D.G.C. Houston Reality-based Martial Arts and Reality Based , real world practical application Training. The best for Martial Arts in Houston. We are a combat-scenario driven training program for reality-based training that can save your life.    

DGC Online Application Form

All potential students must complete an application and consent to a background investigation before they will be allowed to train at Dark Gift Combat or the AFTC. Anyone under the age of 18 must have a parent agree to and sign the application/agreement. After filling out the application, a DGC representative will contact you within 48 hours.
 
GENERAL INFORMATION
     
Which programs do you wish you apply for? Check all that apply:
     
Reality Based Martial Arts      AFTC Seminar(s)      Private Training      Micro Camps & Other Seminars
     
First Name:
 
Last Name:
 
Street Address:
 
 
City:
 
State:
 
Postal Code:
 
Phone:
 
Email:
 
Date of Birth:
 
Occupation:
 
     
     
EMERGENCY CONTACT
     
Name:  
Phone:  
Address:  
Relationship:  
     
Name:  
Phone:  
Address:  
Relationship:  
   
 
DECLARATIONS
     
Have you ever been convicted of a felony?  


If yes, please explain:  
     
Are you, or have you ever been, associated with gangs, extremists, or hate groups.  

  

If yes, please explain:  
   
Are you Prescribed any drugs, which may impair reaction time or judgment?
 


     
Have you ever suffered any incapacity requiring medical attention in the past 12 months?
 


If yes, how so:
 
     
Name and identify any physical impairments, injuries, or medical condidtions that currently affect you:
 
   
Are you aware of any health problem(s) that you have that, in the interests of your safety, the studio should be advised of?  


If yes, please explain:  
     
 
MARTIAL ARTS HISTORY
     
Have you ever studied martial arts before?  

    

If yes, please list the style(s), level achieved, and the number of years you studied:  
     
     
INTERVIEW QUESTIONNAIRE
     
Why do you wish to train at Dark Gift Combat?  
     
At what point to you consider a fight to be over?  
     
     
AGREEMENT
     

I, the applicant, do hereby voluntarily submit my application for attendance and participation at DARK GIFT COMBAT, LLC. ("FACILITY") and/or the AFTC - ADVANCED FIELD TRAINING CENTER ("OUTDOOR FACILITY") and do hereby assume full responsibility for any and all damages, injuries, or losses that I may sustain or incur, if any, while attending or participating, and I hereby waive all claims against the Instructors, Assistant Instructors , or sponsors of said FACILITY and OUTDOOR FACILITY  individually or otherwise, for any claim for injuries that I might sustain, I fully understand that any medical treatment given me will be of a first aid treatment only. I understand that the fee paid is non-refundable.

STUDENT WAIVER/RELEASE FORM
(“AGREEMENT”)

IN CONSIDERATION of being permitted to participate in any way in any Dark Gift Combat L.L.C.. activity (“Activity”) I, for myself, my personal representatives, assigns, heirs, and next of kin:

  • ACKNOWLEDGE, agree, and represent that I understand the nature of the Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I further agree and warrant that if at anytime I believe conditions to be unsafe, I will immediately discontinue further participation in the Activity.
  • FULLY UNDERSTAND that: (a) ATHLETIC ACTIVITIES INVOLVE RISK AND DANGER OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH (“RISKS”); (b) these Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the Activity, the condition in which the Activity takes place, or THE NEGLIGENCE OF THE “RELEASES” NAMED BELOW; (c) there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COST, AND DAMAGES I incur as a result of my participation or that of the minor in the Activity.
  • HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE Dark Gift Combat L.L.C., including it’s representatives, the related affiliated and subsidiary companies, as well as officers, Instructors, assistant Instructors, employees, I herein FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASES” OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS, NEGLIGENT SECURITY, TRAVEL, AND RECREATIONAL OPERATIONS AND ACTIVITIES; AND I FURTHER AGREE that if, despite the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OR RISK, AND HARMLESS EACH OF THE RELEASES from any litigation expenses, attorney fees, loss, liability, damager, or cost which any may incur as the result of such claim.

I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OR ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.

MINOR RELEASE

AND I, THE MINOR’S PARENTS AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF ALTHETIC ACTIVIES AND THE MINOR’S EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACITIVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEE’S FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR’S ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEE’S” OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATION AND FURTHER AGREE THAT IF, DESPITE THIS RELEASE, I, THE MINOR, OR ANYONE ON THE MINOR’S BEHALF MAKES A CLAIM AGAINST ANY OF THE RELEASEES NAMED ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE, OR COST ANY MAY INCUR AS THE RESULT OF ANY SUCH CLAIM.

     
By checking this box I consent to a background investigation and agree to the terms listed above.
I certify that all information that I have entered is accurate and true to the best of my knowledge.
   
 

 


 
© Dark Gift Combat Fighting System, 2008