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DAN INOSANTO - ninopilla

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The human encyclopedia of martial arts<br />

An opportunity to meet and train with Guro Dan Inosanto.<br />

A true pioneer of the Mixed Martial Arts and one of the<br />

most renown and sought after instructors in the business.<br />

Whether you are a beginner or a master in any of the<br />

martial arts, The Inosanto Tour will be sure to inspire.<br />

Arts covered include: Jeet Kune Do, Filipino Martial Arts,<br />

Silat, Muay Thai and many more.<br />

BROUGHT TO YOU BY PROGRESSIVE MARTIAL ARTS ACADEMY INTERNATIONAL AND NINO PILLA INTERNATIONAL ACADEMY OF MARTIAL ARTS<br />

PLEASE READ THE FOLLOWING CAREFULLY<br />

1. I, the undersigned acknowledge that I have applied to voluntarily participate in the Dan Inosanto Seminar.<br />

2. I am aware that participating in, learning, training and observing the practice of Jun Fan Gung Fu /<br />

Jeet Kuen / Maphilindo Silat / Filipino Martial Arts / Muay Thai and/or any other martial arts form that<br />

may be demonstrated, practiced or taught during the Dan Inosanto Seminar may be a dangerous<br />

undertaking and in undertaking any such activities I do so at my own risk.<br />

3. I am also aware that it is a condition of admission to the Dan Inosanto Seminar, that the Nino<br />

Pilla International Academy of Martial Arts Pty Ltd, the Progressive Martial Arts Academy, their<br />

directors, instructors, members, servants or agents together with the Inosanto Academy, its<br />

directors, servants or agents and the Dan Inosanto Seminar Sponsors are absolved from any liability<br />

howsoever arising from injury or damage howsoever caused (whether fatal or otherwise) arising<br />

out of participating in the Dan Inosanto Seminar, including learning, training and observing the<br />

practice of Jun Fan Gung Fu / Jeet Kuen / Maphilindo Silat / Filipino Martial Arts / Muay Thai and/<br />

or any other martial arts form that may be demonstrated, practiced, taught or observed during the<br />

Dan Inosanto Seminar, or in any way whatsoever due to any negligent act, breach of duty, default<br />

and/or omission on the part of the Nino Pilla International Academy of Martial Arts Pty Ltd, the<br />

Progressive Martial Arts Academy, their directors, instructors, members, servants or agents, or on<br />

the part of the Inosanto Academy, its directors, instructors, members, servants or agents or on<br />

behalf of the Dan Inosanto Seminar Sponsors.<br />

4. I am also aware that any person practicing, learning, training or observing Jun Fan Gung Fu / Jeet<br />

Kuen / Maphilindo Silat / Filipino Martial Arts / Muay Thai and/or participating, learning, training or<br />

observing any other form or martial arts or any activity whatsoever carried out during the Dan Inosanto<br />

Seminar are only allowed to do so on the distinct understanding that they do so at their own risk.<br />

5. I acknowledge and am aware that participation in the Dan Inosanto Seminar may involve extremely<br />

strenuous physical activity and to consult my doctor if I have any physical condition or impairment<br />

that may prevent me from fully participating in the Dan Inosanto Seminar before commencing and<br />

undertaking such activity. I hereby represent that, to the best of my knowledge, I am in good physical<br />

health and condition, sufficient to undertake all activities and practices during the Dan Inosanto Seminar.<br />

6. I understand that during the Dan Inosanto Seminar no photographs may be taken, and audio and<br />

video recording is strictly prohibited without prior express written consent of the Dan Inosanto<br />

Seminar Sponsors or Inosanto Academy. In addition, should I obtain prior written permission to take<br />

photographs; I agree that such photographs shall only be used by me and by no one else, for my<br />

own personal use and not for commercial gain or for any other purpose.<br />

I, of<br />

(Your name)<br />

(Address)<br />

(Postcode)<br />

(Home Phone) (Work Phone) (Mobile)<br />

(Email) (Age)<br />

DO HEREBY ACKNOWLEDGE that of my own free will and desire I submit my application to participate<br />

in the Dan Inosanto Seminar for instruction and training in martial arts (Jun Fan Gung Fu/Jeet Kuen/<br />

Maphilindo Silat/Filipino Martial Arts) activities mentioned above and that I have read and understood the<br />

warning in paragraph 5 above.<br />

Signed by the said<br />

(Signature or that of a parent/guardian if under 18years))<br />

In the presence of<br />

TERMS & CONDITIONS<br />

(Name of witness) (Signature of witness)

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