete in this event. I knowingly and expressly assume all risks associated with participation, including but not limited to physical injury, psychological trauma, or death. By doing so, I hereby accept full and sole responsibility for any and all injuries or losses sustained as a result of my participation.

I affirm and verify my understanding and acceptance of these risks by placing my initials below.
Health Advisory and Condition
The Participant acknowledges that martial arts competitions involve strenuous physical exertion and contact that carry significant risk of injury or harm. The Participant affirms that they have either consulted a licensed physician or voluntarily waived such consultation, and that, to the best of their knowledge, they have the proper skill and are in proper physical condition, health, and fitness to participate in this inherently hazardous activity.
Knowing and Voluntary Execution

By executing this Release, the Participant affirms that they have thoroughly read and fully understand its contents. They acknowledge that this is a binding legal document, enforceable under applicable law, and that they have had the opportunity to consult independent legal counsel. The Participant further affirms that they are at least eighteen (18) years of age and possess the legal authority to enter into this agreement. If under the age of eighteen, a legal guardian must execute the Release on their behalf.

The entities and individuals described in the preceding paragraph shall hereinafter be collectively referred to as the “Releasees.” This Release shall apply to any and all claims for damages, bodily injury, personal injury, property damage, emotional distress, pain and suffering, loss of consortium, punitive damages, wrongful death, or any other loss or harm, whether known or unknown, foreseen or unforeseen, suspected or unsuspected, and whether arising directly or indirectly from the acts, omissions, negligence, recklessness, misconduct, misfeasance, or nonfeasance of the Releasees or any of them.

The Releasor acknowledges and agrees that this Release is intended to be interpreted and enforced to the fullest extent permitted by applicable law, and that by executing this Release, the Releasor knowingly and voluntarily waives all rights to bring any action or claim against the Releasees as described herein.

CONSENT(Required)

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above RELEASE FROM LIABILITY.

Are you (the fighter) OVER 18 years old?(Required)

Yes

FIGHTER PARENTAL WAIVER

In the event the undersigned Participant is under the age of eighteen (18), execution of this Release must be completed by the Participant’s lawful parent or legal guardian. The parent or guardian must affirmatively agree to the terms of this Release on behalf of the minor and complete the designated portion of this form. Any attempt by a minor to execute this Release independently shall be deemed invalid, and the parent or legal guardian shall assume full responsibility and legal liability for any false or misleading information provided in connection therewith.

Are you the parent or guardian of the fighter?

Parent

Guardian

Full Legal Name

Emergency Phone

I, the undersigned, am the lawful parent or legal guardian of the minor identified herein and hereby expressly agree, on behalf of said minor and myself, to all terms and conditions set forth in the foregoing Release of Liability/Waiver of Claims. I affirm that I possess full legal capacity and authority to execute this Release on behalf of the minor and to bind both the minor and myself to its provisions. I further agree to fully indemnify, defend, and hold harmless all parties released herein, including but not limited to Don Rodger, Apex Martial Arts Center LLC, AK Promotions, the International Kickboxing Federation (IKF), and all affiliated individuals or entities, from any and all claims, demands, actions, liabilities, damages, or causes of action that may be asserted by or on behalf of said minor or parent/legal guardian arising out of or related to participation in the referenced event.

Parent/Guardian Signature

Fighter Electronic Signature

FIGHTER SIGNATURE(Required)

FIGHTER REGISTRATION FEE: $60

Credit Card

Once your payment is successfully processed, your registration will be finalized, and a receipt will appear on your screen. A confirmation email with your paid registration will also be sent to the email address noted above .

If you don’t see the receipt or receive the confirmation email, your registration did not process—feel free to try again or contact us for help. Thank you!

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We Specialize in the Striking Arts