I certify that I am in good physical condition and can participate in DAK BJJ practices. Participation in any athletic program includes a risk of injury which may range in severity from minor to long-term catastrophic, even death. Although serious injuries are not common in supervised athletic events, it is impossible to eliminate this risk. DAK BJJ does not screen applicants of these events for injuries, allergies or other medical conditions, which would prevent or limit their participation. It is your responsibility to evaluate your ability to participate in DAK BJJ. I authorize DAK BJJ to administer treatment in any emergency requiring medical attention. I also understand that such treatment becomes my sole financial responsibility. I hereby waive and release DAK BJJ and its instructors and employees, from responsibility for any injury or illness occurring while at DAK BJJ. This includes any transportation and emergency treatment. DAK BJJ and its staff will not administer any medication, either prescription or non- prescription.
PLEASE READ CAREFULLY BEFORE SIGNING
Dak Brazilian Jiu-Jitsu LLC (“DAK BJJ”) provides instruction and training in Brazilian Jiu-Jitsu, Mixed Martial Arts (MMA), Muay Thai, striking, grappling, sparring, drilling, conditioning, fitness activities, competitions, open mats, seminars, demonstrations, and related martial arts activities (collectively, “Activities”).
I understand that participation in these Activities involves inherent and unavoidable risks. I voluntarily choose to participate and agree to the following:
I understand that martial arts and athletic activities involve physical exertion and physical contact and may result in injury, even when reasonable safety precautions are taken and the Activities are properly supervised.
Risks may include, but are not limited to:
I understand that I may be thrown, taken down, pinned, submitted, choked, struck, kicked, or otherwise subjected to physical contact as part of training, sparring, competition, or other Activities.
I knowingly and voluntarily assume all risks, whether known or unknown, associated with my participation in the Activities.
I understand that DAK BJJ Activities involve physical contact with instructors, coaches, training partners, competitors, and other participants.
I voluntarily accept the risks associated with being physically contacted, grabbed, thrown, taken down, pinned, submitted, choked, struck, kicked, or otherwise injured by another participant during training, sparring, drilling, rolling, competition, or other martial arts Activities.
I understand that another participant or training partner may accidentally, unintentionally, or negligently cause me injury during participation in the Activities.
To the fullest extent permitted by applicable law, I agree that Dak Brazilian Jiu-Jitsu LLC, its owners, instructors, coaches, employees, independent contractors, volunteers, agents, representatives, and affiliated persons or entities shall not be held responsible or liable for injuries, illness, damages, or losses resulting from the actions, conduct, or physical contact of another participant or training partner, including injuries resulting from the ordinary risks inherent in martial arts training.
I understand that DAK BJJ cannot control every movement or action of every participant at all times and that accidents and unintended injuries can occur even when instructors and participants follow reasonable safety practices.
Nothing in this Agreement is intended to release liability that cannot legally be waived or released under applicable law, including liability arising from intentional or reckless misconduct where such liability cannot legally be released.
I represent that I am physically capable of participating in the Activities.
I understand that it is my responsibility to disclose to DAK BJJ any injury, medical condition, physical limitation, allergy, or other circumstance that may affect my ability to safely participate.
I agree to immediately notify an instructor if I experience pain, dizziness, illness, injury, or any other concerning symptom during training.
I understand that DAK BJJ does not provide medical advice, diagnosis, or treatment and that I am responsible for determining whether participation is appropriate for me.
I understand that DAK BJJ does not conduct medical examinations of participants and does not guarantee that participation is medically appropriate for any individual.
To the fullest extent permitted by applicable law, I release and agree not to sue Dak Brazilian Jiu-Jitsu LLC, its owners, instructors, coaches, employees, independent contractors, volunteers, agents, representatives, and affiliated persons or entities (collectively, the “Released Parties”) for claims, demands, damages, losses, costs, or expenses arising out of or relating to my participation in the Activities.
This release includes claims relating to personal injury, illness, disability, permanent impairment, paralysis, catastrophic injury, death, or property damage arising from the ordinary risks of participation in the Activities.
I understand that injuries may be temporary, permanent, catastrophic, life-altering, or fatal, and I knowingly accept these risks.
