In consideration of the services of Atherton Brazilian Jiu Jitsu and/or their agents, owners, officers, volunteers, participants, employees and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as Atherton Brazilian Jiu Jitsu I, {name}, hereby agree to release and discharge Atherton Brazilian Jiu Jitsu on behalf of myself, my children, my heirs, assigns, personal representative and estate as follows:
1. I acknowledge that participation in the martial arts entails unknown and unanticipated risks which could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties, I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. The risks include, among other things: intense, stressful and strenuous exercises with body contact. I expressly consent to confront these known and unknown dangers and further agree, understand and recognize that these risks may result in serious injury or illness including but not limited to: bruises, bloody noses, broken bones, sprains, dislocations, heart attacks or other cardiovascular disease, or other serious injury resulting in death and/ or property damage. Furthermore, Atherton Brazilian Jiu Jitsu employees have difficult jobs to perform. They seek safety, but they are not infallible. They might be ignorant of participant's fitness or abilities. They may give inadequate warnings or instructions, and the equipment being used might malfunction.
2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.
3. I hereby voluntarily release, forever discharge, and agree to indemnity and hold harmless, Atherton Brazilian Jiu Jitsu from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of Atherton Brazilian Jiu Jitsu equipment or facilities, including any such claims which allege negligent acts or omissions of Atherton Brazilian Jiu Jitsu
4. Should Atherton Brazilian Jiu Jitsu or anyone acting on their behalf be required to incur solicitor’s fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.
5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself I further certify that I have no medical or physical conditions which could interfere with my safety in this activity, or else I am willing to assume - and bear the costs of - all risks that may be created, directly or indirectly, by any such condition.
By signing this document, I, {name}, acknowledge that if I, or any other person or persons, is hurt in any way, or property is damaged during my participation in this activity, I hereby waive any right to any claim and/or lawsuit against Atherton Brazilian Jiu Jitsu on the basis that any claim I may have is hereby released and acknowledged by my signature. I have had sufficient opportunity to read this entire document. I acknowledge reading this document and I understand it completely. I agree to be bound by the terms of this document.
Signed:
Atherton Flow