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I understand and agree that Martial Arts, Self Defense, Kickboxing, Fitness Kickboxing, Jiu Jitsu, San Da, San Shou, Muay Thai, Boxing, Grappling and Weight Training are activities in which injury can occur. I understand and agree that New York San Da will not be held liable for injuries, damages, etc, not caused by or resulting from negligence of the owners, operators, employees or persons in charge of New York San Da. I hereby represent that I am physically fit to receive and participate in the prescribed course of istruction. I will faithfully comply with all the rules and regulations of New York San Da.