MMA SCHOOL PARTICIPANT LIABILITY WAIVER, RELEASE, AND MEDIA CONSENT
Victory Academy BJJ – 6 Shwartz pl, Savannah, GA 31410
Participant Name: {name}
Date of Birth: {dob}
Address: {address}
Phone: {phone}
Email:
Emergency Contact: {contact_name}
Phone: {contact_phone}
1. Assumption of Risk
I, the undersigned participant (or parent/guardian if under 18), acknowledge that participation in mixed martial arts (MMA), Brazilian Jiu-Jitsu, striking arts, grappling, or any other martial arts activity offered by Victory Academy BJJ (“the School”) involves inherent risks of injury, including serious bodily injury or death. I voluntarily assume all risks associated with participation in these activities, whether known or unknown, as well as all risks, whether known or unknown, that may arise by my presence at 6 Shwartz Place, Savannah, Georgia 31410.
2. Release of Liability
I hereby release, waive, discharge, and covenant not to sue Victory Academy BJJ, its owners, instructors, employees, volunteers, fellow participants, and any persons or entities owning, leasing, or otherwise responsible for the 6 Shwartz Place, Savannah, Georgia 31410 or facilities in which the activities are conducted (collectively “the Released Parties”) from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, injury, or death that may be sustained while participating in classes, training, competitions, or events (including the acts of ingress and egress to and from 6 Shwartz Place, Savannah, Georgia 31410), whether caused by the negligence of the Released Parties or otherwise.
3. Medical Treatment
I consent to receive medical treatment deemed necessary in the event of injury or illness while participating in activities at the School. I understand that I am responsible for all costs related to such treatment.
4. Rules and Conduct
I agree to follow all rules and instructions provided by the School and its instructors. I understand that failure to comply may result in suspension or termination of my participation.
5. Insurance
I understand that the School does not provide health or accident insurance for participants. I certify that I have adequate insurance coverage or will bear the costs of any medical treatment required.
6. Photography and Media Release
I consent to the photographing, video recording, and/or audio recording of myself or my child while participating in activities at the School. I grant Victory Academy BJJ, its representatives, and assignees the right to use such images, videos, and recordings for promotional, marketing, social media, website, or other lawful purposes, without compensation or further notice. I release the School from any claims, demands, or liability arising out of or in connection with the use of such media.
7. Parent/Guardian Consent (if participant is under 18)
I, as parent/legal guardian of the minor participant, consent to the above and agree to assume all risks and release the Released Parties from liability. I also consent to the photography and media release on behalf of my child.
8. Acknowledgment of Understanding
I have read this waiver in its entirety, fully understand its terms, and sign it freely and voluntarily.
Participant Signature:
Date: {sign_date}
Parent/Guardian Signature (if under 18):
Date:
