WAIVER AND RELEASE OF LIABILITY
In consideration of the risk of injury while participating in Judo, BJJ and any other Martial Art (the
"Activity"), and as consideration for the right to participate in the Activity, I hereby, for myself, my
heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily
enter into this waiver and release of liability and hereby waive any and all rights, claims or causes
of action of any kind whatsoever arising out of my participation in the Activity, and do hereby
release and forever discharge Gorilla Judo and BJJ Club, located at 6201 Camille Ave, Oklahoma
City, Oklahoma 73149, their affiliates, managers, members, agents, attorneys, staff, volunteers,
heirs, representatives, predecessors, successors and assigns, for any physical or psychological
injury, including but not limited to illness, paralysis, death, damages, economical or emotional
loss, that I may suffer as a direct result of my participation in the aforementioned Activity,
including traveling to and from an event related to this Activity.
I AM VOLUNTARILY PARTICIPATING IN THE AFOREMENTIONED ACTIVITY AND I AM
PARTICIPATING IN THE ACTIVITY ENTIRELY AT MY OWN RISK. I AM AWARE OF THE
RISKS ASSOCIATED WITH TRAVELING TO AND FROM AS WELL AS PARTICIPATING IN
THIS ACTIVITY, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO, PHYSICAL OR
PSYCHOLOGICAL INJURY, PAIN, SUFFERING, ILLNESS, DISFIGUREMENT, TEMPORARY
OR PERMANENT DISABILITY (INCLUDING PARALYSIS), ECONOMIC OR EMOTIONAL
LOSS, AND DEATH. I UNDERSTAND THAT THESE INJURIES OR OUTCOMES MAY ARISE
FROM MY OWN OR OTHERS' NEGLIGENCE, CONDITIONS RELATED TO TRAVEL, OR THE
CONDITION OF THE ACTIVITY LOCATION(S). NONETHELESS, I ASSUME ALL RELATED
RISKS, BOTH KNOWN OR UNKNOWN TO ME, OF MY PARTICIPATION IN THIS ACTIVITY,
INCLUDING TRAVEL TO, FROM AND DURING THIS ACTIVITY.
I agree to indemnify and hold harmless Gorilla Judo and BJJ Club against any and all claims, suits
or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by
me or anyone on my behalf, including attorney's fees and any related costs, if litigation arises
pursuant to any claims made by me or by anyone else acting on my behalf. If Gorilla Judo and
BJJ Club incurs any of these types of expenses, I agree to reimburse Gorilla Judo and BJJ Club.
I acknowledge that Gorilla Judo and BJJ Club and their directors, officers, volunteers,
representatives and agents are not responsible for errors, omissions, acts or failures to act of any
party or entity conducting a specific event or activity on behalf of Gorilla Judo and BJJ Club.
I ACKNOWLEDGE THAT THIS ACTIVITY MAY INVOLVE A TEST OF A PERSON'S
PHYSICAL AND MENTAL LIMITS AND MAY CARRY WITH IT THE POTENTIAL FOR DEATH,
SERIOUS INJURY, AND PROPERTY LOSS. The risks may include, but are not limited to, those
caused by terrain, facilities, temperature, weather, lack of hydration, condition of participants,
equipment, vehicular traffic and actions of others, including but not limited to, participants,
volunteers, spectators, coaches, event officials and event monitors, and/or producers of the
event.
I ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS "WAIVER AND RELEASE" AND
FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. I EXPRESSLY AGREE TO
RELEASE AND DISCHARGE Gorilla Judo and BJJ Club
AND ALL OF ITS AFFILIATES,
MANAGERS, MEMBERS, AGENTS, ATTORNEYS, STAFF, VOLUNTEERS, HEIRS,
REPRESENTATIVES, PREDECESSORS, SUCCESSORS AND ASSIGNS, FROM ANY AND
ALL CLAIMS OR CAUSES OF ACTION AND I AGREE TO VOLUNTARILY GIVE UP OR
WAIVE ANY RIGHT THAT I OTHERWISE HAVE TO BRING A LEGAL ACTION AGAINST
Gorilla Judo and BJJ Club FOR PERSONAL INJURY OR PROPERTY DAMAGE.
To the extent that statute or case law does not prohibit releases for negligence, this release is
also for negligence on the part of Gorilla Judo and BJJ Club, its agents, and employees.
In the event that I should require medical care or treatment, I agree to be financially responsible
for any costs incurred as a result of such treatment. I am aware and understand that I should
carry my own health insurance.
In the event that any damage to equipment or facilities occurs as a result of my or my family's
willful actions, neglect or recklessness, I acknowledge and agree to be held liable for any and all
costs associated with any actions of neglect or recklessness.
This Agreement was entered into at arm's-length, without duress or coercion, and is to be
interpreted as an agreement between two parties of equal bargaining strength. Both the
Participant, __________________________, and Gorilla Judo and BJJ Club agree that this
Agreement is clear and unambiguous as to its terms, and that no other evidence will be used or
admitted to alter or explain the terms of this Agreement, but that it will be interpreted based on the
language in accordance with the purposes for which it is entered into.
In the event that any provision contained within this Release of Liability shall be deemed to be
severable or invalid, or if any term, condition, phrase or portion of this agreement shall be
determined to be unlawful or otherwise unenforceable, the remainder of this agreement shall
remain in full force and effect, so long as the clause severed does not affect the intent of the
parties. If a court should find that any provision of this agreement to be invalid or unenforceable,
but that by limiting said provision it would become valid and enforceable, then said provision shall
be deemed to be written, construed and enforced as so limited.
