THIS AGREEMENT MUST BE SIGNED BY ALL MEMBERS WHO WISH TO PARTICIPATE IN ANY MERCY JIU JITSU SANCTIONED EVENT OR CLASSIn consideration of being allowed to participate in any way in the sanctioned events or classes of Mercy Jiu Jitsu, you will
1. Recognize and understand that martial arts training is a physical contact activity and that my participation
might result in serious injury, including permanent disability or death, and severe social and economic loss.
2. Recognize and understand that such risk may be due to not only my own actions, but also the action,
inaction or negligence of others, the regulations of participation, or the conditions of the premises, or of any
of the equipment used.
3. Recognize that there may be other risks that are not known to me or to others or not reasonably foreseeable
at this time.
4. Agree to inspect the facilities, equipment and pairings prior to participation. I will immediately inform an
instructor if I believe that anything is unsafe or beyond my capability and refuse to participate.
5. Assume all of the foregoing risks and accept personal responsibility for any damages that may result from
injury, permanent disability or death.
6. Enter martial arts training and/or competition entirely of my own free will and understand the importance
of following the rules of training and competition. I have been given a copy of the rules and regulations of
Mercy Jiu Jitsu and agree to abide by the instructions given therein.
7. I certify that I am in good physical condition, and have no disease, injury or other condition that would
impair my performance or physical and mental well-being during intense training practice and/or
competition.
8. Grant permission in case of injury to have a doctor, nurse, athletic training or other emergency medical
personnel provide me with medical assistance or treatment for such injury.
9. Release, waive, discharge and covenant not to sue, Mercy Jiu Jitsu, its affiliated organizations
and governing bodies, their officers, instructors and personnel, other members of the organizations,
participants, supervisors, coaches, sponsoring organizations or their agents, and if applicable, owners and
lessors and lessees of the premises from any and all liability to the undersigned, his or her heirs and next of
kin for any and all claims, demands, losses and damages which may be sustained and suffered on account
of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the
negligence of the releasees or otherwise.
I HAVE READ THE ABOVE WARNING, WAIVER, RELEASE AND AGREEMENT TO PARTICIPATE. I
UNDERSTAND ITS CONTENTS AND DO HEREBY SIGN IT VOLUNTARILY.