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PLEASE READ AND SIGN OUR RELEASE OF LIABILITY AGREEMENT BELOW:

1. RELEASE OF LIABILITY

1. STUDENT ACKNOWLEDGES THAT PARTICIPATION IN MARTIAL ARTS INSTRUCTIONAL CLASSES AND ACTIVITIES INVOLVES INTENSE, STRESSFUL AND STRENUOUS EXERCISE AND PHYSICAL CONTACT, WHICH CARRY WITH THEM A HIGH DEGREE OF RISK AND CAN RESULT IN SERIOUS PHYSICAL OR EMOTIONAL INJURY, INCLUDING, BUT NOT LIMITED TO PARALYSIS, DEATH, BRUISES, BLOODY NOSES, UNCONSCIOUSNESS, SOFT TISSUE DAMAGE, BROKEN BONES, HEART ATTACKS, AND OTHER CARDIOVASCULAR INJURY, AND OTHER SERIOUS DAMAGE TO PERSON OR PROPERTY. STUDENT FURTHER ACKNOWLEDGES THAT SUCH RISKS CANNOT BE ELIMINATED WITHOUT JEOPARDIZING THE ESSENTIAL QUALITIES OF THE ACTIVITY.
2. STUDENT CONFIRMS THAT STUDENT HAS BEEN MADE AWARE OF THE ABOVE RISKS AS WELL AS OTHER RISKS ASSOCIATED WITH PARTICIPATING IN MARTIAL ARTS INSTRUCTION AND THE MARTIAL ARTS, AND THAT STUDENT IS HEREBY ASSUMING SUCH RISKS VOLUNTARILY.
3. STUDENT HEREBY RELEASES AND AGREES TO INDEMNIFY AND HOLD THE ACADEMY LOS ANGELES JIU-JITSU AND ITS OFFICERS, DIRECTORS, MANAGERS, MEMBERS, PARTNERS, EMPLOYEES AND AGENTS AND THEIR RESPECTIVE AFFILIATES HARMLESS FROM ANY AND ALL CLAIMS AND LIABILITIES OF ANY KIND OR NATURE ARISING OUT OF, OR RELATED TO, STUDENT’S PARTICIPATION IN THE ACADEMY’S CLASSES AND CURRICULUM AND THE MARTIAL ARTS, INCLUDING, BUT NOT LIMITED TO, ANY CLAIMS BASED ON THE ACADEMY’S NEGLIGENCE.
4. STUDENT CERTIFIES THAT STUDENT HAS AT ALL TIMES DURING THE TERM WILL HAVE ADEQUATE INSURANCE TO COVER ANY INJURY OR DAMAGE SUFFERED AS A RESULT OF ATTENDING ACADEMY CLASSES OR PARTICIPATING IN THE MARTIAL ARTS. ALTERNATIVELY, STUDENT CERTIFIES THAT STUDENT HAS, AND DURING
   THE TERM WILL CONTINUE TO HAVE, THE MEANS TO SELF INSURE AGAINST SUCH INJURY OR DAMAGE. STUDENT FURTHER CERTIFIES THAT STUDENT HAS NO MEDICAL CONDITION WHICH COULD INTERFERE WITH STUDENT’S SAFE PARTICIPATION IN ACADEMY CLASSES OR THE MARTIAL ARTS.

Student's Name: {name}                                              Date of Birth: {dob}

Guardian / Emergency contact: {contact_name} Relation: {contact_relation} Phone: {phone}