WAIVER AND RELEASE OF LIABILITY
Cornerstone Jiu-Jitsu
5741 S Pine Ave, Unit 8A, Ocala, FL 34480
PLEASE READ CAREFULLY BEFORE SIGNING. THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR RIGHTS.
1. Parties
I, the undersigned participant (hereinafter “Participant”), hereby acknowledge that I am voluntarily participating in Brazilian Jiu-Jitsu, grappling, martial arts training, fitness classes, open mat sessions, competitions, seminars, and all related activities (collectively “Activities”) at Cornerstone Jiu-Jitsu (hereinafter “the Academy”), located at 5741 S Pine Ave, Unit 8A, Ocala, FL 34480.
2. Assumption of Risk
I understand and acknowledge that the practice of Brazilian Jiu-Jitsu and related martial arts involves inherent and significant risks of serious bodily injury, including but not limited to:
• Joint injuries, dislocations, fractures, sprains, and soft tissue damage
• Spinal, neck, and head injuries
• Skin infections, rashes, or communicable diseases
• Loss of consciousness, concussions, or traumatic brain injury
• Death or permanent disability
I knowingly and voluntarily assume all risks, both known and unknown, associated with these Activities, even if arising from the negligence of the Academy, its owners, instructors, employees, volunteers, or other participants.
3. Release and Waiver of Liability
In consideration of being permitted to participate in the Activities, I hereby release, waive, discharge, and covenant not to sue Cornerstone Jiu-Jitsu, its owners, instructors, employees, agents, volunteers, landlords, and all other participants (collectively “Releasees”) from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, or injury (including death) that may be sustained by me while participating in the Activities, whether caused by the negligence of the Releasees or otherwise.
This release includes, but is not limited to, claims for personal injury, property damage, medical expenses, and any other damages.
4. Medical Representation
I certify that I am physically fit and able to participate in these Activities. I have no medical condition that would prevent me from safely participating. I agree to inform the Academy immediately of any injury or medical condition that arises during training. I authorize the Academy to seek emergency medical treatment on my behalf if I am unable to do so, and I agree to be responsible for all related medical costs.
5. Indemnification
I agree to indemnify and hold harmless the Releasees from any and all claims, actions, or demands brought by myself, my family members, heirs, or any other third party as a result of my participation in the Activities.
6. Media Release
I grant the Academy permission to use any photographs, video, or recordings of me taken during Academy activities for promotional, marketing, or instructional purposes.
7. Governing Law
This Agreement shall be governed by the laws of the State of Florida. Any disputes shall be resolved exclusively in the courts located in Marion County, Florida.
8. Severability
If any provision of this Agreement is held invalid, the remainder shall continue in full force and effect.
Participant Information (Please Print)
• {name}: _______________________________
• {dob}: _______________
• {address}: ___________________________________________________________
• {phone}: _______________________________
• Email: ________________________
• {contact_name}: _____________________
• {contact_phone}: _______________________
Signature of Participant: _______________________________ Date: ___________
For Participants Under 18 Years of Age
I, the undersigned parent or legal guardian of the minor named above, have read and fully understand this Waiver and Release of Liability. I consent to my child’s participation in the Activities and agree to be bound by all terms of this Agreement on behalf of myself and my child.
• Parent/Guardian Name (Print): ________________________________________
• Relationship to Minor: ________________________
• Signature of Parent/Guardian: _______________________________ Date: ___________
Acknowledgment: By signing below, I confirm that I have read this entire document, understand it completely, and am signing it voluntarily.
Signature: _______________________________ Date: ________________