‘7 IFAX HANTOVERACCT@HANTOVER. COM » Cole Deruse 440017001 (03/09/2011 08: WHITE TIGER TAE-KWON-DO ACADEMY Martial Arts ~ Sport Karate ~ Hapkido ~ Weapons ~ ie 15304 Briar Road, Basehor, Kansas 66007 = (913) 568-9218 ; en legge paragraph shall survive the termini to any and all post Membership Ptan’ y type of Contact Activity, T agree to dy forfeit my right to compete/participate. from any liability due to injuries, ete. that T may incur as a 1c ‘undetsiand thatthe fighting aspect of this sporUtraiing harmless all of the above named parties for any sonal medical insurance that will provide pai mentally and physically fi. ix my signature voluntarily. fully understand this,