Signup

 

CSMJ Holdings, LLC D.B.A: Tribal Society Jiu Jitsu

AGREEMENT OF RELEASE AND WAIVER OF LIABILITY

{name}         {dob}                              

{phone}                

RELEASE OF LIABILITY

This is a Release, Waive of Liability, and Promise of Indemnification (“Release”) which, when signed, contractually waives any claims against Tribal Society Jiu Jitsu LLC (“TSJJ”) that may arise in connection with your participation in Martial Arts. PLEASE READ THIS RELEASE CAREFULLY BEFORE SIGNING YOUR NAME.

I, the undersigned Participant, acknowledge the inherit risks involved in participating in boxing, kick boxing, Jiu Jitsu, or any other martial arts training (collectively “Martial Arts”), which include serious physical injury and death, and consent to participate in Martial Arts with TSJJ. In consideration of the opportunity afforded to the me to participate in Martial Arts with TSJJ, I, the undersigned, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, do freely subscribe to the following contractual obligation:

I fully understand the risks associated with my participation in Martial Arts and do hereby freely and voluntarily, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, assume all risk and liability for any damage or injury to person or property that may occur as a result of my participation in Martial Arts. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, do hereby RELEASE, DISCHARGE, and COVENANT NOT TO SUE TSJJ, its directors, officers, employees, contractors, members, insurers, agents and volunteers, hereby WAIVE and DISCHARGE all claims, demands, rights or causes of action, present or future, whether known or unknown, anticipated or unanticipated, that I might have against TSJJ, its directors, officers, employees, contractors, members, insurers, agents and volunteers, for any reason, including NEGLIGENCE ON THE PART OF TSJJ, its directors, officers, employees, contractors, members’ insurers, agents, and volunteers, and agree to indemnify and hold harmless TSJJ, and its directors, officers, employees, contractors, members, insurers, agents and volunteers, from and against any and all claims, damages, and judgments, of whatever nature, including attorney’s fees, that may be asserted or entered against any of them in connection with the my participation in Martial Arts.

Further, I verify that no medical condition exists which would pose a threat to my health or life while participating in Martial Arts and that I am medically fit to participate in Martial Arts. I fully understand TSJJ does not provide any medical advice on my ability to participate in Martial Arts and I should seek my own medical advice for any medical questions. 

                                                                     (OVER)

I hereby give TSJJ permission to photograph me, and the perpetual and non-exclusive right to use my image in communications produced by TSJJ and others in support of TSJJ’s offering of Martial Arts. I waive any right to inspect or approve the finished communications. I understand and agree there be no monetary compensation for such use.

I have read the release and fully understand its terms, and understand that I have waived substantial rights by signing this Release, and I have signed it freely and without unlawful inducement, coercion, or assurance of any nature, and intend it to be a complete and unconditional release of any and all liability, and agree that, if any portion of this Release is held invalid by a court of competent jurisdiction, any portion not being held invalid shall remain in full force and effect. In the event any lawsuit is filed arising out of this Release or my participation in Martial Arts, I consent to the exclusive jurisdiction of a court of competent jurisdiction located within Garfield County, Colorado, and that the laws of the State of Colorado govern this Release and my participation in Martial Arts.

YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND TSJJ HAS THE RIGHT TO REFUSE TO ALLOW YOU TO PARTICIPATE IN MARTIAL ARTS IF YOU DO NOT SIGN THIS FORM.

Participant {name} 

Consent by Parent or Legal Guardian

I, the undersigned Participant by parent or legal guardian, acknowledge the above Release of Liability, fully incorporated in this paragraph, and hereby give permission for the Participant to participate in Martial Arts provided by Tribal Society Jiu Jitsu LLC.

Parent or Guardian

Emergency contact name   {contact_name}    Emergency Contact Phone {contact_phone}