Online Waiver PLANNING ON COMING IN? SAVE SOME TIME BY FILLING OUT OUR WAIVER ONLINE: Step 1 of 2 50% Concept Brazilian Jiu Jitsu Release and Waiver of Liability and Indemnity AgreementIn consideration of being permitted to participate in any way at Concept Brazilian Jiu Jitsu and/or being permitted to enter for any purpose any restricted area (herein defined as any area wherein admittance to the general public is prohibited), I [individually and/or as the parent / legal guardian of the child(ren) identified below] agree and acknowledge: The parent(s) and/or legal guardians will instruct the minor participant that prior to participating in the below Martial Arts activity or event, he or she should inspect the facilities and equipment to be used, and if he or she believes anything is unsafe, the participant should immediately advise Concept Brazilian Jiu Jitsu of such condition and refuse to participate. I understand and agree that, if at any time, I feel anything to be unsafe; I will immediately take all precautions to avoid the unsafe area and REFUSE TO PARTICIPATE further and will report the unsafe condition immediately to Concept Brazilian Jiu Jitsu. I understand, agree, accept, and assume the risk of the following: There are risks and dangers associated with participation in Martial Arts events and activities which could result in bodily injury partial and/or total disability, paralysis and death; The social and economic losses and/or damages, which could result from these risks and dangers described above, could be severe; These risks and dangers may be caused by the action, inaction or negligence of the participant (me or my child) or the action, inaction or negligence of others; and There may be other risks not known to me or are not reasonably foreseeable at this time. I HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE Concept Brazilian Jiu Jitsu (Eric Fried), including its owners, instructors, managers, promoters, lessor of the premises, and/or other students from all liability to me or my child, including but not limited to my assigns, executors, heirs and next of kin. This release includes but is not limited to any and all claims, demands, losses or damages related to any injury sustained while at Concept Brazilian Jiu Jitsu’s studio or while training BJJ whether or not at Concept Brazilian Jiu Jitsu’s studio, including but not limited to the death of the participant or damage to property. I HEREBY acknowledge that THE ACTIVITIES OF THE EVENTS(S) ARE VERY DANGEROUS and involve the risk of serious injury and/or death and/or property damage. Each of THE UNDERSIGNED also expressly acknowledges that INJURIES RECEIVED MAY BE COMPOUNDED OR INCREASE BY NEGLIGENT RESCUE OPERATIONS OR PROCEDURES OF THE UNDERSIGNED. EACH OF THE UNDERSIGNED further expressly agrees that the foregoing release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the State of Texas and that if any portion is held invalid, it is agreed that the balance shall, notwithstanding continue in full legal force and effect. I [individually and/or as the parent / legal guardian of the child(ren) identified below] execute this Waiver and Release. If, despite agreeing to the term herein, a claim is made by me or on my behalf against any of the released party described above, I agree to indemnify and/or reimburse such party for any attorneys’ fees and/or money they have had to expend and/or incur related to the claim. I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT AND INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. I have read and agree to the terms of this Waiver of Liability Agreement* Yes Personal InformationIs this waiver is for a minor?YesNoParticipant Name* First Last Name of Minor* First Last Name of Parent / Guardian* First Last Signature* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email*