The Forge Jiu Jitsu, LLC
367B Shirley Ave, Warrenton VA 20186
LIABILITY RELEASE, WAIVER OF RIGHT TO SUE AND ASSUMPTION OF ALL RISKS
This Liability release, Waiver of Right to Sue and Assumption of All Risks Agreement (“this Agreement”) is hereby given by the undersigned to THE FORGE JIU JITSU, LLC (“The Forge”) which is the owner and operator (the “Owner”) of facilities for students and attendees to participate in the following activities (the “Activities”) martial arts training and practice and other related instruction (the “Participants”) and each agent, instructor, employee, officers, directors volunteers, heirs, personal representatives, successors, and assigns of the Owner), and provides as follows:
In consideration for the opportunities provided by the Owner to the undersigned Participant, (including any minor in whose behalf the undersigned signs this agreement) for the enjoyment of the Activities as participant, the participant, including any minor participant for whom he signs this Agreement, hereby agrees as follows:
. This Agreement shall be so construed as to provide to the Owner the fullest protection of a release, waiver of right to sue and assumption of all Risks (as hereinafter described) that is afforded to the Owner by general law.
All pronouns shall be construed to include the masculine, feminine or neuter as well as the plural or singular, as may be appropriate to facilitate the construction of this Agreement in the light of the facts presented.
The Participant hereby acknowledges that the fundamental goal of the Jiu Jitsu is to physically submit another Participant through physical force and techniques designed to result in the other Participant forfeiting or conceding by “tapping out” before injury occurs.
The Participant has full and complete notice and understanding of all risks inherent in the Activities that may cause, contribute to or result in the death or personal injury of the Participant (the “Risks”). These Risks include but are not limited to the physical harm possible as a result of the Activities including but not limited to torn and sprained knees, pulled muscles, concussions, broken nose, cauliflower ear, neck stingers and strains, dislocated fingers and toes, broken feet, loss of consciousness from choking, cracked ribs, other broken bones, bone dislocations, the flu covid or airborne or contact diseases transmitted due to the physical proximity of the Participants
Having reviewed and an understanding of the Risks, the Participant hereby assumes all risks of personal injury or death from participating in the Activities and releases and waives all rights which he may have or hereafter have against the Owner for death or personal injury which is in any way associates with the Risks; he does hereby waive his right to sue or to bring any action against the Owner in connection therewith; he agrees to indemnify and defend the Owner from and to hold the Owner harmless against any such suit or action; including reimbursement of legal fees associates with the defense of any claim, and he hereby expressly assumes all risks and dangers of death and/or personal injury that are in any way associates with the Risks stated above.
The Participant hereby authorized and consents to any emergency medical care that may at the time appear reasonably appropriate under the circumstances as a result of injury or sickness caused by or incurred in the course of participating in any of the Activities.
This Agreement shall remain valid and in full force and effect from and after the date noted at the signature of the undersigned until expressly revoked by the undersigned in a written notice personal delivered to the Owner.
To the extent possible, this Agreement shall be construed in such manner as will render it, and each provision of it, fully enforceable; but if any provision of this Agreement shall be unenforceable, such provision (or so much thereof as is unenforceable) shall be deleted and the remainder of the Agreement shall continue in full force and effect.
If this Agreement is executed by the undersigned for and on behalf of a minor participant named below, the undersigned hereby warrants and represents that he is in fact the parent or legal guardian of such minor, with full rights of custody and control; that this Agreement is given on behalf of and is intended to be binding upon said minor participant, his heirs, personal representatives, successors and assigns; and the undersigned further agrees that this Agreement shall also be as fully binding on the undersigned as if it were entered into solely on his own behalf.
This Agreement shall be binding upon the heirs, personal representatives, successors and assigns of the participant and the undersigned.
The undersigned has fully read and fully understands the foregoing liability release, waiver of right to sue and assumption of all risks, has consulted and relied upon his own advisors on all questions in connections therewith, and has not relied upon the sponsor or any owner for any advice or explanation in connection therewith.
Media Release:
I understand that the academy reserves the right to take photos and video of all persons attending the facility for any visits, classes, seminars, privates, and/or events and may use the content/media for any marketing and advertising purposes. By signing below I agree to this "media release."
Please Print Name of Participant, Address and Date:
Name: _______{name}_________________
Address: ___{address}_________________
Phone: _______{phone}________________
Signature:
___________________________________
For Minors under 18 years of age, signature must be of parent or legal guardian
Date: ____________{sign_date}________________