This release applies to Activities occurring at the DAK BJJ facility as well as DAK BJJ-related Activities occurring at competitions, tournaments, seminars, demonstrations, training events, open mats, or other locations.
To the fullest extent permitted by applicable law, I voluntarily waive and release claims arising from the ordinary negligence of the Released Parties in connection with my participation in the Activities.
This Agreement does not release any liability to the extent such release is prohibited by applicable law.
In the event of an injury or medical emergency, I authorize DAK BJJ and its representatives to seek or arrange reasonable emergency medical assistance for me when they believe it is necessary.
I understand that DAK BJJ staff are not medical professionals and that emergency medical assistance may involve contacting emergency medical services or arranging transportation to a medical facility.
I understand that I am solely responsible for all costs associated with medical care, ambulance transportation, hospital services, medications, treatment, rehabilitation, or other medical expenses resulting from my participation.
I understand that DAK BJJ and its staff will not administer prescription or non-prescription medication unless legally authorized and appropriately qualified to do so.
I authorize DAK BJJ to provide reasonable assistance in responding to an emergency and to contact my emergency contact when appropriate.
I understand that DAK BJJ is not responsible for lost, stolen, or damaged personal property brought onto or left at the facility or at DAK BJJ-related Activities, except to the extent liability cannot legally be waived.
I agree to follow all DAK BJJ rules, instructor directions, safety procedures, and facility policies.
I understand that I am responsible for controlling my actions and training intensity and for treating instructors, staff, training partners, and other members with respect.
I agree not to intentionally injure another participant.
I understand that DAK BJJ may suspend or terminate my participation or membership if I engage in unsafe, reckless, aggressive, threatening, disrespectful, or inappropriate conduct.
I understand that failure to follow instructor instructions or gym safety rules may increase the risk of injury.
I understand that no amount of supervision, instruction, protective equipment, or safety procedures can eliminate every risk associated with martial arts training.
I agree to train responsibly, follow instructor directions, use appropriate protective equipment when required, and communicate with my training partners and instructors regarding injuries, limitations, or concerns.
I understand that I am responsible for stopping participation and notifying an instructor if I believe that continuing an Activity may be unsafe for me.
If the participant is under eighteen (18) years of age, I represent that I am the participant’s parent or legal guardian and have the legal authority to provide permission for the minor to participate.
I understand that children participating in martial arts Activities are exposed to the same inherent risks described in this Agreement, including physical contact, falls, takedowns, submissions, striking, accidental contact, serious or catastrophic injury, permanent disability, paralysis, and death.
I voluntarily authorize the minor to participate in DAK BJJ Activities and acknowledge that I have been informed of the risks involved.
I understand that the enforceability of releases involving minors may be subject to specific laws and limitations, and nothing in this Agreement is intended to waive any right that cannot legally be waived on behalf of a minor.
I understand that DAK BJJ may photograph or record Activities, classes, events, competitions, and other gym-related activities for legitimate business, educational, promotional, advertising, and social-media purposes.
Unless I notify DAK BJJ in writing that I do not consent, I understand that my image or likeness may appear in photographs or videos taken during DAK BJJ Activities.
I understand that this Agreement applies to my participation in DAK BJJ Activities and remains effective for future participation unless revoked or replaced in writing where permitted by law.
I understand that this Agreement is intended to be as broad and inclusive as permitted by applicable law.
If any provision of this Agreement is determined to be invalid or unenforceable, the remaining provisions shall remain in effect to the fullest extent permitted by law.
I have carefully read this Agreement and understand its contents.
I understand that I am voluntarily participating in physically demanding martial arts Activities and that I am giving up certain legal rights by signing this Agreement.
I understand that participation may result in serious injury, permanent disability, paralysis, catastrophic injury, permanent impairment, or death.
I understand that injuries may be caused by my own actions, the actions of instructors or staff, the actions of training partners or other participants, equipment, the facility, or the inherent risks associated with martial arts and athletic activities.
I have had the opportunity to ask questions regarding this Agreement and understand that I am signing it voluntarily.
I understand that I should seek independent legal advice if I have questions regarding this Agreement before signing.
Participant Full Name: __________________________________________
Date of Birth: ______________________
Phone: __________________________________
Email: __________________________________
Address: ______________________________________________________
City/State/ZIP: ________________________________________________