PREMIER JIU-JITSU ACADEMY DES PLAINES WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT
Operated under the DBA Premier Jiu-Jitsu Academy Des Plaines and managed by The Gentle Way LLC, located at 1587 Lee St., Des Plaines, IL, with applicability extending to all current and future locations.
Member Information:
- Full Name: {name}
- First Name: {first_name}
- Date of Birth: {dob}
- Address: {address}
- Phone Number: {phone}
- Emergency Contact Name: {contact_name}
- Emergency Contact Phone: {contact_phone}
- Emergency Contact Relation: {contact_relation}
Agreement:
1. Acknowledgment of Risk: I, , recognize that participating in Jiu-Jitsu and related activities at any location of Premier Jiu-Jitsu Academy Des Plaines carries inherent risks of physical injury. I understand these risks and accept full responsibility for my participation and any resultant injuries.
2. Assumption of Risk and Responsibility: I voluntarily assume all risks, both known and unknown, associated with my or my minor child/ward’s participation in Jiu-Jitsu activities at any Premier Jiu-Jitsu Academy Des Plaines location. I affirm that I am physically fit for such activities and will comply with all academy guidelines and instructor directives.
3. Waiver and Release of Liability: For myself, my heirs, and assigns, I release and forever discharge Premier Jiu-Jitsu Academy Des Plaines, The Gentle Way LLC, their affiliates, officers, instructors, and agents, from any and all claims, demands, actions, and causes of action related to any loss, damage, injury, or death that I or my minor child/ward may suffer as a result of our participation in Jiu-Jitsu activities, regardless of the location, including those arising from the negligence of the released parties.
4. Indemnification: I agree to indemnify, defend, and hold harmless Premier Jiu-Jitsu Academy Des Plaines and The Gentle Way LLC against any and all claims, liabilities, damages, and costs arising from my or my minor child/ward's participation in activities at any of their locations.
5. Emergency Medical Treatment: I consent to receive, or for my minor child/ward to receive, emergency medical treatment for any injury or illness that may occur during participation in activities at any Premier Jiu-Jitsu Academy Des Plaines location. I agree to bear the costs of such treatment.
6. Acknowledgment of Understanding: I have read this waiver of liability and understand its terms. I acknowledge that by signing this agreement, I am waiving substantial legal rights, including the right to sue. I sign this document voluntarily and with full knowledge of its significance.
7. Governing Law: This agreement is governed by the laws of the State of Illinois and is intended to be as broad and inclusive as permitted by such laws.
Signature:
- Date Signed: {sign_date}
- Name of Member/Guardian:
- Member/Guardian Initials:
Member Portal Access:
- Access our Members Portal for additional information and resources. https://premierbjjacademy.com and alternately download the Gym Desk app.