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THIS DOCUMENT AFFECTS YOUR LEGAL RIGHTS

WAIVER / RELEASE / ASSUMPTION OF RISK

I understand and have had explained to me that the martial arts known as “Taekwondo, Gracie Jiu-Jitsu, Hojutsu-Ryu”, and the personal training offered by U. S. Family Martial Arts, are taught using all precautions to avoid any injuries. I have also been informed that U.S. Family Martial Arts has taken the proper precautions to keep the facility clean but martial arts training is close contact and illness is possible, and I choose to train at my own risk. However, there may entail some risk of accident or injury and that this may be serious or even mortal as a consequence of the practice of the before mentioned “Taekwondo, Gracie Jiu-Jitsu, Hojutsu-Ryu and personal training offered by U. S. Family Martial Arts."

I understand and have had explained to me that, along with the possibility of personal injury, injury to property is also possible, such as, but not limited to possible loss of wages and the ability to earn such wages. 

With full knowledge of the aforementioned dangers, both to my person and to my property (current and future), and after having these dangers fully explained to myself and/or to my legal guardian.

I hereby certify and declare that I will release and forever hold free and discharge from any liability U. S. Family Martial Arts, Victory Avenue LLC., Brajitsu Inc., Gracie Jiu-Jitsu Academy, Hojutsu-Ryu, Force Options, and each of their agents, stockholders, directors, officers, employees and representatives of and from all claims, demands, rights and causes of action of any nature whatsoever which may have or which may hereafter accrue to me, arising from and by reason of any and all bodily or personal injury, damage to property or other loss and any consequence thereof, whether known or unknown, seen or unforeseen, resulting from my participation in “Taekwondo, Gracie Jiu-Jitsu, Hojutsu-Ryu or the personal training offered by U. S. Family Martial Arts,” and their persons and entities mentioned above.

Further, knowing and understanding these risks, nevertheless I hereby agree to voluntarily assume these risks and to release and hold harmless all the persons or entities mentioned above whom might otherwise be liable to me for damages.  It is further understood that this waiver, release and assumption of risk is forever binding on my heirs and assigns.  I also understand and acknowledge that I have and will maintain appropriate medical insurance during classes/training.

I am also aware that for purposes of safety, security and quality control there are surveillance cameras mounted throughout the U. S. Family Martial Arts facility.  Furthermore, because of the popularity of the U. S. Family Martial Arts, I understand and acknowledge that often times filming, video or photographs may be taken of me during classes/training.  I hereby grant U. S. Family Martial Arts, Force Options, Hojutsu-Ryu, Victory Avenue LLC, Brajitsu Inc., Gracie Jiu-Jitsu Academy the unlimited use of my likeness in any media format photo/video for promotional advertisement or commercial use in any format known or yet to be developed in perpetuity and I forfeit any form of payment.  It is further understood that I will not film any classes/training without prior permission from U. S. Family Martial Arts.

My signature on this document is evidence that I know and understand and have had this document explained to me, that I fully understand the dangers that are inherent in the martial arts and the personal training offered by U. S. Family Martial Arts, and that I voluntarily certify that I will not hold U. S. Family Martial Arts, Victory Avenue LLC, Hojutsu-Ryu, Force Options, Brajitsu, Inc., Gracie Jiu-Jitsu Academy, their agents and/or assigns, responsible for any injury whether as a result of training or not.  In addition, I agree to the policies applied for all students of U. S. Family Martial Arts presented at the time of registration and future changes implemented.

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Guardian Name: {name}

(Guardian Signature required if student is less than 18 years old)

DATE: {sign_date}

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