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DAY 1 JIU-JITSU NEWTON

447 Center Street, Suite 101, Newton, MA 02458


RELEASE, ACKNOWLEDGEMENT OF RISK AND WAIVER OF LIABILITY


April 11, 2026

In consideration of being allowed to participate in any way in the gym activities of BF Jiu-Jitsu Inc., doing business as Day 1 Jiu-Jitsu Newton, located at 447 Center Street, Newton, MA 02458, Suite 101, described below, the adult participant named below agrees, or the parent(s) and/or legal guardian(s) of the minor participant (under 18 years of age) named below agree:

Day 1 Jiu-Jitsu Newton shall not assume responsibility or be held liable for any injury to person or damage or loss of property suffered by any member or any guest. I certify that I am familiar with the risks inherent in participating in gym activities conducted in Day 1 Jiu-Jitsu Newton’s facilities. Further, I am aware of the risk of personal injury when undertaking such sports activities. Such risks could include partial or total disability, paralysis, and even death. I understand that Day 1 Jiu-Jitsu Newton does not require participation in such activities, but I want to do so (or authorize the minor participant to do so) despite the possible dangers and risks and despite this release.

Therefore, in consideration of being permitted to become a member of Day 1 Jiu-Jitsu Newton, the participant voluntarily assumes all risks of personal injury, property damage, and/or other damages to the undersigned resulting from, or in any way associated with my entry within Day 1 Jiu-Jitsu Newton’s facilities and/or participation in any of the sport activities sponsored by Day 1 Jiu-Jitsu Newton.

Further, I hereby release Day 1 Jiu-Jitsu Newton and its officers, directors, owners, employees, instructors, trainers, volunteers, and agents (collectively, “Releasees”) from every claim, demand, suit, liability, or damage of any kind or on account of any personal injury, property damage, or other damages, known or unknown, resulting from or in any way associated with my entry upon Day 1 Jiu-Jitsu Newton’s premises and participation in the said sports activities, even if caused by the action, inaction, or negligence of Releasees (collectively, “Liabilities”), and I agree to defend, indemnify, and hold Releasees harmless from and against any and all Liabilities. I agree that this release shall bind the members of my family and spouse, if I am alive, and my heirs, assigns, and personal representatives, if I am deceased.

I give permission, free of charge, with no promise, representation, or expectation of compensation, to use any photos, pictures, media, or likeness of myself for advertisements, instructional videos in any medium or manner, online training programs, or marketing materials to promote martial arts, fitness, or related activities.

I expressly agree that this release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the Commonwealth of Massachusetts, and if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

I represent and warrant that I have carefully read the foregoing release and waiver, understand the contents thereof, and voluntarily sign this release as my own free act, thereby giving up substantial rights by signing it. I agree to be bound by the release and further agree that no oral representations, statements, or inducements apart from the foregoing written agreement have been made.

I CONFIRM THAT I HAVE CAREFULLY READ AND UNDERSTAND THIS RELEASE.

First Participant's Name
First Name*
Last Name*
Phone*
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First Participant's Date of Birth*
Date of Birth
Information
What is your current experience level?*
Its my first class
Kids & Teens - with experience
White Belt - under 6 months of training
White Belt - at least 6 months of training
Blue - Black Belt
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
What is your current experience level?*
Its my first class
Kids & Teens - with experience
White Belt - under 6 months of training
White Belt - at least 6 months of training
Blue - Black Belt
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
What is your current experience level?*
Its my first class
Kids & Teens - with experience
White Belt - under 6 months of training
White Belt - at least 6 months of training
Blue - Black Belt
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
What is your current experience level?*
Its my first class
Kids & Teens - with experience
White Belt - under 6 months of training
White Belt - at least 6 months of training
Blue - Black Belt
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
What is your current experience level?*
Its my first class
Kids & Teens - with experience
White Belt - under 6 months of training
White Belt - at least 6 months of training
Blue - Black Belt
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
What is your current experience level?*
Its my first class
Kids & Teens - with experience
White Belt - under 6 months of training
White Belt - at least 6 months of training
Blue - Black Belt
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
What is your current experience level?*
Its my first class
Kids & Teens - with experience
White Belt - under 6 months of training
White Belt - at least 6 months of training
Blue - Black Belt
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
What is your current experience level?*
Its my first class
Kids & Teens - with experience
White Belt - under 6 months of training
White Belt - at least 6 months of training
Blue - Black Belt
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
What is your current experience level?*
Its my first class
Kids & Teens - with experience
White Belt - under 6 months of training
White Belt - at least 6 months of training
Blue - Black Belt
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
What is your current experience level?*
Its my first class
Kids & Teens - with experience
White Belt - under 6 months of training
White Belt - at least 6 months of training
Blue - Black Belt
Parent or Guardian's Email Address
Email*
Confirm Email*
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Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Emergency Contact's Relation to Participant

Parent or Guardian Consent: If under 18, parent or legal guardian signature is required.

I, as the parent or legal guardian of the student named in this general release, have completed this agreement for the purpose of enabling the student to participate in the activities offered by Day 1 Jiu-Jitsu Newton, located at 447 Center Street, Newton, MA 02458, Suite 101, and give my consent to allow the student to participate in classes, training, and use of the training facilities.

In the event of an injury or any medical emergency, I authorize any instructor or staff member of Day 1 Jiu-Jitsu Newton to procure medical attention for the student if the parent, guardian, or emergency contact is unavailable.

By signing below, the parent or court-appointed legal guardian agrees that they are also subject to all the terms and conditions of this document, as set forth above.



By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Relationship*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Information
What is your current experience level?*
Its my first class
Kids & Teens - with experience
White Belt - under 6 months of training
White Belt - at least 6 months of training
Blue - Black Belt
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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