SCOTT SAVAGE JIU-JITSU ACADEMY
WAIVER AND RELEASE OF LIABILITY
IN CONSIDERATION OF the risk of injury that exists while participating in martial arts
training/Brazilian Jiu Jitsu (hereinafter the "Activity"); and
IN CONSIDERATION OF my desire to participate in said Activity and being given the right to
participate in same;
I HEREBY, for myself, my heirs, executors, administrators, assigns, or personal representatives
(hereinafter collectively, "Releasor,"; "I" or "me" which terms shall also include Releasor's
parents or guardian if Releasor is under 18 years of age), 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 arising out of my participation in the Activity; and
I hereby release and forever discharge SCOTT SAVAGE JIU-JITSU ACADEMY, located at 265
Mercy Springs, Suite D, Los Banos, CA their affiliates, managers, members, agents, attorneys,
staff, volunteers, students, heirs, representatives, predecessors, successors and assigns
(collectively "Releasees"), from any physical or psychological injury that I may suffer as a direct
result of my participation in the aforementioned 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 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 TO AND FROM THE
ACTIVITY, OR FROM CONDITIONS AT THE ACTIVITY LOCATION(S). NONETHELESS, I
ASSUME ALL RELATED RISKS, BOTH KNOWN AND UNKNOWN TO ME, OF MY
PARTICIPATION IN THIS ACTIVITY.
I FURTHER AGREE to indemnify, defend and hold harmless the Releasees 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.
I FURTHER ACKNOWLEDGE that Brazilian Jiu-Jitsu is a contact sport, and there is a risk of
contracting contagious illness including but not limited to infectious disease.
I FURTHER ACKNOWLEDGE that Releasees 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
Releasees. In the event that I should require medical care or treatment, I authorize Scott
Savage and Scott Savage Jiu-Jitsu Academy to provide all emergency medical care deemed
necessary, including but not limited to, first aid, CPR, the use of AEDs, emergency medical
transport, and sharing of medical information with medical personnel. I further agree to assume
all costs involved and 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.
I FURTHER ACKNOWLEDGE that this Activity may involve a test of a person's physical and
mental limits and may carry with it the potential for illness, serious injury, and property loss. I
agree not to participate in the Activity unless I am medically able and properly trained, and I
agree to abide by the decision of the Scott Savage Jiu-Jitsu Academy and Scott Savage of
Scott Savage Jiu-Jitsu Academy official or agent, regarding my approval to participate in the
Activity.
I HEREBY 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 Scott Savage Jiu-Jitsu Academy
and Scott Savage AND ALL OF ITS AFFILIATES, MANAGERS, MEMBERS, AGENTS,
STUDENTS, 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 Scott Savage Jiu-Jitsu
Academy and Scott Savage of Scott Savage Jiu-Jitsu Academy FOR PERSONAL INJURY
OR PROPERTY DAMAGE.
To the extent that statute or case law does not prohibit releases for ordinary negligence, this
release is also for such negligence on the part of Scott Savage Jiu-Jitsu Academy and Scott
Savage and Savage Jiu-Jitsu Academy, its agents, students and employees.
I agree that this Release shall be governed for all purposes by California law, without regard to
any conflict of law principles. This Release supersedes all previous oral or written promises or
other agreements.
In the event that any damage to equipment or facilities occurs as a result of my or my family's or
my agent's willful actions, neglect or recklessness, I acknowledge and agree to be held liable for
any and all costs associated with any such actions of neglect or recklessness.
THIS WAIVER AND RELEASE OF LIABILITY SHALL REMAIN IN EFFECT FOR THE
DURATION OF MY PARTICIPATION IN THE ACTIVITY, DURING THIS INITIAL AND ALL
SUBSEQUENT EVENTS OF PARTICIPATION.
