Gym Waiver | stamford

Gym & Fitness Liability Waiver

In consideration of utilizing the facilities, ground school, instruction, premises and equipment of Carlson Gracie Team in engaging in the sport of Brazilian Jiu Jitsu, Muay Thai, Wrestling, Boxing, Kickboxing, Yoga, Personal Training and other various forms of strength and conditioning, I hereby understand and agree to this Release of Liability, Waiver of Legal Rights, and Assumption of Risk and to the terms hereof as follows:

1. I acknowledge that Brazilian Jiu Jitsu, Muay Thai, Wrestling, Boxing, Kickboxing, Yoga, Personal Training and other various forms of strength and conditioning is an action sport and recreational activity, and such activity is subject to mishap and even injury to participants. I understand I may suffer a broken limb, paralysis or fatal injury while participating in the sport of Brazilian Jiu Jitsu, Muay Thai, Wrestling, Boxing, Kickboxing, Yoga, Personal Training and other various forms of strength and conditioning.

2. I hereby RELEASE AND DISCHARGE Carlson Gracie Team in the State of Connecticut, the town of Stamford, the City of Stamford, and their officers, directors, elected officials, agents, employees, instructors, and owners of equipment and the land used for Brazilian Jiu Jitsu, Muay Thai, Wrestling, Boxing, Kickboxing, Yoga, Personal Training and other various forms of strength and conditioning activities (hereinafter collectively referred to as “Released Parties”), from any and all liability, claims, demands or causes of action that I may hereafter have for injuries/damages arising out of my participation in Brazilian Jiu Jitsu, Muay Thai, Wrestling, Boxing, Kickboxing, Yoga, Personal Training and other various forms of strength and conditioning activities including but not limited to, losses CAUSED BY THE NEGLIGENCE OF THE RELEASED PARTIES.

3. I further acknowledge that there are no warranties applicable to the purchase or loan of Brazilian Jiu Jitsu, Muay Thai, Wrestling, Boxing, Kickboxing, Yoga, Personal Training and other various forms of strength and conditioning equipment/gear by me and that all warranties whether expressed or implied are excluded. THERE IS NO WARRANTY OF MERCHANTABILITY OR THAT THE SAID BRAZILIAN JIU JITSU, MUAY THAI, WRESTLING, BOXING, KICKBOXING, YOGA, PERSONAL TRAINING AND OTHER VARIOUS FORMS OF STRENGTH AND CONDITIONING IS FIT FOR ANY PURPOSE, and that I am accepting the said Brazilian Jiu Jitsu, Muay Thai, Wrestling, Boxing, Kickboxing, Yoga, Personal Training and other various forms of strength and conditioning equipment/gear as is and I hereby acknowledge that I will personally examine the said equipment/gear prior to my using of the same.

4. I understand and acknowledge that Brazilian Jiu Jitsu, Muay Thai, Wrestling, Boxing, Kickboxing, Yoga, Personal Training and other various forms of strength and conditioning activities have inherent dangers that no amount of care, caution instruction or expertise can eliminate and I EXPRESSLY AND VOLUNTARILY ASSUME ALL RISK OF DEATH OR PERSONAL INJURY SUSTAINED WHILE PARTICIPATING IN BRAZILIAN JIU JITSU, MUAY THAI, WRESTLING, BOXING, KICKBOXING, YOGA, PERSONAL TRAINING AND OTHER VARIOUS FORMS OF STRENGTH AND CONDITIONING ACTIVITIES WHETHER OR NOT CAUSED BY THE NEGLIGENCE OF THE RELEASED PARTIES.

5. I further agree that I WILL NOT SUE OR MAKE A CLAIM against the Released Parties for damages or other losses sustained as a result of my participation in Brazilian Jiu Jitsu, Muay Thai, Wrestling, Boxing, Kickboxing, Yoga, Personal Training and other various forms of strength and conditioning.

6. I also agree to INDEMNIFY AND HOLD THE RELEASED PARTIES HARMLESS from all claims, judgments and costs including attorneys’ fees, incurred in connection with any action brought as a result of my participation in Brazilian Jiu Jitsu, Muay Thai, Wrestling, Boxing, Kickboxing, Yoga, Personal Training and other various forms of strength and conditioning activities.

7. I will take responsibility for, and hold harmless Released Parties for any injury that I may suffer or inflict upon others of their property as a result of any learned or practiced techniques in Brazilian Jiu Jitsu, Muay Thai, Wrestling, Boxing, Kickboxing, Yoga, Personal Training and other various forms of strength and conditioning activities, whether conducted inside the gym or practiced outside of the gym.

8. I agree that I will operate the said Brazilian Jiu Jitsu, Muay Thai, Wrestling, Boxing, Kickboxing, Yoga, Personal Training and other various forms of strength and conditioning equipment in a responsible and safe manner so as not to endanger the lives or persons or property of any individual.

9. I have read and understood the above and acknowledge the same constitutes a release of liability and a waiver of my legal rights and also acknowledgement of the assumption of liability by me of all risks arising out of my engaging in Brazilian Jiu Jitsu, Muay Thai, Wrestling, Boxing, Kickboxing, Yoga, Personal Training and other various forms of strength and conditioning (Initial here: )

10. I further represent that this Release of Liability, Waiver of Legal Rights and Assumption of Risk shall continue in full force and effect for so long as I engage in Brazilian Jiu Jitsu, Muay Thai, Wrestling, Boxing, Kickboxing, Yoga, Personal Training and other various forms of strength and conditioning activities which are in any way connected to or with the Released Parties.

11. I further represent that I am at least 18 years of age, or that as the parent or (adult) legal guardian, I waive and release any and all legal rights that may accrue to me, to my minor child or to the minor child for whom I am (adult) legal guardian, as the result of any injury that my minor child, the minor child for whom I am (adult) legal guardian or I may suffer while engaging in Brazilian Jiu Jitsu, Muay Thai, Wrestling, Boxing, Kickboxing, Yoga, Personal Training and other various forms of strength and conditioning activities.

12. I hereby expressly recognize that this Release of Liability, Waiver of Legal Rights and Assumption of Risk is a contract pursuant to which I have released any and all claims against the Released Parties resulting from participation in Brazilian Jiu Jitsu, Muay Thai, Wrestling, Boxing, Kickboxing, Yoga, Personal Training and other various forms of strength and conditioning activities including my claims by the negligence of the Released Parties by any of the undersigned.

13. The use of uniforms are under the discretion of the school.

14. The changing of belts and stripes are under the discretion of the head instructor.

I HAVE READ THIS RELEASE OF LIABILITY, WAIVER OF LEGAL RIGHTS AND ASSUMPTION OF RISK AND FULLY UNDERSTAND ITS CONTENTS. I SIGN IT ON MY OWN FREE WILL AND AGREE TO BE BOUND BY IT.

I consent to the use of photographs or likeness of me taken by Carlson Gracie Team Stamford for their own purposes.

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

Participant First Name

Participant Last Name

Today's Date

Parent First Name (if under 18)

Parent Last Name (if under 18)