CHAMPION STRIKING AND FITNESS

WAIVER, RELEASE OF LIABILITY, ASSUMPTION OF RISK AND AGREEMENT TO PARTICIPATE

THIS AGREEMENT MUST BE SIGNED BY ALL MEMBERS AND ANYONE WHO WISHES TO PARTICIPATE IN ANY ACTIVITY OR EVENT of CHAMPION STRIKING AND FITNESS. 

I, {name}, will be .....

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, 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 of the institute if I believe that anyone is unsafe or beyond my capability and refuse to participate.

5.     Assume all 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 competition entirely of my own free will and understand the importance of the following the rules of training and competition. I have been given the rules and regulations of Champion Striking and Fitness and agree to abide by the instructions given.

7.     Have volunteered to participate in a fitness program provided to me by Champion Striking and Fitness, which may include, but may not be limited to, resistance training and aerobic or cardiovascular exercise.

8.     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 and I understand that physical exercise can be strenuous and subject to risk of serious injury, and have been urged to obtain a physical examination from a doctor before participating in any exercise activity.

9.     Any recommendation for changes in diet including the use of food supplements and weight reduction products are entirely your responsibility and you should consult a physician prior to undergoing any dietary or food supplement changes.

10.  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.

11.  Release, waive, discharge and covenant not to sue, Champion Striking and Fitness, affiliated organizations and participants, supervisors, coaches, sponsoring organizations or their agents, and if applicable, owners and leasers of the premises from any and all liability to 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 release’s or otherwise.

12.  Without expectation of compensation or other remuneration, now or in the future, I hereby give my consent to Champion Striking and fitness, its affiliates and agents, to use my image and likeness and/or any interview statements from me in its publications, advertising or other media activities (including the Internet). This consent includes, but is not limited to: Permission to interview, film, photograph, tape, or otherwise make a video  reproduction of me and/or record my voice; Permission to use my name; and Permission to use quotes from the interview(s) (or excerpts of such quotes), the film, photograph(s), tape(s) or reproduction(s) of me, and/or recording of my voice, in part or in whole, in its publications, in newspapers, magazines and other print media, on television, radio and electronic media (including the Internet), in theatrical media and/or in mailings for educational and awareness. 

I HAVE READ THE ABOVE WARNING, WAIVER, RELEASE AND AGREEMENT TO PARTICIPATE AND VARIFY THAT I AM AT LEAST 18 YEARS OF AGE WHILE SIGNING OR, I AM THE LEGAL GUARDIAN OF THE PARTICIPANT IF THEY ARE UNDER THE AGE OR 18 YEARS OLD. I UNDERSTAND ITS CONTENTS AND DO HEREBY SIGN IT VOLUNTARILY