Release and Waiver of
Liability and Indemnity Agreement

Read Carefully Before Signing

 

In consideration of being permitted to participate in any way in the Martial Arts and Fitness Program indicated herein and/or being permitted to enter for any purpose any restricted area (here in defined as any area where admittance to the general public is prohibited, the parent(s) and/or legal guardian(s) of the minor participant named below agree: 

  1. The parent(s) and/or legal guardian(s) will instruct the minor participant that prior to participating the below activities or events he or she should inspect the facilities and equipment to be used, and if he or she believes anything is unsafe the participant should immediately advise the officials of such condition and refuse to participate.  I understand and agree that, if at any time, I feel anything to be UNSAFE; I will immediately take all precautions to avoid the unsafe area and REFUSE TO PARTICIPATE further. 

  2. I/We fully understand and acknowledge that: 

    1. There are risks and dangers associated with participation in the fitness events and activities which could result in bodily injury partial and/or total disability, paralysis and death. 

    2. The social and economic losses and/or damages, which could result from these risks and dangers described above could be severe. 

    3. These risks and dangers may be caused by the action, inaction or negligence of the participant of the action, inaction or negligence of others, including, but not limited to, the Releasees named below.  

    4. There may be other risks not known to us or are not reasonably foreseeable at this time.  

  3. I/We accept and assume such risks and responsibility for the losses and/or damages following such injury, liability, paralysis or death, however caused and whether caused in whole or in part by the negligence of the Releasees named below.  

  4. I/We HEREBY RELASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE the facility used by the participant, including it’s owners, managers, promoters, lessees of premises used to the conduct the fitness event or program, premises and event inspectors, underwriters, consultants and other who give recommendations, directions, or instructions to engage in risk evaluation or loss control activities regarding the fitness facility or events held at such facility and each of them, their director, officers, agents, employees, all for the purpose herein referred to as “Releasee”… from all liability to the undersigned, my/our personal representatives, assigns, executer, heirs and next to kin for any and all claims, demands, losses or damages and any claims or demands therefore on account of any injury, including but not limited to the death of the participant or damage to property arising out of or relating to the event(s) caused alleged to be caused in whole or in part by the negligence of the releasee or otherwise. 

  5. I/We HEREBY acknowledge that the activities of the event(s) are very dangerous and involve the risk of serious injury and/or death and/or property damage.  Each of the undersigned also expressly acknowledges that injuries received may be compounded or increased by negligent rescue operations or procedures of the releasees.

  6. Each of 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 the law or state in which the event in conducted and if that any portion is held invalid, it is agreed that the balance shall, notwithstanding continue in full legal force and effect. 

  7. On behalf of the participant and individually, the undersigned partner(s) and/or legal guardian(s) will reimburse the Releasee for any money which they have paid to the participant, or on his behalf, and hold them harmless.  

I HAVE READ THIS RELASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE COMPLETE AND UNCONDITIONAL RELASE OF ALL LIABILITY OT THE GREATEST EXTENT ALLOWED BY THE LAW. 

Release and waiver of liability and indemnity

You must complete this for every participant in order to attend classes.

I have read and agree to release and waive liability and indeminity to Sacramento Capoeira.
I give permission for my child, the above participant, to participate in class.

916-306-4899

4128 El Camino Ave
Sacramento, Sacramento County 95821
USA

©2017 by Allied Capoeira League.