Willows Jiu Jitsu & MMA

RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT

IN CONSIDERATION of being permitted to utilize the facilities, services and programs of Willows

Jiu Jitsu & MMA for any purpose including, but not limited to, observation or use of facilities or

equipment, or participation in any off-site program affiliated with Willows Jiu Jitsu & MMA, the

undersigned, for himself or herself and any personal representatives, heirs, and next of kin, hereby

acknowledges, agrees and represents that he or she has, or immediately upon entering or participating

will, inspect and carefully consider such premises and facilities or the affiliated program. It is further

warranted that such entry into Willows Jiu Jitsu & MMA for observation or use of any facilities or

equipment or participation in such affiliated program constitutes an acknowledgement that such

premises and all facilities and equipment thereon and such affiliated program have been inspected

and carefully considered and that the undersigned finds and accepts same as being safe and

reasonably suited for the purpose of such observation, use or participation.

IN FURTHER CONSIDERATION OF BEING PERMITTED TO ENTER WILLOWS JIU JITSU &

MMA FOR ANY PURPOSE INCLUDING, BUT NOT LIMITED TO OBSERVATION OR USE

OF FACILITIES OR EQUIPMENT, OR PARTICIPATION IN ANY OFF-SITE PROGRAM

AFFILIATED WITH WILLOWS JIU JITSU & MMA, THE UNDERSIGNED HEREBY AGREES

TO THE FOLLOWING:

1. THE UNDERSIGNED HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS

NOT TO SUE Willows Jiu Jitsu & MMA, its owners, directors, officers, employees, and agents

(hereinafter referred to as “releases”) from all liability to the undersigned his/her personal

representatives, assigns, heirs, and next of kin for any loss or damage, and any claim or demands

therefore on account of injury to the person or property or resulting in death of the undersigned,

whether caused by the negligence of the releases or otherwise while the undersigned is in, upon, or

about the premises or any facilities or equipment therein or participating in any program affiliated

with the Willows Jiu Jitsu & MMA.

2. THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD

HARMLESS the releases and each of them from any loss, liability, damage or cost they may incur

due to the presence of the undersigned in, upon or about Willows Jiu Jitsu & MMA premises or in

any way observing or using any facilities or equipment of Willows Jiu Jitsu & MMA or participating

in any program affiliated with Willows Jiu Jitsu & MMA whether caused by the negligence of the

releases or otherwise.

3. THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISK OF

BODILY INJURY, DEATH OR PROPERTY DAMAGE due to negligence of releases or otherwise

while in, about or upon the premises of Willows Jiu Jitsu & MMA and/or while using the premises or

any facilities or equipment thereon or participating in any program affiliated with Willows Jiu Jitsu

& MMA.

THE UNDERSIGNED further expressly agrees that the foregoing RELEASE, WAIVER, AND

INDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by law and that

if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in

full legal force and effect.

THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND

WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, and further agrees that no oral

representations, statements or inducement apart from the foregoing written agreement have been

made.

I am aware that there is no video recording allowed in Willows Jiu Jitsu & MMA facility unless

special permission is given by Willows Jiu Jitsu & MMA staff.

PHOTO RELEASE: I give to Willows Jiu Jitsu & MMA permission to use, publish and republish

reproductions of myself or my child’s likeness (photographic or otherwise), and interview narratives

with or without identification of me or my child by name, for purposes of communicating the work

and purpose of Willows Jiu Jitsu & MMA, e.g. annual report, brochures, electronic presentations,

newsletters, etc. I have read and agree to this release of reliability and photo release

No refunds will be made for any reason.