LIABILITY WAIVER AND RELEASE OF CLAIMS
This agreement is entered into by {name}, born {dob}, residing at {address}, with phone number {phone}.
In consideration of being permitted to participate in activities at 210 Jiu Jitsu & MMA, including but not limited to Brazilian Jiu-Jitsu, grappling, wrestling, mixed martial arts (MMA), striking, conditioning, open mat, seminars, and use of facilities, I agree to the following:
ASSUMPTION OF RISK
I understand that martial arts and combat sports involve inherent risks that may result in serious injury, permanent disability, paralysis, or death. Risks include, but are not limited to:
• Sprains and strains
• Fractures
• Dislocations
• Concussions
• Cuts and bruises
• Catastrophic injury
I knowingly and voluntarily assume all risks, both known and unknown, even if arising from the negligence of others.
INJURY ACKNOWLEDGEMENT
I acknowledge that physical contact, joint locks, chokes, takedowns, throws, and striking techniques present a risk of injury. I understand that:
• Injuries are an inherent possibility
• Safety measures reduce but do not eliminate risk
• I am responsible for monitoring my own physical condition
I accept full responsibility for any injury sustained.
RELEASE AND WAIVER OF LIABILITY
TO THE FULLEST EXTENT PERMITTED BY TEXAS LAW, I HEREBY RELEASE, WAIVE, AND DISCHARGE 210 JIU JITSU & MMA, ITS OWNERS, OFFICERS, INSTRUCTORS, COACHES, STAFF, MEMBERS, AGENTS, AND AFFILIATES FROM ANY AND ALL CLAIMS, DEMANDS, DAMAGES, OR CAUSES OF ACTION ARISING OUT OF OR RELATED TO:
• PERSONAL INJURY
• PROPERTY DAMAGE
• WRONGFUL DEATH
INCLUDING CLAIMS ARISING FROM THE NEGLIGENCE OF THE RELEASED PARTIES.
INDEMNIFICATION AND HOLD HARMLESS
I agree to indemnify, defend, and hold harmless 210 Jiu Jitsu & MMA from any claims, liabilities, damages, or expenses (including attorney’s fees) arising from:
• My participation
• My actions or omissions
• Breach of this agreement
MEDICAL CONSENT
I authorize 210 Jiu Jitsu & MMA to obtain emergency medical treatment if necessary.
Emergency Contact Name: {contact_name}
Emergency Contact Phone: {contact_phone}
Relationship: {contact_relation}
I accept financial responsibility for any medical care provided.
GYM RULES AND SAFETY
I agree to follow all gym rules, safety protocols, and instructor directions. I understand that unsafe behavior may result in suspension or termination.
I agree to comply with gym policies and safety rule
MEDIA RELEASE (OPTIONAL)
I grant permission for photographs and/or video recordings taken during training or events to be used for promotional purposes.
I consent to media use
MEMBERSHIP DETAILS (IF APPLICABLE)
Membership Title: {membership_title}
Start Date: {start_date}
Duration: {membership_duration}
Fees: {membership_fees}
Recurrence: {membership_recurrence}
GOVERNING LAW
This agreement shall be governed by and construed in accordance with the laws of the State of Texas.
SEVERABILITY
If any provision of this agreement is found unenforceable, the remaining provisions shall remain in full force and effect.
VENUE
Any dispute arising from this agreement shall be resolved exclusively in the courts of the State of Texas.
ACKNOWLEDGEMENT AND SIGNATURE
I confirm that I have read this agreement, understand its terms, and sign voluntarily.
Signature Name:
Signature Date: {sign_date}
MINOR PARTICIPANT SECTION (IF APPLICABLE)
I am the parent or legal guardian of the minor participant {first_name}. I consent to their participation and agree to all terms of this waiver on their behalf.
Guardian Name:
Date: {sign_date}