.Acknowledge and Release Form
On behalf of myself, member of my family, my heirs, executors, administrators and assigns, hereby forever release, discharge and hold harmless Ghost Squad Castle Rock Jiu Jitsu, representatives and agents for any injury, loss or damage to my person or property howsoever caused, arising out of or in connection with my taking part in Brazilian Jiu Jitsu Classes, Self Defense Seminars and any and all activities and agents. Please note: Participants must supply their own protective equipment.
The undersigned acknowledge that
If student is under age 18, please provide complete information below
- His/her is desirous of using, as a member on a membership basis, the Martial Arts School herein referred to as “Ghost Squad Castle Rock”
- His/her has received a completely executed copy of this agreement
- His/her confirms that there were no verbal presentations other than those specified in this agreement
- His/her may be photographed or filmed while attending at the premises of Ghost Squad Castle Rock and he/she gives the permission to Carlson Gracie Miami and any facilities to use any and all photos, videos streaming for promotional, sales, publicity and advertising purposes for all media including internet
- The waiver was read and he/she agrees to abide by it
- You are in good physical condition and have no disability, illness, or other conditions that could prevent you from exercising and participating in strenuous activity
- You have consulted a physician concerning an exercise program