Self-Defense and Fitness Classes













I understand that participation in the above activity or event may be hazardous for the above-named participant.

In agreeing below, I assume the risk of harm or injury which may occur to the participant as a result of participating in the above-named event or activity. I hereby release HUSAIN ABDUL-WAHAAB AND ISLAMIC CENTER OF FULLERTON (515 W. Valencia Dr. Fullerton, CA, 92832) and its Business owner, landlord, officers, employees, event participants, and agents from any liability, costs, and damage resulting in this individual’s participation, whether the participant is a minor and/or adult.

I give consent for the minor and/or adult to participate in the event or activity.

I also give my consent for the ISLAMIC CENTER OF FULLERTON and/or HUSAIN ABDUL-WAHAAB to give emergency treatment for the minor and or adult, if necessary, and I agree to accept financial responsibility for the costs related to this emergency treatment.

If for any reason, the participant misses any days, after the participant has paid, there will be no refund or make-up days.
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