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ACKNOWLEDGEMENT AND RELEASE FORM and CASL anti-spam legislation Waiver:

I the Participant or Parent or Legal Guardian, on behalf of myself, members of my family, our heirs, executors, administrators and assigns, hereby forever release, discharge and hold harmless, Fire Dragon Taekwondo & Fitness Ltd. or its representatives or agents or Mark Adam Pellerin, for any injury, loss, or damage to my person or property howsoever caused, arising out of or in connection with my taking part in Online martial arts or fitness classes and or any activities or events organized in part or in whole by Fire Dragon Taekwondo & Fitness Ltd. or its representatives or agents or Mark Adam Pellerin, and notwithstanding that the same may have been contributed to or occasioned by the negligence of Fire Dragon Taekwondo & Fitness Ltd. or its representatives or agents or Mark Adam Pellerin. NOTE: If the participant is under age 18 “I AGREE” must be completed by the Parent or Legal Guardian.

ALSO

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You may contact us at:

Fire Dragon Taekwondo & Fitness Ltd.

6-665 Kingsway Avenue SE

Medicine Hat, AB T1A 2W8

403-502-2228