Barncat Jiu Jitsu Liability Waiver
Participant Contact Information
Participant's Name: {name}
Date of Birth: {dob}
Member Address: {address}
Phone Number: {phone}
Emergency Contact Information
Emergency Contact Name: {contact_name}
Emergency Contact Phone: {contact_phone}
Emergency Contact Relation: {contact_relation}
Acknowledgment of Risk:
I, the undersigned, acknowledge that participation in jiu-jitsu training and related activities at Barncat Jiu Jitsu involves inherent risks of injury, including but not limited to sprains, strains, fractures, dislocations, concussions, and other serious bodily injuries. I understand and accept these risks.
Assumption of Risk:
I voluntarily assume all risks associated with participating in jiu-jitsu training and related activities at Barncat Jiu Jitsu, including risks arising from the actions, inactions, or negligence of Barncat Jiu Jitsu, its owners, employees, agents, representatives, or other participants.
Release of Liability:
In consideration of being allowed to participate in jiu-jitsu training and related activities at Barncat Jiu Jitsu, I hereby release, waive, discharge, and covenant not to sue Barncat Jiu Jitsu, its owners, employees, agents, and representatives from any and all liability, claims, demands, actions, or causes of action whatsoever arising out of any damage, loss, injury, or death that may be sustained by me while participating in such activities.
Indemnification:
I agree to indemnify and hold harmless Barncat Jiu Jitsu, its owners, employees, agents, and representatives from any and all liability, claims, demands, actions, or causes of action whatsoever arising out of my participation in jiu-jitsu training and related activities, including any loss, damage, or injury caused by my actions or omissions.
Medical Authorization:
In the event of an emergency, I authorize Barncat Jiu Jitsu to secure from any licensed hospital, physician, and/or medical personnel any treatment deemed necessary for my immediate care. I agree that I will be responsible for payment of any and all medical services rendered.
Marketing
I understand that photos and videos are occasionally taken during classes. I consent to my likeness being used in marketing material.
Acknowledgment of Understanding:
I have read this liability waiver and fully understand its terms. I understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily and intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.
Signature
Name of Participant:
Name of Parent/Guardian (if participant is under 18):
Date: {sign_date}