WARNING, WAIVER, RELEASE OF LIABILITY, ASSUMPTION OF RISK THIS AGREEMENT MUST BE SIGNED BY ALL PERSONS WHO WISH TO PARTICIPATE IN ANY PUTNEY JIU JITSU AND FITNESS CLASS, EVENT, OR ACTIVITY.
In consideration of being allowed to participate in any way in the classes, events, and/or activities of Putney BJJ and Fitness, I:
1.Release, waive, discharge and covenant not to sue, Putney BJJ LTD, its affiliated organizations and governing bodies, their officers, instructors and personnel, other members of the organizations, participants, supervisors, coaches, sponsoring organizations or their agents, and if applicable, owners and leasers of the premises from any and all liability to the undersigned, his or her heirs and next of kin for any and all claims, demands, losses and damages which may be sustained and suffered on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releasees or otherwise.
2.Recognize and understand that martial arts training is an activity that involves physical contact and that my participation might result in serious injury, including permanent disability or even death, and severe social and economic loss.
3.Recognize that there may be other risks that are not known to me or to others or not reasonably foreseeable at this time.
4.Agree to inspect the facilities, equipment and pairings prior to participation. I will immediately inform an instructor if I believe that anything is unsafe or beyond my capability and refuse to participate.
5.Assume all of the foregoing risks and accept personal responsibility for any damages that may result from injury, permanent disability or death.
6.Enter martial arts training and/or competition entirely of my own free will and understand the importance of following the rules of training and competition.
7.I certify that I am in good physical condition, and have no disease, injury or other condition that would impair my performance or physical and mental well-being during intense training practise and/or competition.
8.Grant permission in case of injury to have a doctor, nurse, athletic training or any other emergency medical personnel provide me with medical assistance or treatment for such injury.
10. I hereby grant Putney BJJ permission to use my photograph/video image in any and all publications for BJJ or Putney BJJ and Fitness, including web site entries, without payment or any other consideration in perpetuity. I hereby authorize Putney BJJ to edit, alter, copy, exhibit, publish or distribute all photos and images. I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my photo appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph or video images. I hereby hold harmless and release and forever discharge Putney BJJ from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf of on behalf of my estate which may have or may have by reason of this authorization.
Putney BJJ
