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Release of Liability

🛡️ Important: Release of Liability                                       Form Required

To ensure the safety and understanding of all participants, everyone attending the Self-Defense Class must complete and submit a Release of Liability Form prior to participating in the session.

This form is a standard requirement and helps us maintain a safe and respectful environment for all.

✅ Please complete the form before the class begins.
📄 Forms will be available online and in person on the day of the event.
💡 Participants under 18 must have the form signed by a parent or legal guardian.

Thank you for your cooperation and commitment to safety!

If you have any questions or need assistance, feel free to contact Brenda Nova at (702) 518-7416.

Release of Liability

Read Carefully - This Affects Your Legal Rights

In exchange for participation in the activity of Self-Defense Class organized by Empower Purpose, of 3912 Camryn Holly Street, Las Vegas, Nevada, 89129 and/or use of the property, facilities, and services of Empower Purpose, I,

agree for myself and (if applicable) for the members of my family, to the following:


1. Agreement To Follow Directions. I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by Empower Purpose, or the employees, representatives, or agents of Empower Purpose.


2. Assumption of the Risks and Release. I recognize that there are certain inherent risks associated with the above-described activity and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge Empower Purpose for injury, loss, or damage arising out of my or my family's use of or presence upon the facilities of Empower Purpose, whether caused by the fault of myself, my family, Empower Purpose or other third parties.


3. Indemnification. I agree to indemnify and defend Empower Purpose against all claims, causes of action, damages, judgments, costs, or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family's use of or presence upon the facilities of Empower Purpose.


4. Fees. I agree to pay for all damages to the facilities of Empower Purpose caused by any negligent, reckless, or willful actions by me or my family.


5. Applicable Law. Any legal or equitable claim that may arise from participation in the above shall be resolved under Nevada law.


6. No Duress. I agree and acknowledge that I am under no pressure or duress to sign this agreement and that I have been given a reasonable opportunity to review it before signing. I further agree and acknowledge that I am free to have my own legal counsel review this agreement if I so desire. I further agree and acknowledge that Empower Purpose has offered to refund any fees I have paid to use its facilities if I choose not to sign this agreement.


7. Arm's Length Agreement. This agreement and each of its terms are the product of an arm's length negotiation between the Parties. In the event any ambiguity is found to exist in the interpretation of this agreement or any of its provisions, the Parties, and each of them, explicitly reject the application of any legal or equitable rule of interpretation which would lead to a construction either "for" or "against" a particular party based upon their status as the drafter of a specific term, language, or provision giving rise to such ambiguity.


8. Enforceability. The invalidity or unenforceability of any provision of this agreement, whether standing alone or as applied to a particular occurrence or circumstance, shall not affect the validity or enforceability of any other provision of this agreement or of any other applications of such provision, as the case may be. Such invalid or unenforceable provision shall be deemed not to be a part of this agreement.


9. Emergency Contact. In case of an emergency, please call

I HAVE READ THIS DOCUMENT AND UNDERSTAND IT. I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.

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Empower Purpose

"In the midst of the chaos, wars, and illnesses affecting our world today, we believe it's a time for unity rather than criticism or judgment. It's a time to come together, share our stories, and offer support and comfort to one another. Let's spread love and hope. Together, we can make a difference and create a better tomorrow."

Brenda M Nova

Email: empowerpurpose.org@hotmail.com

Phone: (702) 518-7416

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