RELEASE AND WAIVER OF LIABILITY AGREEMENT
TRAKTION JIU JITSU ACADEMY
(Traktion Jiu Jitsu LLC)
1564 SE Federal Hwy, Stuart, FL 34994
info@traktionjiujitsu.com | (772) 243-7003
Participant Information
Participant Name: {name}
If Under 18:
Legal Guardian Name: {contact_name}
DOB: {dob}
Acknowledgment of Risk and Release of Liability
I, {name}, understand and acknowledge that participation in martial arts training, classes, and related activities at Traktion Jiu Jitsu Academy (Traktion Jiu Jitsu LLC) involves inherent physical risks, including but not limited to: strains, sprains, cuts, bruises, broken bones, concussions, and, in rare cases, paralysis or death.
By signing this form, I voluntarily assume all risks associated with my (or my child’s) participation, including training, open mat sessions, sparring, and special events (such as Parents’ Night Out or seminars). I understand that these risks may arise from my own actions, the actions of others, or the condition of the facilities and equipment.
I hereby release, waive, discharge, and hold harmless Traktion Jiu Jitsu Academy, Traktion Jiu Jitsu LLC, its owners, officers, instructors, employees, students, representatives, and agents from any and all claims, demands, causes of action, or liability arising out of any injury, loss, or damage to person or property that may occur while on the premises or participating in any academy activity, whether caused by negligence or otherwise.
Medical Authorization
In the event of an emergency, I authorize Traktion Jiu Jitsu Academy staff or agents to obtain medical treatment for myself or my child and agree that I am financially responsible for any costs incurred as a result of such treatment.
Media Release
I grant Traktion Jiu Jitsu Academy (Traktion Jiu Jitsu LLC) permission to photograph or record me or my child during classes or events and to use such media for marketing, social media, and promotional purposes. I understand that I will not receive compensation for the use of these materials. In the event that you or your child wish to not be photographed, please let our staff know.
Acknowledgment and Signature
By signing below, I acknowledge that I have carefully read and understood this waiver and release, and that I am voluntarily giving up certain legal rights. I affirm that I am physically capable of participating in Jiu Jitsu training and that I have disclosed any relevant medical conditions.
Signature of Participant:
Signature of Parent/Guardian (if minor):
Signed Date: {sign_date}
Date of Birth: {dob}