GRACIE JIU JITSU JONESBORO / MORGAN FAMILY MARTIAL ARTS
WAIVER / RELEASE / ASSUMPTION OF RISK
PLEASE READ CAREFULLY – THIS DOCUMENT AFFECTS YOUR LEGAL RIGHTS
Please enter Student information below:
In consideration of being allowed to participate in activities at Gracie Jiu Jitsu Jonesboro, I hereby acknowledge and agree as follows:
I certify that I am at least 18 years of age. If under 18, my parent/guardian is the below signed.
I have been advised martial arts known as "Gracie Jiu-Jitsu", Brazilian Jiu Jitsu, Judo, and Wrestling are taught using precautions to avoid any injuries. However, participation in the Gracie Jiu-Jitsu and other martial arts classes carries with it certain inherent risks and dangers that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks range from minor injuries such as scratches, bruises, and sprains, to major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions, to catastrophic injuries including paralysis and death. Knowing the potential hazards, I elect to voluntarily participate in activities at Gracie Jiu Jitsu. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISTS OR LOSS, PROPERTY DAMAGE, OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by me, or loss or damage to property owned by me, as a result of participation.
The practice of Gracie JiuJitsu and any other martial art presents a risk of skin infections, MRSA, transmittable diseases, bacteria(s) and viruses, including, but not limited to, COVID-19.
I shall not attend Gracie Jiu-Jitsu classes if I am diagnosed with COVID-19 or if I am in close contact with someone diagnosed with COVID-19. Further, if I am displaying symptoms of COVID-19, or if I am in close contact with someone who is displaying symptoms of COVID-19, I shall not attend Gracie Jiu-Jitsu classes. Symptoms of COVID-19 can range from mild illness to pneumonia, including fever, respiratory symptoms such as coughing, sore throat and/or shortness of breath, and other symptoms such as a runny nose, headache, muscle or joint pains, nausea, diarrhea, vomiting, loss of sense of smell, altered sense of taste, loss of appetite and fatigue. If I am displaying these symptoms when in attendance at Gracie Jiu-Jitsu classes I acknowledge that I may be asked to leave.
Along with the possibility of personal injury, injury to property is also possible, including but not limited to, possible loss of wages and the ability to earn such wages.
I acknowledge that I have consulted with a physician and I have no health problems that would preclude me from full and safe participation in Gracie Jiu-Jitsu. It is my responsibility as a parent or student to notify staff of any medical conditions, and to be present to administer any medicines needed for pre-existing medical conditions including but not limited to asthma, hear disease, diabetes, seizures, etc should the emergent need arise during class.
With full knowledge and understanding of the aforementioned risks, both to myself and to my property, and after having these dangers fully explained to myself and/or to my legal guardian I nevertheless desire to participate in Gracie Jiu-Jitsu training and activities.
I, for myself and my heirs, assigns, personal representatives and next of kin release, indemnify, and hold harmless Morgan Family Martial Arts, LLC, and Gracie Jiu Jitsu, and their officers, servicant, agent, and employees, from any and all causes of action (including but not limited to negligence), claims, demands, losses, expenses (including attorneys’ fees and costs), and liability arising out of or related to any injury, disability, or death that I may suffer, or loss of or damage to property (including teft by third parties), arising directly or indirectly from my participation in physical activity or while in or upon the premises where physical activity is being conducted.
Due to the nature of the activities conducted in Gracie Jiu Jitsu classes, it would be unreasonable for Gracie Global, LLC (d.b.a. Gracie University), Morgan Family Martial Arts LLC (d.b.a. Gracie Jiu Jitsu Jonesboro) and/or the respective owners, directors and shareholders, agents and employees to be in any way responsible for my injury (or death) and to the full extent of the law I hereby waive my legal rights of action against and fully release the company for loss, damages, injury or death however arising out of or in relation to my participation in the activities conducted or organized by the company including, without limitation, liability for any negligent or tortious act or omission, breach of duty, breach of contract or breach of statutory duty on the part of the company, its office bearers, directors, employees or agents.
It is my expressed intent that this release agreement shall bind the members of my family and spouse, if I am alive, and my heirs, assigns, and personal representative, if I am deceased, and shall be deemed as a release, waiver, discharge, and covenant not to sue,
I authorize any emergency first aid, CPR, AEDs, medication, medical treatment, and/or emergency transportation and I assume all costs involved in such treatment.
I understand that Gracie Jiu-Jitsu Jonesboro reserves the right to refuse service to any individual who has been convicted of a sex crime.
I will not video record or photograph any classes/training without prior permission from the owner of Gracie Jiu Jitsu Jonesboro.
I am also aware that for purposes of safety, security and quality control there are surveillance cameras mounted throughout Gracie Jiu-Jitsu Jonesboro. Furthermore, I understand and acknowledge that video recording or photographs may be taken of me during classes/training. I hereby grant Morgan Family Martial Arts, LLC (d.b.a. Gracie Jiu Jitsu Jonesboro) the unlimited use of my likeness in any format – photo, video, or other – for promotional advertisement or commercial use in any format known or yet to be developed in perpetuity, and I forfeit any form of payment.
I agree that if any term of this agreement is to any extent illegal, otherwise invalid, or incapable of being enforced, all other terms shall remain in full force and effect.
I understand that this agreement supersedes any and all previous oral or written agreements with regards to the practice of Gracie Jiu Jitsu and I give up substantial rights by signing it.
I HAVE READ THIS WAIVER AND RELEASE OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
I intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.