Alive Jiu Jitsu LLC
Waiver of Liability and Photo Release
Member Info:
I, as member or legal guardian of member or participant, hereby understand and acknowledge that the training, programs and events held by Alive Jiu Jitsu LLC involve physical contact and inherent risks, including but not limited to accidents, injury of any nature, illness, paralysis, disability or even death. I assume all risk associated with participation, including but not limited to falls, contact with other participants, effect or affect on me as a result of my participation, action or inaction of others, condition of the mats, the conduct of non participants, the effects of the weather, including high heat and or humidity and all other such risks or negligence of any kind either known or foreseen by me, as member or legal guardian of member or participant.
I, on behalf of myself or as legal guardian of member participating, acknowledge that I am physically fit and mentally capable of performing the physical activity chosen to participate in.
I, on behalf of myself or as legal guardian of member participating, represent and warrant that a licensed physician has been consulted and that I am in good health and that there are no physical or psychological concerns that would endanger my well-being or that of other participants or instructors.
I, on behalf of myself or as legal guardian of member or participant, having read this waiver and knowing these facts, and in consideration of acceptance of my participation and Alive Jiu Jitsu LLC services to me, I agree, for myself and anyone entitled to act on my behalf, to HOLD HARMLESS, WAIVE, INDEMNIFY AND RELEASE Alive Jiu Jitsu LLC , its officers, agents, employees, contractors, organizers, representatives, and successors from any responsibility, damages, losses, liabilities, medical or attorney fees, demands or claims of any kind arising out of my participation in the Alive Jiu Jitsu LLC training, programs and or events.
I, on behalf of myself or as legal guardian of member or participant, as do hereby give Alive Jiu Jitsu LLC, its assigns, licensees, and legal representatives the irrevocable right to use my name, video, picture, portrait, or photograph in all forms and media and in all manners, including composite, for advertising, for publication or any other lawful purposes, and I waive any right to inspect or approve the finished product, including written copy, which may be created in connection therewith.
I, on behalf of myself or as legal guardian of member or participant, as do hereby certify and declare that I will release and forever hold free and discharge from any liability Alive Jiu Jitsu LLC and each of its officers, agents, employees, contractors, organizers, representatives, and successors of and from all claims, demands, responsibility, damages, losses, liabilities, medical or attorney fees, rights and causes of action of any nature whatsoever which may have or which may hereafter accrue to me, arising from and by reason of any and all bodily or personal injury, damage to property or loss and any consequence thereof, whether known or unknown, seen or unforeseen, resulting from any participation in Alive Jiu Jitsu LLC, its persons and entities mentioned above.
It is further understood that this waiver, release and assumption of risk is forever binding on my heirs or assigns.
By my signature, I indicate that I have read and understand this Waiver of Liability and Photo Release. I am aware that this is a waiver and a release of liability and I voluntarily agree to its terms.
Parent/Guardian Signature if under 18 years of age.