Participant Waiver and Release of Liability Agreement

Participant Name: {name}
Date of Birth: {dob} Phone: {phone}
Address: {address}

1. Assumption of Risk

I, the undersigned, acknowledge that participation in Brazilian Jiu Jitsu, grappling, self-defense, strength training, or any activity at Synapse Jiu Jitsu involves inherent physical risks including but not limited to: muscle strains, joint injuries, concussions, accidental head contact, skin infections, and in rare cases, serious injury or death.

I voluntarily assume full responsibility for any risks, known or unknown, involved in my participation in classes, events, sparring, competitions, and use of gym facilities.

2. Release of Liability

In consideration of being allowed to participate in activities at Synapse Jiu Jitsu, I hereby release, waive, and hold harmless Synapse Jiu Jitsu, its owners, instructors, coaches, staff, volunteers, agents, and affiliates from any and all liability, claims, demands, or causes of action that may arise from injury, illness, or damages sustained by me or my child during participation, regardless of whether caused by negligence.

3. Medical Authorization

I authorize Synapse Jiu Jitsu staff to seek emergency medical treatment on my behalf or my child's behalf if necessary. I understand that I am solely responsible for any and all medical costs incurred as a result.

4. Parental Consent (if under 18)

As the parent/legal guardian of the minor named above, I give full consent for my child to participate in activities at Synapse Jiu Jitsu and agree to all terms of this waiver on their behalf.

5. Photography & Media Release

 I grant Synapse Jiu Jitsu permission to take photographs and videos of me or my child during training for promotional or instructional purposes.

6. Acknowledgment and Agreement

I affirm that I am in good physical condition to participate in training. I have read this agreement thoroughly, understand its contents, and agree to be legally bound by its terms. This agreement is binding upon me, my heirs, legal representatives, and assigns.

Date: {sign_date}