Trial Sign-up Form

SUBMISSIONS BRAZILIAN JIU JITSU ACADEMY INC.

Waiver and Release of Liability for Brazilian Jiu-Jitsu Classes

Participant Information:

Full Name: {name} 

Date of Birth: {dob}

Address: {address}

Phone Number: {phone}

In consideration of being allowed to participate in Brazilian Jiu-Jitsu classes at Submissions Brazilian Jiu Jitsu Academy, the undersigned hereby acknowledges and agrees to the following:

1. Assumption of Risk: I am aware that participating in Brazilian Jiu-Jitsu involves physical contact, strenuous physical activity, and inherent risks, including but not limited to injuries, strains, sprains, fractures, or more serious injuries.
2. Health and Fitness: I certify that I am physically fit to participate in Brazilian Jiu-Jitsu classes and have no medical conditions that would prohibit my participation. I understand that it is recommended to consult a physician before beginning any new exercise program.
3. Release of Liability: I, on behalf of myself, my heirs, executors, administrators, and assigns, do hereby release, discharge, and hold harmless Submissions Brazilian Jiu Jitsu Academy, its owners, instructors, employees, and representatives from any and all liability, claims, demands, actions, or causes of action arising out of any injuries or damages sustained by me while participating in Brazilian Jiu-Jitsu classes.
4. Photography and Likeness Release: I hereby grant Submissions Brazilian Jiu Jitsu Academy permission to use any photographs, videos, or recordings of me taken during classes for promotional and marketing purposes.
5. Emergency Medical Treatment: In the event of an injury or medical emergency, I hereby authorize Submissions Brazilian Jiu Jitsu Academy to secure medical treatment for me. I understand that any expenses incurred will be my responsibility.

By signing below, I acknowledge that I have read, understood, and agreed to the terms and conditions outlined in this waiver.

Date: {sign_date} (Participant's Legal Guardian, if under 18)

Printed Name: