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Mojo Dojo, Mojo Dojo LLP

Waiver and Release of Liability

Covid 19 Waiver and Acknowledgement 

May 13, 2025

Mojo Dojo LLP Waiver & Release of Liability

I hereby enroll for Martial Arts training classes with Mojo Dojo, Mojo Dojo LLP at 2A Pennsylvania Avenue, Matamoras, PA, 18336.

In consideration for being permitted to participate in Martial Arts training and all other related activities conducted by Mojo Dojo LLP, Mojo Dojo, I, myself, my spouse, legal representatives, heirs and assigns, hereby release, waive and discharge Mojo Dojo LLP, Mojo Dojo, its administrators, officers, directors, volunteers and employees, other participants (the releases) and if applicable owners and lessors of the premises on which the activities take place, from all liability (whether known or unknown) to me, my spouse, legal representatives, heirs and assigns for any and all loss or damage and any claim for damages resulting there from, on account of injury to my person, property, even injury resulting in my death, whether caused by the negligence and/or gross negligence of the releases or otherwise while I am participating in said Martial Arts training or related activities.

Furthermore, I agree and covenant not to institute or prosecute, or allow to be instituted or prosecuted or in any way to aid in the institution or prosecution of any lawsuit or claim against Mojo Dojo LLP, Mojo Dojo located 2A Pennsylvania Avenue, Matamoras, PA, 18336. I hereby assume full responsibility for the risk of bodily injury, death or property damage due to the negligence of the release or otherwise while in or upon Mojo Dojo LLP, Mojo Dojo and or while participating in Martial arts.

I agree to indemnify the releases and hold them each harmless from any and all loss, liability, damage or cost they may occur due to my presence at Mojo Dojo LLP, Mojo Dojo premises whether caused by the negligence of the releases or otherwise. I will indemnify, save and hold harmless each of the releases from any litigation expenses, attorney fees, loss liability, damage, cost any release may incur as a result of such claim.

I warrant I will not cause or attempt to cause any injury to myself or to any other participant, instructor, or spectator I represent and warrant that I have consulted a licensed physician and that I am in good health and that are no physical or mental defects that would endanger my well-being or that of other participants or instructors.

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

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 State of Pennsylvania 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 and understand the contents thereof and sign this release as my own free act and further agree that no oral representations, statements, or inducements apart from the foregoing written agreement have been made.



COVID-19 Waiver and Acknowledgment

The novel coronavirus, COVID-19 (the virus), has been declared a worldwide pandemic by the World Health Organization. COVID-19 is highly contagious and is spread easily from person-to-person. The federal, state and city governments have all responded with recommended guidelines concerning preferred forms of public interaction and personal contact including social distancing, wearing masks, and limiting the number of people permitted to congregate in any area.

By reading and signing this document, in addition to waiving any liability Mojo Dojo, Mojo Dojo LLP may have regarding the virus, you are expressing/acknowledging your responsibility to keep our community safe.

Guided by the various government agencies, Mojo Dojo, Mojo Dojo LLP, MGVJW LLP has instituted certain measures to help limit the spread of COVID-19. Mojo Dojo, Mojo Dojo LLP does not represent that these measures will in all cases prevent the spread of the virus, nor does Mojo Dojo represent that it has implemented all means and methods available to prohibit contact with and/or contracting of the virus.

By signing below, I acknowledge that COVID-19 is highly contagious, and I voluntarily assume the risk for myself and for them, and expressly acknowledge that I/we may come in contact with the virus while on the Mojo Dojo, Mojo Dojo LLP property.

I understand that contracting COVID-19 may result in illness, disability and /or death, and/or may result in the spread of the virus to my household, community, and beyond. I recognize and understand that exposure to the COVID-19 virus at Mojo Dojo, Mojo Dojo LLP may result from the actions, omissions, or negligence, carelessness, and recklessness of persons at Mojo Dojo including but not limited to employees, members (and members’ guests). I, individually and as parent and natural guardian of my above-named child(ren) voluntarily assume the risks inherent in being on the property and the possibility of contracting COVID-19. I accept any and all responsibility for injury, illness, liability, and any expense of any kind that I may incur in connection with attendance at Mojo Dojo, Mojo Dojo LLP, by myself. I release, indemnify, and hold harmless Mojo Dojo, Mojo Dojo LLP, employees, agents, officers, governors, members, and representatives from any and all claims, liabilities, actions, damage and expenses arising out of any action stated or implied. I individually understand and agree that this release includes any claims based on the actions, omissions, or negligence, carelessness, and recklessness of the Mojo Dojo, Mojo Dojo LLP, its employees, agents, officers, governors, members and representatives, whether a COVID-19 infection occurs before, during or after in any visit to Mojo Dojo LLP, Mojo Dojo.

In visiting Mojo Dojo, Mojo Dojo LLP and using its facilities, and in interacting with other people at Mojo Dojo, Mojo Dojo LLP, you are expressly acknowledging that you may be exposed to and contract Covid19. Mojo Dojo, Mojo Dojo LLP is making efforts to prevent that, but you acknowledge that those efforts are not exhaustive and do not guarantee in any manner that you will not be exposed to and contract the virus. Even with those risks, you are promising that you will personally make every effort to prevent the spread of the virus at Mojo Dojo, Mojo Dojo LLP.

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
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First Participant's Date of Birth*
First Participant's Information
Current Brazilian Jiu Jitsu Experience*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Current Brazilian Jiu Jitsu Experience*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Current Brazilian Jiu Jitsu Experience*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Current Brazilian Jiu Jitsu Experience*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Current Brazilian Jiu Jitsu Experience*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Current Brazilian Jiu Jitsu Experience*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Current Brazilian Jiu Jitsu Experience*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Current Brazilian Jiu Jitsu Experience*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Current Brazilian Jiu Jitsu Experience*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Current Brazilian Jiu Jitsu Experience*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Emergency Contact

First Name *

Last Name *

Phone Number *
Hygiene Guidelines
Click to customize checkboxes *
1. If you have any type of skin infection, you will not be permitted to rain. Please do not cover or hide skin infections. If you have any questions, please ask our Instructors. If you are sick, be considerate and do not visit the academy. If you display symptoms, we will ask you to stop training until cleared.
2. Keep fingernails and toenails trimmed short to prevent scratching training partners.
3. Clean training gear is required for each class. Especially if you are attending multiple classes within one day. You will be asked to change unsanitary training gear. (Odor, blood, rips, ect.)

The signature of a parent or guardian signifies that said guardian (1) consents to his/her child's participation in Martial Arts training and related activities with Mojo Dojo, Mojo Dojo LLP and (2) agrees to be bound by the terms and obligations of this waiver and release of liability. I, the minor's parent and/or legal guardian understand the nature of the above referenced activities and the minor's experience and capabilities and believe the minor to be qualified to participate in Martial Arts training. I, hereby release, discharge covenant not to sue and agree to indemnify and save and hold harmless each of the releasees from all liability, claims, demands, losses or damages on the minor's account caused or alleged to have been caused in whole or in part by the negligence of the releasees or otherwise including negligent rescue operation, and further agree that if, despite this release, I, the minor, or anyone on the minor's behalf makes a claim against any of the above releasees I will indemnify, save and hold harmless each of the releasees from any litigation expenses, attorney fees, loss of liability, damage, or other costs any releasee may incur as a result of any such claim. 



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*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Current Brazilian Jiu Jitsu Experience*
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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