CRANK BJJ ACADEMY
PARTICIPANT WAIVER AND RELEASE OF LIABILITY
Participant Name: _________________________________
Date of Birth: _________________________________
Parent/Guardian Name (if under 18): _________________________________
ACKNOWLEDGMENT OF RISK
I acknowledge that participation in Brazilian Jiu-Jitsu (BJJ) and martial arts training involves physical contact, strenuous physical activity, and carries inherent risks including but not limited to:
- Physical injury including bruises, sprains, strains, fractures, or other injuries
- Accidental contact with other participants or equipment
- Injuries resulting from training techniques, sparring, or drilling
- Aggravation of pre-existing medical conditions
- In rare cases, serious injury or death
I understand these risks and voluntarily choose to participate (or allow my child to participate) in training at Crank BJJ Academy.
ASSUMPTION OF RISK AND RELEASE
In consideration of being permitted to participate in activities at Crank BJJ Academy, I hereby:
1. ASSUME ALL RISKS associated with participation in BJJ training, including but not limited to the risks described above.
2. RELEASE, WAIVE, AND DISCHARGE Crank Ltd, Crank BJJ Academy, its owners, instructors, employees, volunteers, and representatives from any and all liability, claims, demands, or causes of action arising from participation in activities at the facility.
3. AGREE NOT TO SUE Crank Ltd, Crank BJJ Academy, or any of its representatives for any injury, loss, or damage arising from participation in training activities.
4. AGREE TO INDEMNIFY AND HOLD HARMLESS Crank BJJ Academy from any claims, damages, or liabilities arising from my (or my child's) participation.
MEDICAL ACKNOWLEDGMENT
I confirm that:
- I am (or my child is) in good physical health and able to participate in strenuous physical activity
- I have disclosed any medical conditions, injuries, or physical limitations that may affect participation
- I will immediately notify Crank BJJ Academy of any changes to health status
- I authorize Crank BJJ Academy staff to seek emergency medical treatment if necessary
FACILITY RULES AND CODE OF CONDUCT
I agree to:
- Follow all instructions given by Crank BJJ Academy instructors
- Respect all participants, instructors, and staff
- Maintain good personal hygiene and adhere to facility cleanliness standards
- Not train while sick or injured without medical clearance
- Immediately report any injuries or unsafe conditions
- Behave in a safe and respectful manner at all times
PHOTO AND VIDEO CONSENT
I grant Crank BJJ Academy permission to:
- Photograph and/or video record my (or my child's) participation in training
- Use such images and videos for promotional purposes including social media, website, and marketing materials
- Publish my (or my child's) first name in association with such media
I DO consent to photo/video use
I DO NOT consent to photo/video use
EMERGENCY CONTACT AUTHORIZATION
In the event of an emergency, I authorize Crank BJJ Academy to contact:
Emergency Contact Name: _________________________________
Relationship: _________________________________
Phone Number: _________________________________
I authorize Crank BJJ Academy staff to seek emergency medical treatment on my (or my child's) behalf if I cannot be reached.
PAYMENT AND MEMBERSHIP TERMS
I understand and agree that:
- Membership fees are non-refundable
- I am responsible for payment according to my selected membership plan
- Failure to pay may result in suspension of membership
- I must provide 30 days notice to cancel my membership
- I am responsible for any damage caused to facility property through negligence or misconduct
PARENT/GUARDIAN CONSENT (FOR PARTICIPANTS UNDER 18)
As parent or legal guardian, I have read and understood this waiver and voluntarily agree to its terms on behalf of the minor participant named above. I confirm that I have the authority to enter into this agreement on behalf of the minor.
GENERAL PROVISIONS
This agreement:
- Shall be governed by the laws of Ireland
- Is binding upon my heirs, executors, administrators, and assigns
- Cannot be modified except in writing signed by Crank BJJ Academy
- Remains in effect for the duration of my (or my child's) participation at Crank BJJ Academy
ACKNOWLEDGMENT
I HAVE READ THIS WAIVER AND RELEASE OF LIABILITY, FULLY UNDERSTAND ITS TERMS, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
For participants 18 years or older:
Participant Signature: _________________________________ Date: _____________
Printed Name: _________________________________
For participants under 18 years:
Parent/Guardian Signature: _________________________________ Date: _____________
Printed Name: _________________________________
Relationship to Minor: _________________________________
CRANK BJJ ACADEMY USE ONLY
Staff Signature: _________________________________ Date: _____________
Member ID: _________________________________
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Crank BJJ Academy
Unit 1C, Blessington Business Park
Blessington, Co. Wicklow, Ireland
Phone: 085 171 0965
Email: info@crank.ie
Website: crank.ie
Crank
