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Waiver and Release of Liability

1. Assumption of Risk

I,  understand and acknowledge that participation in Brazilian Jiu-Jitsu and related combat sports involves inherent risks, including but not limited to physical injury, pain, discomfort, and the possibility of serious injury or death. I voluntarily elect to participate in classes and activities at CLOBBER JIU JITSU LLC and fully assume all risks, hazards, and dangers related to such activities.

2. Release of Liability

I, on behalf of myself, my heirs, executors, and assigns, hereby release, waive, and discharge CLOBBER JIU JITSU LLC, its owners, instructors, employees, volunteers, and any other participants from any and all claims, liabilities, damages, or causes of action arising out of or related to my participation in activities at CLOBBER JIU JITSU LLC. This release includes, but is not limited to, claims for personal injury, property damage, negligence, or wrongful death.

3. Medical Consent

I, declare that I am physically fit to participate in Brazilian Jiu-Jitsu and other combat sports activities and that I do not have any medical condition that could impair my participation or put me at risk. In the event of an emergency, I authorize CLOBBER JIU JITSU LLC to seek medical treatment on my behalf if I am unable to do so, and I agree to assume responsibility for any medical expenses incurred.

4. Indemnification

I agree to indemnify and hold harmless CLOBBER JIU JITSU LLC, its owners, instructors, employees, volunteers, and other participants from any and all claims, damages, costs, or liabilities arising out of my actions or conduct while participating in any activities at CLOBBER JIU JITSU LLC.

5. Acknowledgement of Safety Rules

I agree to comply with all rules and safety instructions provided by CLOBBER JIU JITSU LLC, its instructors, and staff. I understand that failure to follow these rules may result in my exclusion from participation in activities at CLOBBER JIU JITSU LLC.

6. Photography/Video Release

I understand that photographs and/or videos may be taken during classes and activities for marketing, promotional, or educational purposes. I grant CLOBBER JIU JITSU LLC the right to use such media, without compensation, for promotional and advertising purposes.

7. Governing Law

This waiver and release shall be governed by the laws of the state of New York. Any disputes arising from this agreement shall be resolved in the courts of Albany County, New York.

8. Acknowledgement of Understanding

I have read this waiver and release, fully understand its terms, and sign it voluntarily. I acknowledge that by signing this agreement, I am giving up substantial rights, including the right to sue CLOBBER JIU JITSU LLC.


First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
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Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
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*
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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