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------Self Defense Registration and Waiver----
Saturday October 17, 2026
@ 9am-1pm
Hosted by the Southfield Civic Center Parks and Recreation
26000 Evergreen Rd.
Southfield MI 48037-2055

Oakland County Women's Self Defense Awareness Program

-----Self Defense Registration and Waiver ----
Saturday February 21, 2026
@ 9am - 1pm
Southfield Civic Center
Parks and Recreation Rm 115
26000 Evergreen Rd. Southfield MI 48037

Thank you for choosing to spend your time with us at the Oakland County Sheriff's Office Women's Self Defense Program.

Please complete a separate registration and waiver for each participant.

Thank you and we are looking forward to seeing you in class.
1.What is your name and contact information?  (Actual participant regardless of age.)
2.Are you under 18 years old?
3.If you answered YES to #2 please provide your parent or guardian's name and a contact phone number.
4.Release and Waiver of Liability Agreement (18 years and older)

I have voluntarily elected to participate in the Oakland County Women’s Self-Defense Awareness Program (“Program”) offered by the Oakland County Sheriff’s Office.

 

In consideration of participation in the Program, I agree to this Release and Waiver of Liability Agreement (hereinafter “Agreement”). I understand the Program involves physical activity and all physical activity carries a risk of injury.  I understand I am solely responsible for monitoring my physical condition before, during, and after the Program. I understand I am responsible for my level of participation in the Program and I may stop participation in the Program at any time.  I understand if I am uncertain about my ability to participate in the Program, I should consult a physician before attending the Program.

 

I recognize and accept the risk of injury associated with the Program.  I acknowledge I am solely responsible for and assume all risk of injury, of any kind, that might occur, arise out of, or stem from participation in the Program.  I agree to waive, release and discharge the County of Oakland and its elected and appointed officials, officers, staff, agents, employees, volunteers (referred to collectively herein as the “County”) from all liability, damages, injuries, claims or demands because of injury to me, including death, arising out of or in any way connected to participation in the Program, whether caused by the County, me, or any other individual.

 
I have read and voluntarily sign this Agreement.  This Agreement constitutes the entire agreement.  There are no other agreements modifying its terms.  I acknowledge no one has made any representations to me that are not expressly stated in this Agreement.  Any modifications to this Agreement must be made in writing and signed by me and a duly authorized officer of the County and must specifically refer to and expressly amend this Agreement.
5.Release and Waiver of Liability Agreement (UNDER 18 years old)

I am the Parent/Guardian and consent that my minor person she/he has voluntarily elected to participate in the Oakland County Women’s Self-Defense Awareness Program (“Program”) offered by the Oakland County Sheriff’s Office.
 

In consideration of participation in the Program, I, as the Minor’s parent/guardian, agree to this Release and Waiver of Liability Agreement (hereinafter “Agreement”). I understand that the Program involves physical activity and all physical activity carries a risk of injury.  I understand I am solely responsible for monitoring the Minor’s physical condition before, during, and after the Program.  I understand I am responsible for the Minor’s level of participation in the Program and the Minor may stop participation in the Program at any time.  I understand if I am uncertain about the Minor’s ability to participate in the Program, I should consult a physician before the Minor attends the Program.
 

I recognize and accept the risk of injury associated with the Program.  I acknowledge I am solely responsible for and assume all risk of injury, of any kind, that might occur, arise out of, or stem from the Minor’s participation in the Program.  I agree to waive, release and discharge the County of Oakland and its elected and appointed officials, officers, staff, agents, employees, volunteers (referred to collectively herein as the “County”) from all liability, damages, injuries, claims or demands because of injury to the Minor, including death, arising out of or in any way connected to participation in the Program, whether caused by the County, the Minor, or any other individual.

 

If, despite the above waiver, I, the Minor, or anyone on the Minor’s behalf makes a claim against the County, I agree to defend, indemnify, and hold harmless the County from any litigation expenses, attorney fees, losses, liabilities, damages, judgments, or other costs incurred by the County due to the claim made against the County, whether the claim is based on the acts or omissions of the County or otherwise.

 

The Minor and I have read and voluntarily sign this Agreement.  This Agreement constitutes the entire agreement.  There are no other agreements modifying its terms.  I acknowledge no one has made any representations to me that are not expressly stated in this Agreement.  Any modifications to this Agreement must be made in writing and signed by me and a duly authorized officer of the County and must specifically refer to and expressly amend this Agreement.

6.Do you feel healthy and able to participate in class on your registered date?
7.May we contact you one time after class to complete a class evaluation at the email or cell phone number you provided?
8.If yes to #8, Is Email or cell phone better?
Current Progress,
0 of 8 answered