Jiu Jitsu Therapy
Liability waiver
ADULT PARTICIPANT WAIVER, RELEASE, INDEMNIFICATION, ASSUMPTION OF
RISK, AND LIMITATION OF ALL CLAIMS
NOTICE: THIS IS A LEGALLY BINDING AGREEMENT.
Read this document solicit and in entirety. By signing this agreement, you give up your right to
bring a court action to recover compensation or obtain any other remedy for any personal injury
or property damage however caused arising out of your participation in Jiu Jitsu Therapy
Company’s Programs now or at any time in the future.
In consideration of the fee paid, participant understands that there is a risk of personal injury in
the course of instruction and, with this knowledge, agrees to assume the risk of any injury and
damages to participant during training.
Specifically, participant agrees to hold harmless the Jiu Jitsu Therapy, LLC and all other
individuals, organizations, sponsors, promoters, operators, hosts, instructors, associations,
schools, owners, officials, directors, employees and other participants connected with the event
from all losses, damages, injuries, causes of actions, claims, or complaints in the event that the
participant is damaged or injured in any way during the participation, instruction and/or
performance of any exercise or during any activity associated with the event location or during
transit to or from the event.
Participant further agrees to strictly obey instructors and observe safety rules.
Because of the physical demands of this instruction, participant understands that he/she must be
in good physical condition to participate in the event. Participant understands that in case of
injury, the only medical treatment Jiu Jitsu Therapy will provide is first aid.
Participant agrees that any pictures, audio, or visual recordings taken of him/her in connection
with Jiu Jitsu Therapy can be used for publication, promotion, articles, shows and advertisement
without additional consent and without compensation at this time or any other time.
I have read and understand this release and agreement and agree to its provisions. I am not under
the influence of any drugs, alcohol, or other intoxicants. I am not suffering from any illness or
incapacity. I am over 18 years of age. (If not over 18 years of age, parent or guardian must sign.)
I HAVE CAREFULLY READ AND VOLUNTARILY SIGN THIS ASSUMPTION OF RISK,
RELEASE AND WAIVER OF LIABILITY, AND INDEMNITY AGREEMENT AND
FURTHER AGREE THAT NO ORAL REPRESENTATIONS, STATEMENTS OR
INDUCEMENT APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN
MADE. I AM AWARE THAT BY AGREEING TO THIS AGREEMENT I AM GIVING UP
VALUABLE LEGAL RIGHTS, INCLUDING THE RIGHT TO RECOVER DAMAGES FROM
COMPANY IN CASE OF ILLNESS, INJURY, DEATH OR PROPERTY LOSS OR DAMAGE.
I UNDERSTAND THAT THIS DOCUMENT IS A PROMISE NOT TO SUE AND A RELEASE
OF AND INDEMNIFICATION FOR ALL CLAIMS.
IF SIGNING ON BEHALF OF MINOR: I ALSO UNDERSTAND THAT THIS AGREEMENT
IS MADE ON BEHALF OF MY MINOR CHILD(REN) AND/OR LEGAL WARDS AND I
REPRESENT AND WARRANT TO COMPANY THAT I HAVE FULL AUTHORITY TO SIGN
THIS AGREEMENT ON BEHALF OF SUCH MINOR(S).
Participant/Parent or Guardian Signature: