Off The Grid- Waiver Of Liability
A waiver of liability for participation in the sport of Brazilian Jiu-Jitsu, Muay Thai and other martial art activities.
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Email *
LEGAL NAME of Adult participant OR parent of a child? *
Child name 1
Child name 2
Child name 3
ADDRESS? *
PHONE? *
Email *
Are you currently suffering from any injury or ailment that would prevent you from participating in sporting activities? *
EXHIBIT A RELEASE/ WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT For adult participants and for the children of parents who sign and agree 1. In consideration for being permitted to participate in Brazilian Jiu Jitsu / Muay Thai / Martial Arts I hereby voluntarily RELEASE, WAIVE, DISCHARGE, COVENANT NOT TO SUE AND RELINQUISH against Off The Grid , its officers, agents, servants or employees (herein after the “RELEASEES”) from any and all actions or causes of action for personal injury, property damage, or wrongful death occurring to me as a result of my participating in such training WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES, or otherwise, while participating in such activity, or while in, on or upon the premises where the activity is being conducted.2. I, for myself, my heirs, executors, administrators, and assigns hereby release, waive,discharge, and relinquish any action or causes of action, aforesaid, which may hereafter arise for me and/or for my estate, and agree that under no circumstances will I or my heirs, executors, administrators, and assigns prosecute, or present any claim for personal injury, property damage or wrongful death against Off The Grid VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OF LOSS, PROPERTY DAMAGE OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by me, or any loss or damage of property owned by me, as a result of being engaged in training WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES OR OTHERWISE. I understand that I am responsible for obtaining and pay the cost of treatment for any injuries sustained while participating in a field experience, practicum, or internship/ student teacher preparation program with the School Board.4. I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS the RELEASEES from any loss, liability, damage or costs, including court costs and attorneys’ fees, that they may incur due to my participation in training, WHETHER CAUSED BY NEGLIGENCE OF RELEASEES or otherwise.5. It is my express intent that this Waiver of Liability and Hold Harmless Agreement shall bind the members of my family, if I am alive, and my heirs, assigns and personal representative, if I am deceased, and shall be deemed as a RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE the above-named RELEASEES. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the State of Florida, and venue for any legal proceeding or lawsuit relating to this RELEASE shall be in Brevard County, Florida. I expressly acknowledge that this RELEASE is intended to be as broad and inclusive as permitted by the laws of the State of Florida.6. I agree that in any event that any clause or provision of this RELEASE shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this RELEASE, which shall continue to be enforceable.7. IN SIGNING THIS RELEASE/WAIVER, I ACKNOWLEDGE AND REPRESENT THAT I have read the foregoing RELEASE/WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT, understand it and sign it voluntarily as my own free act and deed; no oral representations, statements, or inducements, apart from the foregoing written agreement, have been made; I am at least eighteen (18) years of age and fully competent; and I execute this Release for full, adequate and complete consideration fully intending to be bound by same.Signed on the date submitted electronically. *
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