RENZO GRACIE PEARLAND

GENERAL RELEASE, LIABILITY WAIVER, AND MEDIA AUTHORIZATION

PARTICIPANT INFORMATION

Name: {name}
Date of Birth: {dob}
Address: {address}
Phone: {phone}

Emergency Contact: {contact_name}
Emergency Contact Phone: {contact_phone}
Relationship: {contact_relation}

1. INSPECTION OF FACILITIES AND VOLUNTARY PARTICIPATION

I understand that I have the right to inspect the training facilities, equipment, and environment prior to participation.

I agree that if I observe any condition I believe to be unsafe, I will immediately notify staff and refuse to participate until the condition is corrected.

I voluntarily choose to participate in martial arts and/or fitness activities at Renzo Gracie Pearland.

2. ACKNOWLEDGMENT AND ASSUMPTION OF RISK

I fully understand and acknowledge that participation in martial arts and fitness training involves inherent risks, including but not limited to:

• Cuts, bruises, sprains, and fractures
• Joint injuries and dislocations
• Concussions and head injuries
• Serious bodily injury, permanent disability, or death

I understand that these risks may arise from:

• My own actions or inactions
• The actions or inactions of others
• The condition of the premises or equipment

I further acknowledge that there may be risks not known to me or not reasonably foreseeable at this time.

I knowingly and voluntarily assume all such risks and accept full responsibility for any resulting injury, loss, or damage.

Assumption of Risk Acknowledgment:

3. COMBAT SPORTS RISK ACKNOWLEDGMENT (BRAZILIAN JIU-JITSU)

I understand that Brazilian Jiu-Jitsu and related martial arts involve close physical contact and techniques that are inherently dangerous.

These include, but are not limited to:

• Chokeholds and strangles that may restrict blood flow or oxygen and may result in loss of consciousness
• Joint locks that place stress on ligaments, tendons, and joints and may cause sprains, tears, or permanent damage
• Takedowns and throws that may result in impact with the ground or other participants
• Live sparring ("rolling") against resisting opponents

I understand that injuries can occur even when rules are followed and supervision is present.

I acknowledge that failure to tap, delayed tapping, or misunderstanding techniques may increase the risk of serious injury.

I voluntarily accept these specific risks as part of participation in Brazilian Jiu-Jitsu training.

Combat Sports Risk Acknowledgment:

4. RELEASE OF LIABILITY AND COVENANT NOT TO SUE

To the fullest extent permitted by the laws of the State of Texas, I voluntarily release, waive, discharge, and agree not to sue Hanuman BJJ Group LLC, d/b/a Renzo Gracie Pearland, including its owners, officers, directors, employees, instructors, members, agents, affiliates, and landlords (collectively, the “Released Parties”) from any and all claims, demands, damages, or causes of action arising out of or related to my participation in martial arts or fitness activities, including those arising from ordinary negligence.

This release does not apply to gross negligence or intentional misconduct.

Release of Liability Acknowledgment:

5. INDEMNIFICATION

I agree to indemnify, defend, and hold harmless the Released Parties from any and all claims, liabilities, damages, costs, or expenses (including attorney’s fees) arising out of or related to my participation, actions, or presence at the facility.

Indemnification Acknowledgment:

6. MEDICAL RESPONSIBILITY AND CONSENT

I acknowledge that I am responsible for my own medical care and expenses.

I certify that I am physically able to participate in training. I understand it is my responsibility to consult with a physician if I have any concerns.

In the event of an emergency, I authorize Renzo Gracie Pearland to obtain medical treatment on my behalf if I am unable to do so, and I agree to be financially responsible for such treatment.

Medical Consent Acknowledgment:

7. FINANCIAL RESPONSIBILITY FOR INJURIES

I agree that I am solely responsible for any medical costs or expenses incurred as a result of participation, whether through personal insurance or other means.

8. RULES AND SAFE PARTICIPATION

I agree to follow all rules, policies, and instructions provided by staff and instructors. I understand that failure to do so increases the risk of injury and may result in removal from training.

9. MEDIA AUTHORIZATION AND RELEASE

I grant permission to Hanuman BJJ Group LLC, d/b/a Renzo Gracie Pearland, to use my (or my minor child’s):

• Name
• Image
• Likeness
• Voice
• Statements or testimonials

in photographs, videos, social media, advertising, marketing materials, and other promotional content.

I understand that:

• This use is for promotional and business purposes
• No compensation will be provided
• I waive any right to inspect or approve the final materials

I release Renzo Gracie Pearland from any and all claims related to the use of such media.

Media Release Acknowledgment:

10. SEVERABILITY

If any provision of this agreement is found to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

11. GOVERNING LAW

This agreement shall be governed by the laws of the State of Texas.

12. ACKNOWLEDGMENT

I HAVE READ AND FULLY UNDERSTAND THIS AGREEMENT.

I UNDERSTAND THAT I AM WAIVING SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE FOR ORDINARY NEGLIGENCE.

I SIGN THIS AGREEMENT FREELY AND VOLUNTARILY.

Signature:
Date: {sign_date}

Final Acknowledgment Initials: