Waiver

CONTRACT FOR VOLUNTARY PARTICIPATION IN THE DEVINE JIU JITSU ACADEMY ASSUMPTION OF

INJURY RISKS
There is a risk of injuries, both serious and minor, associated with participation in any Brazilian Jiu Jitsu (BJJ) Sport. The risks may increase in activities involving physical contact, running, jumping or otherwise
leaving one's feet, sliding, or interaction with moving objects that are thrown or otherwise used in the sport. The risks include, but are not limited to: injury to the head, neck, or spine (including paralysis); injury to the muscular or skeletal systems; injury to internal or external organs; loss of or damage to sight, hearing, or teeth; death; long or short-term disability; loss of income, career opportunities, or the enjoyment of life; pain; and scarring or disfigurement.

IT IS THE RESPONSIBILITY OF EACH INDIVIDUAL PARTICIPANT to know his or her own general state of health and well-being, and therefore to be able to certify knowledgeably that he or she is physically fit to participate in a BJJ Sport.
 

IT IS ALSO THE RESPONSIBILITY OF EACH INDIVIDUAL PARTICIPANT to have health insurance coverage sufficient to provide for medical or dental services and/or equipment required to treat any injury, minor or catastrophic, sustained or incurred as a result of participating in BJJ Sports training, and to certify that such insurance coverage is held.

Therefore, AS A PRECONDITION TO BEING GRANTED PERMISSION TO PARTICIPATE IN THE DEVINE JIU JITSU ACADEMY, EACH PARTICIPANT shall read the agreement set forth below in order to make an educated choice to participate or not participate. Your signature will signify your recognition of the possible health risks involved and your informed consent to them.
To that end, and before releasing DEVINE JIU JITSU AND ALL DEVINE JIU JITSU INSTRUCTORS from all actions, claims, or demands related to any injury you may sustain as a result of participating in the
DEVINE JIU JITSU ACADEMY, please give serious consideration to the possible ramifications. You should understand that the causes of possible injury are many, but among them are: injury from bodily contact, incidental to or inherent in the nature of the sport; slipping, falling, or tripping on the playing
surface, regardless of its physical or environmental conditions; injury from warming up, practicing, or training for game participation; injury due to supervision by Tom Sheehan OR ANY DEVINE JIU JITSU
INSTRUCTOR paid or unpaid, including referees or officials, or to rules, regulations, and instructions (or lack thereof) regarding the use of game equipment or tools or to the nature of the game itself, particularly in contact BJJ Sports; or injury due to a disparity between and among other players with respect to experience level, strength, height, weight, age, ability, and the relative competitiveness or maturity of, between, or among other participants.
FAILURE TO COMPLETE THIS FORM IN ITS ENTIRETY WILL RESULT IN NON
PARTICIPATION IN THE DEVINE JIU JITSU ACADEMY.
 

AGREEMENT
I, the undersigned, have read the above ASSUMPTION OF INJURY RISKS IN BJJ
ACADEMY SPORTS and understand its contents. I acknowledge the risk of injury that may result from participation in the DEVINE JIU JITSU ACADEMY and am willing to and hereby do voluntarily assume all risks of harm associated with my participation.

I certify that to the best of my knowledge, I am physically fit and able to participate in the DEVINE JIU JITSU ACADEMY, that I am in good health, and that I am unaware of any medical condition, which might make my participation inadvisable.

I am aware that participating in the DEVINE JIU JITSU ACADEMY may expose me to a risk of injury, minor or serious, including those listed above in ASSUMPTION OF INJURY RISKS IN ACADEMY SPORTS. I accept and assume all risks, known or unknown, listed or unlisted, that may result from my voluntary participation in the DEVINE JIU JITSU ACADEMY or in activities related to such sports, regardless of the cause of the injury.

I acknowledge my responsibility to acquire health insurance coverage sufficient to provide for all medical or dental services and/or equipment required to treat any injury, minor or catastrophic, related to my participation in the DEVINE JIU JITSU ACADEMY, AND HEREBY CERTIFY that I have such insurance coverage in effect.

In consideration of the DEVINE JIU JITSU ACADEMY permitting me to participate in its ACADEMY, I knowingly and intentionally give up any legal right that I, my heirs, or legal representatives have or may have against the DEVINE JIU JITSU ACADEMY, DEVINE JIU JITSU INSTRUCTORS or their insurers, from any action, claim, or demand that I, my heirs, or my legal representatives have or may have
for any and all personal injuries I may suffer or sustain, regardless of cause or fault, on- or off-the field, as a result of my voluntary participation in the DEVINE JIU JITSU ACADEMY and/or in other activities related thereto.

I knowingly intend my signature on this Agreement to be a complete defense to any legal proceeding that may be brought by anyone on their own or on my behalf for any injury I may suffer or sustain as a result of
voluntarily participating in the DEVINE JIU JITSU ACADEMY or in activities related thereto, and further intend this Agreement to be a complete and total release of liability for all negligent acts, failures to act, or breaches of duty owed to me, which result in my personal injury or death as a result of my voluntary participation in the DEVINE JIU JITSU ACADEMY.

I certify that I am 18 years of age or older or am the legal guardian/parent and that I am legally competent and capable of executing this Agreement on my own behalf, that I have read the foregoing and have made a conscious decision to sign it of my own free will.