In the event of an emergency, please contact the following person(s) in the order presented:
Emergency Contact Contact Relationship Contact Telephone
I, the undersigned participant, affirm that I am of the age of 18 years or older, and that I am freely
signing this agreement. I certify that I have read this agreement, that I fully understand its content
and that this release cannot be modified orally. I am aware that this is a release of liability and a
contract and that I am signing it of my own free will.
AND ALL OF ITS AFFILIATES,
MANAGERS, MEMBERS, AGENTS, ATTORNEYS, STAFF, VOLUNTEERS, HEIRS,
REPRESENTATIVES, PREDECESSORS, SUCCESSORS AND ASSIGNS, FROM ANY AND
ALL CLAIMS OR CAUSES OF ACTION AND I AGREE TO VOLUNTARILY GIVE UP OR
WAIVE ANY RIGHT THAT I OTHERWISE HAVE TO BRING A LEGAL ACTION AGAINST
Gorilla Judo and BJJ Club FOR PERSONAL INJURY OR PROPERTY DAMAGE.
To the extent that statute or case law does not prohibit releases for negligence, this release is
also for negligence on the part of Gorilla Judo and BJJ Club, its agents, and employees.
In the event that I should require medical care or treatment, I agree to be financially responsible
for any costs incurred as a result of such treatment. I am aware and understand that I should
carry my own health insurance.
In the event that any damage to equipment or facilities occurs as a result of my or my family's
willful actions, neglect or recklessness, I acknowledge and agree to be held liable for any and all
costs associated with any actions of neglect or recklessness.
This Agreement was entered into at arm's-length, without duress or coercion, and is to be
interpreted as an agreement between two parties of equal bargaining strength. Both the
Participant, __________________________, and Gorilla Judo and BJJ Club agree that this
Agreement is clear and unambiguous as to its terms, and that no other evidence will be used or
admitted to alter or explain the terms of this Agreement, but that it will be interpreted based on the
language in accordance with the purposes for which it is entered into.
In the event that any provision contained within this Release of Liability shall be deemed to be
severable or invalid, or if any term, condition, phrase or portion of this agreement shall be
determined to be unlawful or otherwise unenforceable, the remainder of this agreement shall
remain in full force and effect, so long as the clause severed does not affect the intent of the
parties. If a court should find that any provision of this agreement to be invalid or unenforceable,
but that by limiting said provision it would become valid and enforceable, then said provision shall
be deemed to be written, construed and enforced as so limited.
In the event of an emergency, please contact the following person(s) in the order presented:
Emergency Contact Contact Relationship Contact Telephone
I, the undersigned participant, affirm that I am of the age of 18 years or older, and that I am freely
signing this agreement. I certify that I have read this agreement, that I fully understand its content
and that this release cannot be modified orally. I am aware that this is a release of liability and a
contract and that I am signing it of my own free will.
AND ALL OF ITS AFFILIATES,
MANAGERS, MEMBERS, AGENTS, ATTORNEYS, STAFF, VOLUNTEERS, HEIRS,
REPRESENTATIVES, PREDECESSORS, SUCCESSORS AND ASSIGNS, FROM ANY AND
ALL CLAIMS OR CAUSES OF ACTION AND I AGREE TO VOLUNTARILY GIVE UP OR
WAIVE ANY RIGHT THAT I OTHERWISE HAVE TO BRING A LEGAL ACTION AGAINST
Gorilla Judo and BJJ Club FOR PERSONAL INJURY OR PROPERTY DAMAGE.
To the extent that statute or case law does not prohibit releases for negligence, this release is
also for negligence on the part of Gorilla Judo and BJJ Club, its agents, and employees.
In the event that I should require medical care or treatment, I agree to be financially responsible
for any costs incurred as a result of such treatment. I am aware and understand that I should
carry my own health insurance.
In the event that any damage to equipment or facilities occurs as a result of my or my family's
willful actions, neglect or recklessness, I acknowledge and agree to be held liable for any and all
costs associated with any actions of neglect or recklessness.
This Agreement was entered into at arm's-length, without duress or coercion, and is to be
interpreted as an agreement between two parties of equal bargaining strength. Both the
Participant, __________________________, and Gorilla Judo and BJJ Club agree that this
Agreement is clear and unambiguous as to its terms, and that no other evidence will be used or
admitted to alter or explain the terms of this Agreement, but that it will be interpreted based on the
language in accordance with the purposes for which it is entered into.
In the event that any provision contained within this Release of Liability shall be deemed to be
severable or invalid, or if any term, condition, phrase or portion of this agreement shall be
determined to be unlawful or otherwise unenforceable, the remainder of this agreement shall
remain in full force and effect, so long as the clause severed does not affect the intent of the
parties. If a court should find that any provision of this agreement to be invalid or unenforceable,
but that by limiting said provision it would become valid and enforceable, then said provision shall
be deemed to be written, construed and enforced as so limited.
In the event of an emergency, please contact the following person(s) in the order presented:
Emergency Contact Contact Relationship Contact Telephone
I, the undersigned participant, affirm that I am of the age of 18 years or older, and that I am freely
signing this agreement. I certify that I have read this agreement, that I fully understand its content
and that this release cannot be modified orally. I am aware that this is a release of liability and a
contract and that I am signing it of my own free will.
{name}
{dob}
{address}
{phone}
{contact_name}
{contanct_phone}
{contact_relation}
{sign_date}
PARENT / GUARDIAN WAIVER FOR MINORS
In the event that the participant is under the age of consent (18 years of age), then this release
must be signed by a parent or guardian, as follows:
I hereby certify that I am the parent or guardian of {name}, named
above, and do hereby give my consent without reservation to the foregoing on behalf of this
individual.
{sign_date}