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Waiver / liability release

I fully recognize that there are dangers and risks to which I may be exposed by participating in the Takeover Jiu-Jitsu, which involves strenuous physical activity and extensive physical contact with other people and a mat, including but not limited to joint locks, throws, chokes, ground wrestling, and other similar activity. I understand and acknowledge that grappling and jiu-jitsu activities in general have inherent dangers that no amount of care, caution, training, instruction, supervision or expertise can eliminate. With full understanding of the risks involved and despite this Release, I am voluntarily entering the Takeover Jiu-Jitsu school. I therefore agree to assume and take upon myself all of the risks and responsibilities in any way associated with this activity. I release Jose Flores and Takeover Jiu-Jitsu, its agents, and volunteers from any and all liability, claims and actions that may arise from injury or harm to me, from my death or from damage to my property in connection with Takeover Jiu-jitsu. I acknowledge and fully understand that I will be engaging in activities that involve risk of serious injury, and that severe social and economic losses may result not only from my own action, inactions or negligence, but also from the actions, inactions or negligence of other notwithstanding the rules of play or the condition of the premises or of any equipment used. Further I acknowledge and fully understand that there may be other associated risks with such activities that are not known or not reasonably foreseeable at this time. I understand that this Release covers liability, claims and actions caused entirely or in part by any acts or failures to act by Jose Flores, its agents, or volunteers including but not limited to negligence, mistake, or failure to supervise. I recognize that this Release means I am giving up, among other things, rights to sue Jose Flores and Takeover Jiu-jitsu, its agents or volunteers for injuries, damages, or losses I may incur while participating in this tournament. I also understand that this release binds my heirs, executors, administrators, and assigns, as well as myself.

Student Name: ____________________________ Date: _________________________

Signature: ____________________________

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