I am licensed in my state, province or country to practice acupuncture and herein as participant, hereby release AcuSport Education, dba AcuSport Seminar Series, Inc., herein as Matt Callison L.Ac., from any and all liability of techniques (needle techniques, manual therapies, etc.) taught by Matt Callison L.Ac., faculty, co-teachers, assistants, and employed instructors, and learned and performed by the participant during and after each course offered in the Sports Medicine Acupuncture Certification (SMAC) program.
I hereby release and hold harmless Matt Callison L.Ac., and/or his assistants/representatives as set forth above, as well as the seminar venue West Coast College of Massage Therapy, from any liability by virtue of any physical injury to other seminar participants or clientele treated by said participant due to needle techniques or manual therapies performed by the participant taking the seminar or by any other injury that may occur on or off of these premises. Further, by agreeing to this release of liability, I can show proof that I am currently a licensed acupuncturist and that I possess and am covered by a current professional liability insurance policy.
If I am an attending student, I hereby release and hold harmless Matt Callison L.Ac. and/or his assistants, as well as the seminar venue, West Coast College of Massage Therapy, or representatives, of any liability if I, under my own discretion participate in the needling of this course. I, as a student, further take all responsibility in keeping current with all regulations concerning students needling in this seminar and will not hold AcuSport Education, Matt Callison L.Ac. and/or all affiliates liable for repercussions against said student.
I give permission for any images taken or recorded of me during the in person, live-gathering workshops by photo, audio and/or video. These images are owned by Matt Callison and he has full rights to use these images for commercial and educational purposes.
By clicking on the agreement box at the bottom of the Registration Form below, I affirm that I have read this release and that I fully understand and agree to its terms.