Modern Combat Martial Arts · Vian Wellness
Women’s Self-Defense Workshop — Waiver
Required before participating · Saturday, October 17, 2026 · 1:00–5:00 PM
1 · The Full Waiver Document
If the document doesn’t display, open it here: Vian Wellness Informed Participation & Consent Agreement (PDF)
2 · Your Information
Full Name * Phone Email *
3 · Health & Safety Disclosure
Please tick anything that applies to you. You can discuss details privately with the instructor before the session.
4 · Acknowledgment & Signature
I have read the complete Vian Wellness Informed Participation, Risk Acknowledgment and Consent Agreement shown above and understand its contents.
I understand the activities involve physical movement and ordinary and inherent risks, and I choose to participate voluntarily and within my own abilities.
I agree to disclose any injury, condition or circumstance that could affect my safe participation, and to stop or modify any activity if I experience pain, dizziness or discomfort.
By typing your full name below and submitting, you agree to the terms of the waiver. Your typed name serves as your electronic signature.
Electronic Signature (type your full name) *
I Agree — Submit Waiver
