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Bataille Jiu Jitsu Academy LLC 47 Main St, Unit #9 Bloomingdale, NJ 07403

PARENT/GUARDIAN RECREATIONAL SPORT ASSUMPTION OF RISK AND RELEASE OF LIABILITY

~read this form carefully~

 In consideration of my or my son’s/daughter’s participation in Bataille Jiu Jitsu Academy LLC its participating or sponsoring organizations, including building owner and lease holder and/or program providers, I agree as follows:

RISK FACTORS: I understand and acknowledge that Jiu Jitsu  is a strenuous contact sport that may, on occasion, cause injuries. I also understand that individuals with certain medical conditions could be impacted adversely by strenuous activity that increases the heart rate, blood pressure or breathing. I understand and agree that I am responsible for ensuring that me or my child is physically able to participate in Jiu Jitsu and training activities, and I accept and assume all risks of injury, whether to my child or others that may result from my child's participation in the Jiu Jitsu Program or any other Bataille Jiu Jitsu Academy LLC the use of any equipment or facilities provided or used by Bataille Jiu Jitsu Academy LLC  and its participating or sponsoring organizations, the practice of Jiu Jitsu, the acts of others or the unavailability of emergency care. I am not aware of any medical reason why myself or my child should not participate in the Jiu Jitsu Program. I understand and agree that if I have any questions as to what skills, qualifications or training is necessary for my child to participate in the Program, then I will direct such questions to my child's coach or the appropriate Bataille Jiu Jitsu Academy LLC staff member on site.

ACKNOWLEDGEMENT OF POLICIES AND PROCEDURES: I understand the importance of Advising and have advised my child to comply with the instructions of the coach and the rules and regulations for safe participation in the Program. I understand that the safe and proper use of the facilities and equipment provided by Bataille Jiu Jitsu Academy LLC and its participating or sponsoring organizations, and the safe participation in the Program by me or my child, is dependent upon carefully following such instructions, rules and regulations.

1. EMERGENCY TREATMENT CONSENT: I hereby grant Bataille Jiu Jitsu Academy LLC its authorized representatives permission for any and all medical and/or dental attention to be administered to myself or my child in the event of an accidental injury or illness, until such time as I can be contacted.  

RELEASE I hereby forever and completely RELEASE Bataille Jiu Jitsu Academy LLC , its officers, directors, employees, staff, contractors and coaches, landlords and property owners and their respective agents, insurers, heirs, successors, attorneys, corporate affiliates and predecessors, from any and all claims, disputes, causes of action, which may arise out of any participation in Bataille Jiu Jitsu Academy LLC by myself, my child or by others in the presence, or out of all acts or equipment, buildings or the grounds, or the condition thereof, used by Bataille Jiu Jitsu Academy LLC and AGREE NOT TO SUE OR FILE A CLAIM against them on account of or in conjunction with any claims, causes of action, injuries, damage, cost of expenses arising out of the Program or otherwise, including those based on death, bodily injury or property damage whether or not caused by the acts, omissions or other fault of the parties being released.

INDEMNITY: I agree to INDEMNIFY, DEFEND, AND HOLD Bataille Jiu Jitsu Academy LLC and its officers,  directors, employees and coaches, and their respective agents, insurers, heirs, successors, attorneys, corporate affiliates and predecessors (hereinafter jointly referred to as “Indemnitee”) HARMLESS from any or all claims, causes of action, damages, judgments, costs and expenses, including attorney fees, which in any way arise from the activity or this Release which include but are not limited to damages to or destruction of any property of Indemnitee, of any others, injury or death of my child or anyone else or any liability arising from the act or negligent act of Indemnitee, me, my child or anyone else.

USE OF NAME AND LIKENESS I authorize the use of my child's name and image in promotional or informational publications for Bataille Jiu Jitsu Academy LLC and the Program, which may be published, among other ways, on the Bataille Jiu Jitsu Academy LLC .

REPRESENTATIVE CAPACITY: I am entering into this Release for myself, my child and our respective heirs, assigns and legal representatives.

INSURANCE: I understand that Bataille Jiu Jitsu Academy LLC does not carry participant health insurance. I agree that it is my responsibility to determine whether myself or my child should have a physical examination prior to participation in the Program, or whether I should purchase health insurance for myself or my child.

STEROID PROHIBITION: I agree that myself or my child will not use steroids without the written prescription of a fully licensed physician (as recognized by the AMA) to treat a medical condition. I recognize that New Jersey State policy regarding the use of illegal drugs will be enforced for any violations of these rules.

Intending for Bataille Jiu Jitsu Academy LLC to rely on this Waiver and Release, I hereby represent and warrant that I have carefully read this Waiver and Release, that I have had the opportunity to confer with legal counsel of my choice concerning this Waiver and Release and its terms before executing this document and before myself or my child participates in the Program, and that I sign this Release knowingly and voluntarily, intending to be legally bound hereby.