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Liability Agreement and Release

- You realize martial arts & contact sports include a risk of bodily harm or worse.

- You will not look to hold Team Dumdumaya owners, instructors, family or students accountable for any costs or claims related to injury or accidents that occur during participation in its programs.

- By signing this waiver you agree to the above items and that you read and understand them.

- By signing this waiver you understand it applies to any program (Jiu-Jitsu, Muay Thai, MMA, Wrestling, Fitness, etc.) located at Team Dumdumaya (1787 Vineyard Drive Antioch CA 94509).

I agree to participate in a Martial Arts program instructed out of Team Dumdumaya. During the program, every effort will be made to ensure my safety and wellbeing. However, as with any strenuous program, there are risks, including increased heart stress and the chance of musculoskeletal injuries. In participating in this program, I agree to assume all responsibility for these risks and any possibility of personal injury, illness or damage. I also agree that, to my knowledge, I have no existing health issues, illnesses, physical conditions or injuries that would worsen should I participate in a strenuous program.  I understand and agree that if I have any medical condition that it is my responsibility to check with my physician before starting any Team Dumdumaya programs.

By agreeing to these terms, I accept full responsibility for my own (or my child/rens) health and wellbeing and understand that no responsibility is to be placed on the owners, instructors or fellow students of Team Dumdumaya.

By signing this waiver, I understand and agree that I am waiving any claims and releasing Team Dumdumaya, its owners, family, instructors, and all other program participants from any illness, injury, costs or damages that may arise participation of its programs.

I hereby, for myself, parents, family and my heirs, release, discharge and hold harmless Team Dumdumaya, its owners, family, instructors, and all other program participants from all claims, demands, actions and causes of action for any sort of injury, illness or condition sustained by my person or damage to my personal property by participating in such activities including any cause of negligence during my presence on the premises.

I (or my child/rens) will participate in such programs at my own risk and discretion. 

I Agree

February 21, 2025

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms 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*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
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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