RELEASE OF LIABILITY
We would like you to acknowledge and understand
A. Physical exercise can be strenuous and subject to risk of serious injury, we urge you to obtain a
physical examination from a doctor before participating in any training or exercise activity.
B. By participating in physical exercise or training activities, you do so entirely at your own risk.
You agree that you are voluntarily participating in these activities and use of these facilities and
premises and assume all risks of injury, illness or death. We are also not responsible for any
loss or damage of your personal property.
C. This is a release of liability. You expressly agree to release and discharge the trainer or
instructor from any and all claims or causes of action and you agree to voluntarily give up or
waive any right that you may otherwise have to bring a legal action against the trainers,
instructors and members of Don't Blink Jiu-Jitsu Academy for personal injury or property damage.
D. Participants involved in any activities offered by Don't Blink Jiu-Jitsu Academy may be photographed or videotaped during such activities.
ACCEPTANCE
I/We the undersigned:
A. Have read, understood and agreed to the foregoing assumption of risk, and release of liability
B. Am/are aware that there are significant risks involved in all aspects of physical training.
C. Acknowledge responsibility in communicating any physical and psychological concerns that might
conflict with participation in any activity.
D. Acknowledge that I have no physical impairments, injuries, or illnesses that will endanger me or
others and that I am physically fit and mentally capable of performing the physical activity I
choose to participate in.
E. Willingly assume full responsibility for the risks that I am exposing myself to and accept full
responsibility for any injury, death or loss of property that may result from participation in any
activity or class while at, or under direction of Don't Blink Jiu-Jitsu Academy.
F. Hereby consents to the use of photographs and/or videos without compensation by Don't Blink Jiu-Jitsu Academy for any editorial, promotional or advertising material produced and/or published by Don't Blink Jiu-Jitsu Academy.
_________________________ _________________________
PRINT NAME SIGNATURE / DATE
**REQUIRED FOR MINORS**
_________________________ _________________________
NAME OF PARENT/GUARDIAN SIGNATURE / DATE
Don't Blink Jiu-Jitsu Academy
