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Please complete the form, then click submit.

Please complete the form, then click submit.

            By typing my name, information, and signing below, I agree to the terms and conditions of this Hold Harmless and Liability Waiver, acknowledge that I have read and understand the disclosures provided below, and agree to accept electronic and telephone communication from Armored Self Defense, LLC.   If also signing for a minor, simply add their name(s) and birthday(s) to the optional boxes in the form below.  By entering my information below, I certify that the information is correct to the best of my knowledge and I am indeed the individual entering the information.

            By typing my name, information, and signing below, I agree to the terms and conditions of this Hold Harmless and Liability Waiver, acknowledge that I have read and understand the disclosures provided below, and agree to accept electronic and telephone communication from Armored Self Defense, LLC.   If also signing for a minor, simply add their name(s) and birthday(s) to the optional boxes in the form below.  By entering my information below, I certify that the information is correct to the best of my knowledge and I am indeed the individual entering the information.

Armored Self Defense, LLC. Liability Waiver & Terms/Conditions Form
(DBA Armored Team Building)

Armored Self Defense, LLC. Liability Waiver & Terms/Conditions Form
(DBA Armored Team Building)

To the best of my knowledge, I am in good physical condition and fully able to participate in this course.  I am fully aware of the risks and hazards connected with the participation in Krav Maga and related drills and exercises, including physical injury or even death, and herby elect to voluntarily participate in said event, knowing that the associated physical activity may be hazardous to me and my property.  I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OR LOSS, PROPERTY DAMAGE, OR PERSONAL INJURY, including death, that may be sustained by me, or loss or damage to property owned by me, as a result of participation in this course.  I further certify that I am at least 18 years of age.


If under 18, my parent/guardian is the below signed and is signing their agreement that they understand that they are responsible for ensuring my adherence to the below restrictions and requirements and that I am of adequate maturity to receive this training experience.  Armored Self Defense can provide an opinion, but can not take responsibility for determining if minors are mature enough to be exposed to training.  This responsibility lies with the parent/guardian.  For parent/guardians that are signing for minors, all “I” statements contained below are to be read as “my child” and this phrase shall be inclusive of any legal guardian relationship which allows for such legal signing. 


The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.

Armored Self Defense, LLC (ASD) has put in place preventative measures to reduce the spread of COVID-19; however, ASD cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending ASD group classes could increase your risk and your child(ren)’s risk of contracting COVID-19.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending ASD and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Club may result from the actions, omissions, or negligence of myself and others, including, but not limited to, ASD employees, volunteers, and program participants and their families.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at ASD. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless ASD, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of ASD, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any ASD class or program.


I hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE, Armored Self Defense, LLC (hereinafter referred to as ASD), Connie Chesner, Travis Cook, and their officers, servants, agents, and employees (hereinafter referred to as RELEASEES) from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, while participating in physical activity, or while on or upon the premises where the event is being conducted.


I realize that training and instruction in these services comes with my personal responsibility to prudently engage these skills and lessons based on my own judgments and that Armored Self Defense, LLC or it’s representatives can not be held responsible in any way for my decisions to engage in self defense actions outside of the formal training sessions.  During training sessions, I must adhere to all instructions and advice of the instructor at all times.  I realize that laws differ across geographies and therefore I must know the law and abide by those requirements in my decisions at all times.  Any advice, instruction, or other information conveyed in sessions is for educational and informational purposes only and shall not be considered legal advice or endorsement of any action I take outside of the trainings session.  Decisions to engage in self defense actions involve certain inherent risks and should be taken only when I personally deem them necessary and I realize that I take full personal responsibility for engaging these actions. 


I realize that training is an individual journey and subject to many factors, therefore no guarantees of skills gained or proficiency can be provided.  My instructors may record progress based on common markers of fitness and skills for my informational purposes only.  I agree to wear appropriate clothing and footwear for training and realize that some training experiences may occur on outdoor or uneven surfaces.  I am responsible to arrive on time and ready to participate and that session times will not be extended if I arrive late.  It is my responsibility to train safely at all times and to request additional information or instruction if I am unsure of any activity. 


It is my expressed intent that this release and hold harmless agreement shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representative, if I am deceased, and shall be deemed as a RELEASE, WAIVE, DISCHARGE, and CONVENTION TO SUE the above named RELEASEES.  I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be constructed in accordance with the laws of the State of North Carolina.


