Participation Waiver & Release of Liability

I, the applicant, on behalf of myself, members of my family, executors, administrators and assigns, hereby indefinitely and forever release from liability, discharge from responsibility, and hold harmless Gilroy Brazilian Jiu-Jitsu, its owner(s), employees, representatives and agents for any injury, loss or damage to my person or property howsoever caused, arising from or in connection with my, or the person(s) under my guardianship, taking part in classes, self-defense workshops, seminars and/or other activities occurring inside or outside of the Gilroy Brazilian Jiu-Jitsu training facility, and not withstanding that the same may have been contributed to or occasioned by negligence of Gilroy Brazilian Jiu-Jitsu, its owner(s), employees, representatives and agents.
I, the applicant understand that Jiu-Jitsu is physical activity wherein permanent injury, paralysis, and even death can occur as a result of my own actions as well as the actions of other participants, and that each participant, including myself, is not required to wear any protective equipment to participate but should such equipment be desired by myself that I must supply my own protective equipment.
The Undersigned Acknowledges that the waiver was read, understood and agrees to abide by it, and that they are 18 years of age or older and/or the legal guardian of the student named in this form with authority to grant said student with permission to participate in activities facilitated by Gilroy Brazilian Jiu-Jitsu and its staff.

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    Gilroy BJJ is one of Northern California's premier martial arts academies specializing in Brazilian Jiu Jitsu. We have programs for men, women & kids of all abilities and skill levels. We invite you to come check us out and see all we have to offer. We guarantee you & your family will have a safe, fun and full learning experience every time!