Release and Waiver of Liability and Indemnity Agreement
(Read Carefully Before Signing)
In consideration of being permitted to participate in any way in the Ground Game Theory Jiu Jitsu Program indicated
below and/or being permitted to enter for any purpose any restricted area (here in defined as any area where in
admittance to the general public is prohibited), the parent(s) and/or legal guardian(s) of the minor participant named
below agree:
1. The parent(s) and/or legal guardian(s) will instruct the minor participant that prior to participating in the below
Ground Game Theory Jiu Jitsu activity or event, he or she should inspect the facilities and equipment to be used, and if he
or she believes anything is unsafe, the participant should immediately advise the officials of such condition and refuse to
participate. I understand and agreed that, if at any time, I feel anything to be UNSAFE, I will immediately take all
precautions to avoid the unsafe area and REFUSE TO PARTICIPATE further.
2. I/WE fully understand and acknowledge that:
(a) There are risks and dangers associated with participation in Ground Game Theory Jiu Jitsu events and
activities which could result in bodily injury, partial and/or total disability, paralysis and death.
(b) The social and economic losses and/or damages, which could result from these risks and dangers described
above, could be severe.
(c) These risks and dangers may be caused by the action, inaction or negligence of the participant or the action,
inaction or negligence of others, including, but not limited to, the Releasees named below.
(d) There may be other risks not known to us or are not reasonably foreseeable at his time.
3. I/WE accept and assume such risks and responsibility for the losses and/or damages following such injury, disability,
paralysis or death, however caused and whether caused in whole or in part by the negligence of the Releasees named
below.
4. I/WE HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE the Ground Game Theory Jiu Jitsu facility
used by the participant , including its owners, managers, promoters, lessees of premises used to conduct the Ground
Game Theory Jiu Jitsu event or program, premises and event inspectors, underwriters, consultants and others who give
recommendations, directions, or instructions to engage in risk evaluation or loss control activities regarding the Ground
Game Theory Jiu Jitsufacility or events held at such facility and each of them, their directors, officers, agents, employees,
all for the purposes herein referred to as “Releasee”...FROM ALL LIABILITY TO THE UNDERSIGNED, my/our personal
representatives, assigns, executors, heirs and next to kin FOR ANY AND ALL CLAIMS, DEMANDS, LOSSES OR DAMAGES
AND ANY CLAIMS OR DEMANDS THEREFORE ON ACCOUNT OF ANY INJURY, INCLUDING BUT NOT LIMITED TO THE DEATH
OF THE PARTICIPANT OR DAMAGE TO PROPERTY, ARISING OUT OF OR RELATING TO THE EVENT(S) CAUSED OR ALLEGED
TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEE OR OTHERWISE.
5. I/WE HEREBY acknowledge that THE ACTIVITIES OF THE EVENT(S) ARE VERY DANGEROUS and involve the risk of
serious injury and/or death and/or property damage. Each of THE UNDERSIGNED also expressly acknowledges that
INJURIES RECEIVED MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE OPERATIONS OR PROCEDURES OF
THE RELEASEES.
6. EACH OF THE UNDERSIGNED further expressly agrees that the foregoing release, waiver, and indemnity agreement is
intended to be as broad and inclusive as is permitted by the law of the Province or State in which the event is conducted
and that if any portion is held invalid, it is agreed that the balance shall, notwithstanding continue in full legal force and
effect.
Release and Waiver of Liability and Indemnity Agreement
(Read Carefully Before Signing)
7. On behalf of the participant and individually, the undersigned partner(s) and/or legal guardian(s) for the minor
participant executes this Waiver and Release. If, despite this release, the participant makes a claim against any of the
Releasees, the parent(s) and/or legal guardian(s) will reimburse the Releasee for any money which they have paid to the
participant, or on his behalf, and hold them harmless.
I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY
UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED
IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND
INTEND MY SIGNATURE TO BE COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT
ALLOWED BY LAW.
Facility Name: Ground Game Theory Jiu Jitsu
Facility Address 8354 SW 40TH ST, MIAMI, FL 33155
Parent or Guardian Signature:
Printed Name of Participant: {name}
Ground Game Theory