I also grant Releases and his/her legal representatives and assigns, the irrevocable and unrestricted right to use and publish photographs of me, or in which I may be included, for editorial, trade, advertising, and any other purpose and in any manner and medium, without compensation; and to alter and composite the same without restriction and without my inspection or approval. I hereby release Photographer and his/her legal representatives and assigns from all claims and liability relating to said photographs.



WHEREAS, ASD has developed and possesses certain trade secrets and proprietary and confidential technical and business information relating to professional development processes which are proprietary to the company, including, but not limited to approaches, models, concepts, theories and other information. WHEREAS, during the course of training, ASD may disclose certain proprietary and confidential information in support and furtherance of such activities NOW, THEREFORE, it is agreed as follows:

1. PARTICIPANT hereby agrees to keep in strictest confidence and not use for himself or disclose to any third party any confidential and proprietary information disclosed by ASD during the course of the training, except as hereinafter provided. Such confidential and proprietary information may be disclosed only to such employees of the PARTICIPANT’s organization who have a need to know such information for the purpose for which it was disclosed and who have secrecy obligations to the PARTICIPANT. PARTICIPANT agrees to protect the confidential information using the same degree of care with which they protect their own confidential information, but in no event less than reasonable care.

2. PARTICIPANT hereby recognizes as the exclusive property of ASD all proprietary and confidential information disclosed to PARTICIPANT by ASD.

3. The obligations set forth in Paragraphs 1 and 2 above shall not in any way restrict or impair the right of PARTICIPANT to disclose and use the following:

(a) Information which at the time of disclosure is published or is otherwise in the public domain;

(b) Information which after disclosure becomes part of the public domain otherwise than through a breach of this Agreement by PARTICIPANT;

(c) Information which was known to PARTICIPANT prior to receipt from ASD, provided such prior knowledge can be adequately substantiated by documentary evidence antedating the disclosure by PARTICIPANT;

(d) Information which becomes known to PARTICIPANT from a source which legally derives such information independently of ASD under this Agreement; or

(e) Information which is independently developed by the PARTICIPANT and PARTICIPANT can so prove.

4. No right or license whatsoever, expressed or implied, is granted by ASD to PARTICIPANT pursuant to this Agreement under any patent, patent application, copyright, trademark or other proprietary right, now or hereafter owned or controlled by ASD.

5. PARTICIPANT shall not make any copy or in any way reproduce or excerpt such Proprietary Information except where necessary for the purpose of this Agreement or as authorized by ASD in writing. Any such copies shall include the ASD’s proprietary notice.

6. If for any reason any provision of this Agreement is found to be unenforceable, such provision and the remainder of this Agreement shall be enforced to the extent possible.

7. Unless otherwise agreed to in writing, PARTICIPANT shall have no obligations of secrecy under this Agreement after three (3) years from the date of disclosure.


In signing this release, I acknowledge and represent that I HAVE READ THE FOREGOING Waiver of Liability, Confidentiality Agreement for Training, and Hold Harmless Agreement, UNDERSTAND IT AND SIGN IT VOLUNTARILY as my own free act and deed; no oral representations, statements or inducements, apart from the foregoing written agreements have been made; and I EXECUTE THIS RELEASE FOR FULL, ADEQUATE AND COMPLETE CONSIDERATION FULLY INTENDING TO BE BOUND BY SAME.  I UNDERSTAND THAT MY ELECTRONIC SIGNATURE BY COMPLETION ONLINE CAN BE UTILIZED IN THE SAME MANNER AS A PEN/INK SIGNATURE ON PAPER FOR CONFIRMATION OF AGREEMENT TO THESE TERMS. 



In addition to the above, I understand that if I am purchasing sessions or self defense training through Armored Self Defense, LLC, that session block purchases are non-refundable and non-transferable.  I understand that session credits expire six months from the date of purchase and that unused credits have no cash value and can not be extended.  Furthermore, I understand that sessions are generally scheduled around one week in advance and due to reserved date/time planning, that cancellations, rescheduling, or other issues that cause me (as the client) to change those plans less than 48 hours before the session will result in the loss of session credits equivalent to the number of participants I am rescheduling for that original time block.  It is my responsibility to provide a valid email address and textable phone number for communication and to ensure that the “” email extension is not going to spam folders.  I also understand that the staff of Armored Self Defense, LLC travels from time to time and that sessions are not available when they are out of town.  It is my responsibility to schedule sessions at mutually agreeable dates and time to allow for the use of my purchased sessions before they expire.  I am also responsible for obtaining and wearing appropriate protective equipment and gear as I deem necessary for my own safety and practice.                                                      336.749.7556

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