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EBT Teacher Certification
Waiver form for Dr. Yang Yang's 48-Form Camp
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Waiver and License Agreement for 48-Form Camp Participants

Waiver

In this section, the student participating in activities will be referred to as "the Participant"; the Center for Taiji & Qigong Studies will be referred to as "the Center"; and, the phrase "Training Camp" will refer to the program for which the approved applicant is registering.

For good and valuable consideration, I, the Participant (as parent or guardian where applicable), for myself, my successors, heirs, assigns, executors and administrators, forever unconditionally release and discharge all owner's and sponsors of the Center and all of their affiliates, subsidiaries, corporate parents, officers, directors, partners, employees and agents from all claims, causes of action, costs and judgments that I now, or hereafter, may have or claim to have against the Center for personal injuries (including death) and damages to property, real or personal, caused by or arising out of the Participant's involvement in all activities of the Training Camp.

I further agree to and do hereby assume all risks of personal injuries to myself (or my child or ward, as applicable), including death, and damages to my property, real or personal, caused by or arising out of my involvement in the aforementioned School Activities.

I further agree for myself, my successors, heirs, assigns, executors and administrators, to indemnify and hold the Center harmless from and against all claims and suits for personal injuries, including death and damages to property, real or personal, caused by my (or my child's or ward's, as applicable) act or omission and arising from my involvement in the aforementioned School Activities, and from all judgments and costs recovered in said claim and suits and from all expenses incurred in defending said claims or suits.

I further agree that photographs, pictures, slides and movies of the Participant taken or made by the Center in connection with the Participant's involvement in the Training Camp, or a reproduction of the same as well as the Participant's name, may in be used in any manner by the Center, or by any person, corporation, partnership or association authorized by the Center.

I warrant that the Participant is in good health and has no physical condition that should prevent the Participant from participating in the Training Camp.

Certification of Proficiency and Licensure to use Dr. Yang Yang's Intellectual Property

In this section, the terms "Participant," "the Center,", and "Training Camp" are as defined in the waiver section above.

I, the Participant, recognize that the "Center for Taiji & Qigong Studies" and "Essential Movements of the 48 Form" are trademarks of the Center for Taiji & Qigong Studies. I understand that attendance at the Training Camp does not indicate endorsement of the Participant as an instructor, and that a "Certification of Proficiency" in the Training Camp curriculum requires a proficiency examination with Dr. Yang Yang or his appointee(s), and that the award of a Certification of Proficiency is entirely at the discretion of the Center for Taiji & Qigong Studies.

I further agree that I will appropriately attribute the curriculum learned at the Training Camp to Dr. Yang Yang and the Center for Taiji & Qigong Studies, and that I will not modify the program to create another program offered under a different name.

Name:
email:
Date:




Questions regarding this waiver and license agreement may be directed to Mr. Scott Grubisich at info@centerfortaiji.com.




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