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Liability Waiver Agreements

This page is for all liability waiver agreements. Each adult needs to fill out the first form labeled Liability Waiver Agreement and any parent for a youth class needs to fill out a Hold Harmless Liability Waiver Agreement found below. 

ChuyJitsu Academy

Liability Waiver Agreement (Adults)

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Hold Harmless Liability Waiver Agreement

By signing below, I have voluntarily submitted my application for participation and/or registration as a participant and/or student in ChuyJitsu program.


By submitting this application for membership, I certify that I am fully aware of and understand the inherent dangers in participating in activities

involving Wrestling, Submission Wrestling, and related activities.


I understand and agree that the operators of ChuyJitsu, its owners, instructors, coaches, or any other student will not be responsible for my safety, nor will any of these parties or individuals serve as a guardian of my

safety.


I understand and agree that the operators of ChuyJitsu, Yakima MMA LLC and JAD Properties LLC, its owners, instructors, coaches, or any other student or their agents or assign, or any other individual or entity associated with ChuyJitsu, may not be held liable any way for my occurrences or event in connection with my participation and/or membership in any training that may result in injury, death, or damages to me or to my family, descendants, heirs or assigns.


I understand and agree that in consideration for being allowed to be a student and or participant in the ChuyJitsu program, I hereby personally assume all risks involved in connection with the same, and furthermore, I

release forever the aforementioned individuals and entities and any other individuals or entity associated with this program, for any harm, injury or damage that may occur to me or befall me while I am a student/participant in this program including any and all of the above mentioned parties.


Furthermore, I will hold harmless the above-mentioned parties from any claim by me, my family, my estate, my heirs, my personal representatives, or their assigns, arising out of my participation in this program.


I further state that I am of the lawful age and legally competent to sign this agreement, and that my signing this agreement is my own free act. I also understand and agree that the terms herein are contractual, and they

are not a mere recital or simply for informational purposes. I have read this Hold Harmless and Liability Waiver Agreement, understand, and fully informed myself of the contents of this agreement. I assume my own

responsibility for my physical condition and capability to perform under this program which I may participate in.


ChuyJitsu and or Yakima MMA will not issue refunds for membership cancellations or back date refunds for nonparticipation. It is YOUR responsibility to cancel your membership with management verbally or in writing.

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Hold Harmless Liability Waiver Agreement

BY PARENT/GUARDIAN FOR STUDENTS UNDER THE AGE OF 18

TO PARTICIPATE IN CHUYJITSU PROGRAM.

The undersigned parent(s) of the named child above hereby give permission for my/our minor child to voluntarily attend and participate in all classes and activities of Chuy Jitsu.


As a condition of named child above being allowed to attend and participate in such classes and activities, I hereby release Chuy Jitsu, Yakima MMA LLC and JAD Properties LLC, its owners, instructors, coaches, or any other student from any liability which may or could occur by reason of any personal injury or property damage suffered by me or the named child above regardless of the cause or alleged cause of such personal injury or property damage.


The undersigned understand(s) that the named child above will be voluntarily participating in activities involving Boxing, Kickboxing, Wrestling, Submission Wrestling, Mixed Martial Arts and related

activities which may expose him/her to some level of risk or injury and the undersigned represent(s) that I/we are aware of the nature of these activities and agree to accept any and all risks associated with the

participation of the named child above in these activities.


The undersigned represent(s) that the named child above is in good physical health and that unless I/we have notified Chuy Jitsu, in writing that the named child above is unable to participate in an activity due to some physical or mental considerations, he/she will be allowed to participate in all activities of ChuyJitsu.


Furthermore, in consideration of ChuyJitsu allowing the named child above to participate in these activities, I/we release forever the

aforementioned individuals and entities and any other individuals or entity associated with this program, for any harm, injury or damage that may occur to me or befall me while I am a student/participant in this

program including any and all of the above mentioned parties.


Furthermore, I/we will hold harmless the above-mentioned parties from any claim by me, my family, my estate, my heirs, my personal representatives, or their assigns, arising out of the named child above's participation in this program.


Yakima MMA or ChuyJitsu will not issue refunds for membership cancellations or back date refunds for nonparticipation. It is YOUR responsibility to cancel your membership with management verbally or in writing.

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