J-Crew Jiu-Jitsu, LLC Waiver Form
NOTICE: THIS IS A LEGALLY BINDING CONTRACT: READ IT CAREFULLY BEFORE SIGNING
STUDENT RELEASE OF LIABILITY, WAIVER OF LEGAL RIGHTS, AND ASSUMPTION OF RISK
In considerations for the opportunity to learn at the premises of J-Crew Jiu-Jitsu, in the furtherance of Jiu-Jitsu, Muay Thai, boxing, weightlifting, and general exercise (hereinafter collectively called “Mixed Martial Arts”).
I hereby acknowledge that Mixed Martial Arts is an action sport and carries inherent extreme risks of injury and illness (communicable diseases such as Ringworm and Staph Infection). I realize that those risks for injury involve, but are not limited to: falls from or contact with walls or equipment, bad decisions made by me or others, inattention of other participants, improper or incorrect use and or application of techniques of submission or other means of self-defense and /or fighting. I acknowledge that the above list does not include all possible risks associated with Mixed Martial Arts and I agree the extent of this release is in no way limited by this list.
Initials
I voluntarily assume all such physical and legal risks with the full knowledge and appreciation of the danger and risk of personal injury, which may occur while I am in the facilities or participation of any event, tournament, competition or program, or while I am participating in Mixed Martial Arts anywhere at any time, whether or not under the supervision of J-Crew Jiu-Jitsu instructors.
I hereby knowingly and intentionally waive and release, and agree to indemnify, hold harmless, and defend J-Crew Jiu Jitsu, LLC, its successors, assigns, officers, employees, representatives, instructors, agents from all liability for any such damage, illness, injury, paralysis, or death which may result from my participation in Mixed Martial Arts. This release shall be effective even though said loss, damage, illness or injury results or has resulted from negligence, wrongful acts, omissions, breach of warranty, or strict tortious liability of J-Crew Jiu Jitsu, LLC and/or the other parties are herein released.
Initials
I understand that this release is a contract. All releases provided herein by me shall be effective and binding upon my assigns, heirs, representatives, executors, and administrators, I expressly state that I have read, understand, and am familiar with and consent to all of its provisions and I sign it willingly.
I understand that at any time anywhere J-Crew Jiu Jitsu, LLC may have photography, video or audio captured for use on but not limited to social media, television, radio, publication, print, internet, or media for the purpose of but not limited to promotion, sale, instruction, or storage. I waive the right to compensation, or right to my representation, image or likeness. I will not capture any media for any use other than personal use and will not use any media for monetary gain with the express permission is obtained from J-Crew Jiu Jitsu, LLC.
I am at least 18 years of age, legally competent to sign this Agreement or the parent/legal guardian on behalf of my minor child.
I recognize that there are physical demands Mixed Martial Arts and have been advised to consult a physician prior to taking part in this program.
Participant Name
Participant Signature (if a minor, parent/legal guardian must sign)