GROUND UP BRAZILIAN JIU-JITSU ACADEMY, LLC.
Martial Arts Warning, Waiver, Release of Liability, Assumption of Risk and Agreement to Participate.
This release and waiver of liability (the “release”) releases GROUND UP BRAZILIAN JIU-JITSU ACADEMY, LLC instructors, ETHAN CONRAD PROPERTIES, Landlord & other students. The student desires to voluntarily engage in martial arts class. Student is responsible for his own insurance coverage in the event of personal injury or illness as a result of the classes. THIS AGREEMENT MUST BE SIGNED BY ALL MEMBERS WHO WISH TO PARTICIPATE IN ANY GROUND UP BRAZILIAN JIU-JITSU ACADEMY, LLC BRAZILIAN JIU-JITSU ACADEMY, LLC EVENT AND CLASS.
Waiver and Release: I, the Student, release and forever discharge and hold harmless GROUND UP BRAZILIAN JIU-JITSU ACADEMY, LLC BRAZILIAN JIU-JITSU ACADEMY, LLC instructors, ETHAN CONRAD PROPERTIES, Landlord & other students and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from martial arts training. I understand and acknowledge that this Release discharges the above named from any liability or claim that I may have against GROUND UP BRAZILIAN JIU-JITSU ACADEMY, LLC BRAZILIAN JIU-JITSU ACADEMY instructors, staff, members, ETHAN CONRAD PROPERTIES, Landlord & other students with respect to bodily injury, illness, death, or property damage that may result from the martial arts training or occurring while I am engaged in martial arts training.
Insurance: Further, I understand that GROUND UP BRAZILIAN JIU-JITSU ACADEMY, LLC BRAZILIAN JIU-JITSU ACADEMY, LLC instructors, ETHAN CONRAD PROPERTIES, Landlord & other students do not assume any responsibility for or obligation to provide me with financial or other assistance, including, but not limited to medical, health or disability benefits or insurance of any nature in the event of my injury, illness, death or damage to my property. I expressly waive any such claim for compensation or liability on the part of GROUND UP BRAZILIAN JIU-JITSU ACADEMY, LLC instructors, ETHAN CONRAD PROPERTIES, Landlord & other students in the event of such injury or medical expenses incurred by me.
Medical Treatment: I hereby Release and forever discharge GROUND UP BRAZILIAN JIU-JITSU ACADEMY, LLC instructors, ETHAN CONRAD PROPERTIES, Landlord & other students from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during my participation in the martial arts training.
Assumption of Risk: I understand that the martial arts training may include activities that may be hazardous to me including, but not limited to those activities commonly engaged in during martial arts training, involving inherently dangerous activities. As a Student, I hereby expressly assume the risk of injury or harm from these activities and Release GROUND UP BRAZILIAN JIU-JITSU ACADEMY, LLC instructors, ETHAN CONRAD PROPERTIES, Landlord & other students from all liability for injury, illness, death or property damage resulting from the martial arts training or occurring while I am engaged in the martial arts training.
Photographic Release: I grant and convey to Administrator all right, title, and interest in any and all photographs, images, video, or audio recordings of me or my likeness or voice made by Administrator in connection with my engaging in the martial arts training.
ADVISORY OF RIGHTS AND RESPONSIBILITIES - Safety is not the sole responsibility of instructors and staff. Everyone in class is responsible for their own safety and the safety of those around them.
All students have the right and responsibility to excuse themselves from any exercise they believe will be harmful to them. All students must evaluate each situation in the context of their skill and current physical condition, and conduct each drill in a manner that is safe. If an instructor gives an instruction that is unsafe for the student, it is the student’s responsibility to inform the instructor that the activity may be unsafe. The instructor will routinely excuse the student from unsafe exercises and drills. The instructor may ask for an explanation, and the student is expected to provide one.
All students have the responsibility to train and conduct themselves in a manner that helps all students and instructors remain safe. Students must give those who are training enough room to avoid interfering and avoid being accidentally struck by someone else practicing, which is especially important when others are practicing with weapons.
In the event of an injury, students have the right and responsibility to evaluate the extent of harm, stopping what they are doing even if it includes a partner, and determining if it is safe to continue. Unless a student is certain that further practice will not create or worsen a problem, all students are encouraged to stop what they are doing and inform the instructor. In the event of a serious injury or the appearance of a serious injury, all students, instructors, staff and visitors notably parents, have the right to call a stop to a particular training exercise.
If a student notes and unsafe training situation, which may include a student performing a skill incorrectly, a student not showing due regard for the safety of others, a defective piece of training equipment, a potentially dangerous obstacle or condition on the floor, or anything else that may cause or lead to harm of the students, instructors, visitors or guests, then the student is expected to correct the situation if it is within his ability or to notify an instructor or staff member immediately. If something is simple to correct, such as removing an obstacle from the floor, the student should correct the situation. If the situation may require the authority of the instructor or staff, or if it is not a simple matter, then the instructor or staff member should be notified immediately.
NOTICE OF PHYSICAL CONTACT - Complete martial arts training involves a wide variety of skills. While practicing these skills, students may have contact with any portion of the body. The groin may be the target of kicks, strikes or grabs. The chest, buttocks, groin or any part of the body may be contacted by any part of the training partner’s body during training with martial arts techniques, or incidentally contacted while performing a martial arts technique which targets another portion of the body. When male and female students train together, or when adult and minor students train together, and in any other training combination, the purpose and intent of the school, instructors and staff is to provide an environment for all students to learn and practice martial arts and self-defense. Students are expected to conduct themselves appropriately at all times to ensure the best training results for everyone.
Should any student feel that a training partner is engaging in contact beyond the scope of training, or a training partner is taking undue and unacceptable advantage of training contact, or if a student is make uncomfortable by any training exercise or partner, then that student has the right to withdraw from the exercise or drill. If the contact of a training partner appears inappropriate, the student should inform the instructor privately. If the conduct of the training partner or any training partner appears criminal, then the instructor should be informed and the authorities may be notified either by the student or the instructor, or both.
CONSENT TO PHYSICAL CONTACT - I understand the nature of physical contact in martial arts training, and I understand that I have the right to immediately withdraw from any exercise or drill in which the contact of any party seems beyond the scope of training and makes me uncomfortable. I agree to abide by the school etiquette in all manners pertaining to training, and I shall not in any way conduct myself inappropriately or take inappropriate advantage of the contact martial arts training allows.
By signing below, I express my understanding and intent to enter into this Release and Waiver of Liability willingly and voluntarily.
{name} - Full name
{occupation} - Full name
{dob} - Date of birth
{address} - Member address
{phone} - Phone number
{contact_name} - Emergency contact (if member has any)
{contact_phone} - Emergency contact phone
{contact_relation} - Emergency contact relation
{referred} - How did you hear about us?
{learn} - What are the main things you wish to learn?
{email} - Email address?
{age} - Are you over 18?
{sign_date} - Date document was signed (if applicable)
- Name of the member or guardian signing the document (if applicable)
- Member clicks to add their initials
- A box the member can optionally check
- Text input
- Required text input