STUDENT INFORMATION
RELEASE & WAIVER OF LIABILITY & INDEMNITY AGREEMENT
Permission to use photography: I grant to Source Jiu Jitsu Club, its representatives and employees the right to take photographs of me and my property in connection with the above-identified membership. I authorize Source Jiu Jitsu Club, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Source Jiu Jitsu Club may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
As a member, guest or participant at Source Jiu Jitsu Club, I understand and recognize that Jiu-Jitsu and MMA are physically demanding activities and sports that involve physical contact and risk of physical injury. You as a, member, guest or participant hereby agree to assume the risk of injury in its regardless of the cause. As a condition of your membership and or participation, you also must agree that in the event any claim for personal injury or property damage is prosecuted against Source Jiu Jitsu Club, its agents and employees, the member and or participant shall indemnify and hold harmless Source Jiu Jitsu Club, its agents and employees from any and all such claims and causes of action. I, for myself, my heirs, successors, executors hereby KNOWINGLY AND INTENTIONALLY WAIVE AND RELEASE, INDEMNIFY AND HOLD HARMLESS Source Jiu Jitsu Club, its owners, agents and employees, from and against any and all claims, actions, causes of action, liabilities, suits, expenses (including reasonable attorney’s fees) and NEGLIGENCE of any kind or nature, whether foreseen or in the physical activities and self-defense training, whether such damages, loss, injury, paralysis or death results from NEGLIGENCE from Source Jiu Jitsu Club, or its agents, employees, or from some other cause. I agree that neither I, nor anyone act on my behalf, will make a claim, sue or otherwise maintain legal action of any kind against Source Jiu Jitsu Club as a result of any injury, paralysis or death to me as a member, guest or participant. RELEASE FROM LIABILITY AND INDEMNIFICATION (READ BEFORE SIGNING).
Responsible Party Signature (Student/Parent or Legal Guardian)