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VAULT BJJ LLC

ADULT INFORMED CONSENT, LIABILITY WAIVER, AND MEMBER AGREEMENT

READ CAREFULLY - THIS IS A LEGALLY BINDING CONTRACT YOU ARE WAIVING IMPORTANT LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE FOR ORDINARY NEGLIGENCE

I, (Name of Participant), hereby acknowledge that participation in Brazilian Jiu-Jitsu and other activities at Vault BJJ LLC involves inherent and significant risks including, but not limited to: collisions; takedowns, submissions, and joint locks; muscle strains, fractures, and head injuries; skin infections (MRSA, Staph, etc.); and permanent disability or death.


1. EXPRESS ASSUMPTION OF RISK & MEDICAL REPRESENTATION

I voluntarily assume all risks, known and unknown. I represent that I am in good physical health and have no medical condition or impairment that would prevent my safe participation. I acknowledge that it is my sole responsibility to consult with a physician prior to training. I authorize Vault BJJ LLC to seek emergency medical treatment on my behalf if necessary.

2. EXPRESS NEGLIGENCE WAIVER & COVENANT NOT TO SUE

I FULLY UNDERSTAND AND AGREE THAT I AM RELEASING VAULT BJJ LLC AND KELLEY INVESTMENTS LLC FROM ALL LIABILITY FOR THEIR OWN ORDINARY NEGLIGENCE. This includes, but is not limited to: improper instruction; negligent partner assignments; and failure to maintain facilities. I FURTHER COVENANT AND PROMISE THAT I WILL NOT INITIATE ANY LAWSUIT OR LEGAL PROCEEDING AGAINST THE RELEASED PARTIES FOR ANY CLAIMS WAIVED HEREIN. I understand that this promise is a material inducement for my membership.


3. TEAMMATE PROTECTION & SAFETY STANDARDS

As a part of my membership, I understand that I have a right, responsibility, and interest to protect my teammates (defined as any member, visitor, employee, owner, or instructor) at all times. I agree to the following:

  • Respect for Boundaries: I understand teammates may refrain from or stop rolling with me at any time, regardless of their rationale. I will occasionally check in with teammates during a roll.
  • The "Stop" Rule: I will release a position immediately at a teammate's request. Either party can ask the roll be stopped at any point without explanation. The moment a "cease-roll" is expressed, both parties will take space from each other.
  • Safety & Hygiene: I will "tap" early and release submissions immediately upon a tap. I will maintain high standards of personal hygiene and gear cleanliness.

4. ZERO-TOLERANCE CONDUCT & HARASSMENT POLICY

  • Harassment: There is a zero-tolerance policy on harassment of any kind. I will refrain from making comments about anyone's appearance, gender, sexual orientation, race, or religion.
  • Investigation & Revocation: If I am accused of harassment (within the academy or elsewhere), my conduct will be investigated, and my membership may be revoked at the academy's discretion.
  • Criminal Conduct: I acknowledge that any claim of sexual or physical assault will be immediately turned over to the Morton Police Department for a full investigation. My membership may be paused or canceled during any such investigation.
  • Personal Conduct: Vault BJJ LLC assumes no responsibility for my personal conduct; however, illegal conduct on premises will be handed over to law enforcement.


5. MEDIA RELEASE, AI TECHNOLOGY, AND RIGHT TO REVOKE

I grant Vault BJJ LLC permission to use my likeness in media for promotional purposes, including use by Artificial Intelligence (AI) tools for editing or marketing. I understand I may revoke this consent at any time via written notice. Revocation applies to new materials only.

6. INDEMNIFICATION, PROPERTY, & GOVERNING LAW

I agree to indemnify and hold harmless the Released Parties from any claims brought by third parties arising out of my participation. Vault BJJ LLC is not responsible for lost or stolen property. This agreement is governed by the laws of the Commonwealth of Pennsylvania.

7. SEVERABILITY

I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.

I HAVE READ THIS AGREEMENT AND FULLY UNDERSTAND ITS TERMS.

Participant Signature:  

   Date: November 2, 2026

First Participant's Name
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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.
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 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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