G1 MARTIAL ARTS, LLC

STUDENT ACKNOWLEDGEMENT OF RISK AND RELEASE OF LIABILITY

Warning: THIS AGREEMENT WILL AFFECT YOUR LEGAL RIGHTS. READ IT CAREFULLY!

Every Student Must Read and Understand this Waiver before Participating in Martial Arts Activities.

The following waiver of all claims, release from all liability, assumption of all risks, agreement not to sue and other terms of this agreement are entered into by me, the undersigned Student (the “Student”) with and for the benefit of G1 Martial Arts, LLC, 2962 Cleveland Hwy. Suite #5 & #4, Dalton, GA 30721 (“G1 Martial Arts”).

Student Name:                                                                                                  Home No:                      Cell No:                              Birthdate:               

If Minor, Parent/Guardian Name:                                                                                                      Relation:                                                            

Address:                                                                             City:                       State:            Zip:                   Email:                                                  

Name or Person to Call in Case of Emergency:                                                                   Home No:                             Cell No:                                

In consideration of being permitted to participate in any way in the Martial Arts Events and Activities indicated below and/or being permitted to enter for any purpose any restricted area (here in defined as any area where in admittance to the general public is prohibited), the below signed individual, being an adult of legal age, signing on behalf of himself/herself, or as the legal guardian(s) or parent(s) of the minor participant named above agree:

Parents/Guardians of Minors/All Students:

1. I/WE understand and acknowledge that “Martial Arts Events and Activities” includes but it is not limited to contact and non-contact martial arts activities (including but not limited to Brazilian Jui Jitsu, Krav Maga, Kickboxing and Tae Kwon Do), lessons, classes, training, aerobics, general exercise, weight lifting and all other exercise related activities, use of facilities and services provided to the Student by the Releasee.

2. The parent(s) and/or legal guardian(s) of a student will instruct the minor participant that prior to participating in the below martial arts events and activities, 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 ad 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.

3. I/WE fully understand and acknowledge that:
   1. There are risks and dangers associated with participation in martial arts 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 or 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.

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

5. I/WE HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE G1 Martial Arts, including its owners, managers, promoters, instructors, coaches, students, lessees or premises used to conduct the martial arts events or activities, premises and event inspectors, underwriters, consultants and others who give recommendations, directions, or instructions to engage in risk evaluation or loss control activities regarding G1 Martial Arts or events held at G1 Martial Arts and each of them, their directors, officers, agents, employees, all for the purposes herein referred to as “Releasee” FROM ALL LIABILITY TO THE UNDERSIGNED, my/our personal representatives, assigns, executors, heirs and next of 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 OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEE OR OTHERWISE.

6. I/WE HEREBY acknowledge that the ACTIVITES 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.

7. 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 of the Province or State in which the event is conducted and that if any portion is held invalid, it is agreed that the balance shall, notwithstanding continue in full legal force and effect.

8. On behalf of the participant and individual, the undersigned partner(s) and/or legal guardians(s) for the minor participant executes this Waiver and Release. If, despite this release, the participant makes a claim against any of the Releasees, the parent(s) and/or legal guardians(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 RELEASE 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 RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY THE LAW.

Student Signature                                                                                                                                             Date:                                    

Parent or Guardian Signature (if minor)                                                                             

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