WAIVER OF CHEN BING TAIJI ACADEMY USA

Please read this form carefully and be aware that while participating in Chen Bing Taiji Academy USA in Los Angeles for Chen Family Taijiquan (Tai Chi), any and all classes, you will be waiving all claims for injuries you might sustain.

I, individually and on behalf of my heirs, successors, assigns and facilities, recognize and acknowledge that there are certain risks of physical injury to recipients of Chen Family Taijiquan (Tai Chi), Qigong, Yoga, and other class instructions, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss (death), regardless of severity, that I may sustain as a result of participating in any and all classes at Chen Bing Taiji Academy USA taught by Bosco Baek. I further agree to waive and relinquish all claims against Chen Bing Taiji Academy USA, Master Chen Bing, Bosco Baek, authorized teachers, authorized teacher trainees, their officials, agents, volunteers and employees that I may have as a result of participating in any and all classes at Chen Bing Taiji Academy USA in Los Angeles. (Locations will vary due to participants.)

I, individually and on behalf of my heirs, successors, assigns and facilities, do hereby fully release and forever discharge Chen Bing Taiji Academy USA, Master Chen Bing, Bosco Baek, authorized teachers, authorized teacher trainees, their officials, agents and volunteers from any and all claims for injuries, death, damages or loss including transportation services when provided, that I may have or which may accrue to me and arising out of, connected with, or in any way associated with participating in any and all classes at Chen Bing Taiji Academy USA. 

If a physical contact or correction (hands-on correction) is provided for a better understanding of practice, I further agree to waive and relinquish all claims against Chen Bing Taiji Academy USA, Master Chen Bing, Bosco Baek, other authorized teachers and authorized teacher trainees. In addition, I fully understand that this physical hands-on correction is intended only for high quality practice which is absolutely not related to sexual harassment.

I have read and fully understand the above waiver and release of all claims by printing a full name below. I have also received approval to participate in any and all classes from a physician whose signature is below if necessary.