Woman’s Self-Defense Seminar

RELEASE AND WAIVER LIABILITY AND INDEMNITY AGREEMENT (Read Carefully Before Signing)

In consideration of being permitted to participate in any way in the Martial Arts 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 guardians (if minor) participant named below agree:

I {name} understand and have had explained to me that the martial art known as Brazilian Jiu-Jitsu may entail some risk of accident or injury and that this risk may be in the form of an accident that may be serious or even mortal as a consequence of the practice of the before mentioned Brazilian Jiu-Jitsu or other martial art.
I further understand and have had explained to me that along with the possibility of personal injury, that injury to property is also possible, such as, but not limited to possible loss of wages and the ability to earn such wages. With full knowledge of the afore mentioned dangers both to my person and property (current and future) and after having, these dangers fully explained to myself and / or to my legal guardian. I hereby certify and declare that I will release and forever hold free and discharge from any liability, RG Vacaville LLC, each of their agents, directors, officers, employees, and representatives from all claims, demands, rights and causes of action of any nature whatsoever which I may have or which hereafter accrue to me arising from and be reason of any and all bodily and personal injury, damage to property or other loss, and any consequence thereof whether known or unknown, seen or unforeseen, resulting in my participation in Brazilian Jiu-Jitsu the persons and entities mentioned above.
By signing this agreement, I also acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by visiting RG Vacaville LLC and that such exposure or infection may result in personal injury, illness, permanent disability, and death.
Further knowing and understanding these risks, I hereby agree to voluntarily assume these risks and to release and hold harmless all the persons or entities mentioned above whom might otherwise be liable to me for damages. It is further understood that this WAIVER-RELEASE AND ASSUMPTION OF RISK IS FOREVER BINDING on my heirs and assigns.

The Parties agree to engage in the practice and training of Brazilian jiu-jitsu, Judo or other class at RG Vacaville LLC and to participate in the recording of such activities (hereinafter collectively referred to as the “Program”) which may be captured in various forms of media including but not limited to video and audio recording and photography. The Parties anticipate that the Program may be distributed via the internet and otherwise by Company for its own profit.

In consideration of taking part in the Program, the promotion and exposure of Participant derived therefrom, the promises contained herein and for other good and valuable consideration receipt of all of which are hereby acknowledged, Participant hereby grants Company and its respective licensees, successors, legal representatives, and assigns the right and permission to utilize Participant’s appearance and likeness in connection with the Program in any and all manner and media from the beginning of time and continuing in perpetuity, including any recording of martial arts activities that may predate the execution of this Agreement.

Participant also consents to the use of Participant’s name, likeness, voice, and biographical material in connection with the Program’s publicity and related institutional promotional purposes and to use, reproduce, edit, exhibit, project, display, copyright, publish and/or resell photographic images and/or moving pictures and/or videotaped images of Participant with or without Participant’s voice, or in which Participant may be included in whole or in part, photographed, taped, videotaped, and/or recorded on the effective date of this.

Agreement, beforehand and thereafter, and to circulate the same in all forms and media for art, advertising, trade, competition of every description and/or any other lawful purpose whatsoever without further approval.

Participant expressly releases and holds harmless Company, its agents, legal representatives, owners, employees, independent contractors, co-venturers, partners, services providers, licensees, assigns, and all others acting by or through it from and against any and all claims which Participant may have for invasion of privacy, misappropriation of likeness, defamation or any other cause of action or claim arising out of the production, distribution, broadcast or exhibition of the Program and/or any and all media derived therefrom or related thereto.

Participant shall have no claim for any sums based upon the Program, and forever relinquishes any claim to share in any profits, revenues or any other monies of any nature or source whatsoever derived from the Program or any other media derived therefrom or related thereto.
Participant, on its own behalf and that of any assignees, successors, heirs, partners, spouses or any others taking by or through Participant, hereby releases and holds harmless Company, its agents, legal representatives, owners, employees, independent contractors, co-venturers, partners, services providers, licensees, assigns, and all others acting by or through it from and against any and all claims including any claims for property damage or personal injury to Participant including death or dismemberment which Participant may have for any liability arising from, connected to or associated with the Program, whether such liability sounds in tort, contract, statute or otherwise.

If any provision of this Agreement is held in whole or in part to be unenforceable for any reason, the remainder of that provision and of the entire Agreement will be severable and remain in effect.
My signature on the Student Agreement is evidence that I know, understand, and have had this document explained to me. I fully understand the dangers that are inherent in this martial art and that I voluntarily certify that I will not hold RG Vacaville LLC, their agents, instructors and / or assigns, responsible for any injury whether as a result of training or not.

{sign_date}