In consideration of payment of class fees and use of the facilities at Pan-Afrikan Grappling, the parent/guardian agrees as follows:
I will notify the Instructor, Mr. Shabazz of any changes in the medical condition of me/my child. I/My child is/am currently physically and medically able to partake in activities and classes at Pan-Afrikan Grappling and Judo. I understand the nature of the activity and that I/my child (named on this form) is/am in good health, is qualified and in proper physical condition to participate in such activity.
I understand that there are No Refunds for tuition, events, equipment, etc. No Refunds for outside injuries.
I fully understand that any activity involving participation in Martial Arts, events and fitness activities increases dangers and risks associated with the risks including but not limited to bodily injury, partial and/or total disability, paralysis and death; and accepts and assumes such risks and responsibilities for the losses and/or damages.
I hereby discharge, release, and covenant not to litigate/sue Pan-Afrikan Grappling and Judo, the intructor(s), afiliated clubs, regional sports organizations, their respective administrators, instructors, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and leasers of premises on which the activity takes place, (each considered one of the “releasees” herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the “releasees” or otherwise, including negligent rescue operations and future agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the “releasees”, I will indemnify, save, and hold harmless each of the “releasees” from any loss, liability, damage, or cost, which any may incur as the result of such claim.
In case of emergency, I authorize employees of Pan-Afrikan Grappling and Judo to secure or contact medical attention for the participant.
I give permission to Pan-Afrikan Grappling and Judo to send updates and/or promotions through mail and email at any time. I understand that media such as photographs and/or videos of participants may be taken and used for Pan-Afrikan Grappling official use and display.
I understand, have read and will abide by the guidelines/policies/procedures of Pan-Afrikan Grappling and Judo. This pertains to normal guidelines/policies/procedures and additional including COVID policies/procedures/guidelines. I agree to follow the rules and regulations when participating in any of the programs of Pan-Afrikan Grappling and Judo.
I agree that all movements learned will be used for self-defense purposes only, and only as a last resort.
During any martial arts training or exercise if I feel dizzy or faint or experience any pain whatsoever, I must stop immediately and without delay seek the advice of a physician or health care professional.
I have read the above waiver and release. I understand that I have given up substantial rights by signing it and I am signing it voluntarily.
