MORTALIS JIU JITSU
FLORIDA RELEASE, WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT
Participant Information:
Name: {first_name} {last_name}
Date of Birth: {dob}
Phone Number: {phone}
Email Address: {email}
Home Address: {address}
Date: {current_date}
IMPORTANT – READ CAREFULLY. THIS AFFECTS YOUR LEGAL RIGHTS.
In consideration for being allowed to participate in Brazilian Jiu-Jitsu and related activities at Mortalis Jiu Jitsu, I, {first_name} {last_name}, agree as follows:
1. ASSUMPTION OF RISK
I understand that Brazilian Jiu-Jitsu is a contact sport involving strenuous physical activity and inherent risks, including but not limited to: cuts, bruises, sprains, fractures, concussions, joint injuries, paralysis, and death.
I knowingly and voluntarily assume all risks, both known and unknown, even if arising from the NEGLIGENCE of Mortalis Jiu Jitsu, its owners, instructors, employees, agents, or other participants.
2. RELEASE AND WAIVER OF LIABILITY
I, on behalf of myself and my heirs, executors, administrators, and assigns, hereby fully and forever release and discharge Mortalis Jiu Jitsu, its owners, instructors, employees, agents, and representatives from any and all claims, demands, damages, rights of action, or causes of action, present or future, whether the same be known, anticipated, or unanticipated, resulting from or arising out of my participation.
This release specifically includes any claims based on the NEGLIGENCE of Mortalis Jiu Jitsu or its representatives.
3. INDEMNIFICATION
I agree to indemnify, defend, and hold harmless Mortalis Jiu Jitsu and its representatives from any and all claims, liabilities, damages, costs, and expenses (including attorney’s fees) arising out of or related to my participation, including claims brought by third parties.
4. MEDICAL CONSENT
I authorize Mortalis Jiu Jitsu to obtain emergency medical treatment for me if necessary. I understand that I am solely responsible for any medical costs incurred.
5. RULES AND SAFETY
I agree to follow all rules, instructions, and safety guidelines provided by Mortalis Jiu Jitsu. I understand that failure to do so may result in my removal from training without refund.
6. PHOTO AND VIDEO RELEASE
I grant permission to Mortalis Jiu Jitsu to photograph and record me and to use my image, likeness, and voice for any lawful purpose, including marketing, advertising, and social media, without compensation.
7. GOVERNING LAW AND VENUE
This Agreement shall be governed by and construed in accordance with the laws of the State of Florida. Any legal action shall be brought exclusively in Miami-Dade County, Florida.
8. SEVERABILITY
If any portion of this Agreement is held invalid, the remaining portions shall continue in full force and effect.
9. ACKNOWLEDGMENT AND VOLUNTARY SIGNATURE
I certify that I am at least 18 years of age, or that I am signing through my parent/legal guardian. I have read this Agreement, fully understand its terms, and sign it freely and voluntarily.
Electronic Signature: {first_name} {last_name}
Date: {current_date}
FOR MINORS (UNDER 18):
Parent/Guardian Name: {guardian_first_name} {guardian_last_name}
I, {guardian_first_name} {guardian_last_name}, am the parent/legal guardian of {first_name} {last_name}. I consent to their participation and agree to all terms of this Agreement on their behalf, including the release and indemnification provisions.
Parent/Guardian Signature: {guardian_first_name} {guardian_last_name}
Date: {current_date}
Mortalis Jiu Jitsu
14801 Bethune Dr Unit 1
Miami, FL 33176
786-527-1509
Mortalis Jiu Jitsu
