Online Waiver


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SPANGLER BRAZILIAN JIU JITSU ACADEMY

APEX, NC

702-604-2106

WWW.NORTHCAROLINABJJ.COM

 

This is a fitness center.  The possibility of bodily injury exist; which may include paralysis, dismemberment, disability and death.  Therefore signing the Release of Liability and Waiver Agreement, hereby releases all instructors of Spangler Brazilian Jiu Jitsu Academy of liability (to the fullest extent permitted by law) from any injuries that could be sustained by participation in any classes, seminars, or private training.  I fully understand that if medical treatment is given by any instructor, such treatment will be of the “first aid type only”.

 

RELEASE OF LIABILITY AND WAIVER AGREEMENT:

For and in consideration of my participation in the Spangler Brazilian Jiu Jitsu Academy, I, the undersigned, intending to be legally bound, for myself, my heirs, next of kin, executors, personal representatives and administrators, hereby waive, hold harmless and release any and all rights to damages of all rights to claims/liability I have against Spangler Brazilian Jiu Jitsu Academy.  This includes it’s governing body, officials, persons associated and members (either individually or otherwise), for physical injuries or rights to damages suffered by me, directly or indirectly, unavoidable or negligently, including any future psychological and or physical pain and suffering claims.

The aforementioned could be from any of the following:  arising out of negligence or otherwise, as a result of attending, participation in, practicing for, traveling to or from such activity, or against the owners, organizations, governing body, members or instructors (either individually or otherwise), or the gymnasium, dojo, school or place where the event or practice is held.  

I, the undersigned, agree to defend, indemnify and hold harmless the instructors of the program (either individually or otherwise) from any claims and action by third parties alleging injury from use of the techniques and skills learned.  I, the undersigned , realize that I that I am responsible for providing my own medical insurance or medical coverage to cover any and all medical expenses I might incur in participating in these activities.

I, the undersigned, waive any and all rights to compensation, in any form, for pictures, films or videotapes taken of me in the above activities and grant permission for them to be used for any publicity.  

 





Spangler Brazilian Jiu Jitsu Academy http://www.carybjj.com
Audit Trail
Document name: Online Waiver
Unique document ID: 0850957c1dc2db9fecc6d72d6fb08b13935bacd8
Status:
    1/21/2015
    16:30:17 UTCDocument Online Waiver
    Uploaded by Sean - seancspangler@gmail.com
    IP: 108.232.8.233