Intro

All ages under 18 MUST HAVE a liability waiver signed by their parent or legal guardian. EVERYONE MUST HAVE a waiver initialed and COMPLETELY filled out. Ages 18+ must provide a valid drivers license.

Agree and Acknowledge

I understand and acknowledge that if I proceed to register online and to sign the waiver electronically, that, under the Electronic Transactions Act, such electronic registration and electronically signed Waiver document will be valid and enforced in the same manner as a hand-signed document that exists in physical form and that a record or signature may not be denied legal effect or enforceability under law solely because it is in electronic form.

Basic Information

Use parent or guardian information if under 18

Contact Information

Use parent or guardian information if under 18

Additional Information
Minor Information

Enter the information for the children for which you are responsible for:



Agreement of Release and Waiver of Liability – YOGAFUZN La Jolla

1. ACKNOWLEDGEMENT
I acknowledge and understand that it is my responsibility to consult with a physician prior to and regarding my participation in the yoga classes or workshops and to receive prior approval to participate. I represent and warrant that I am physically fit and have no medical condition or injury which would prevent my full participation in the yoga classes or workshops.

2. VOLUNTARY PARTICIPATION
I am, or will be voluntarily participating in yoga classes or workshops offered by YOGAFUZN La Jolla, during which I will receive information and instruction about its yoga method. These classes require intensive physical activity and exertion by me in a heated room of approximately 105 degrees and 50% humidity. I understand that such physical activity and exertion may be difficult and strenuous and may cause or aggravate a physical injury or medical condition. I am fully aware of and accept and assume the risk and hazards involved in my voluntary participation.

3. ASSUMPTION OF RISKS
In consideration of being permitted to participate in the yoga classes or workshops, I agree to assume full responsibility for any risks, conditions, injuries, or damages, known or unknown, which I may suffer or aggravate as a result of my participating in the yoga classes or workshops, including but not limited to: (a) my use of any amenities, and equipment on the premises; (b) my participation in any class, instruction, personal training, or other activity while on the premises; or © my slipping and/or falling while on the premises, including without limitation in or around the showers or locker area or on the sidewalks or parking areas adjacent to the premises.

4. CONSENT TO USE OF IMAGE
I understand that filmmakers and photographers may be present at the YOGAFUZN La Jolla and classes may be videotaped, photographed or otherwise shown to audiences around the world. I hereby consent to having my likeness shown, publicizes, commented and/or reported on; and I do not expect to, and in fact waive any compansation I might otherwise be entitled to as a result thereof.

5. RELEASE AND WAIVER
In further consideration of being permitted to participate in the yoga classes or workshops, I knowingly, voluntarily, and expressly waive any claim I may have or acquire against YOGAFUZN La Jolla, its owner GBCB, Inc., a California Corporation and its shareholders, directors, officers, employees, instructors, and staff, for any injury, condition or death, which arises, is caused by, or is aggravated by reason of my participation in the programs.

I, my heirs, or legal representatives, forever release, waive, discharge and covenant not to sue YOGAFUZN La Jolla, its owner GBCB, Inc., a California Corporation and its shareholders, directors, officers, employees, instructors, and staff, for any injury, condition or death, which arises, is caused by, or is aggravated by reason of my participation in the programs.

I further release YOGAFUZN La Jolla, its owner GBCB, Inc., a California Corporation and its shareholders, directors, officers, employees, instructors, and staff, for any loss of or damage to my personal property.

I also understand and agree, except for a monetary refund or fees, I have no claims against YOGAFUZN La Jolla, its owner GBCB, Inc., a California Corporation and its shareholders, directors, officers, employees, instructors, and staff, by reason of any refusal to allow me to participate in its yoga classes or workshops.

I have read the above Agreement of Release and Waiver of Liability and fully understand its content and that it constitutes a release of liability. I voluntarily agree to the terms and conditions stated above.

Agreement of Release and Waiver of Liability – Ribeiro Jiu-Jitsu La Jolla

Please read carefully. This document affects your legal rights.

I, the PARTICIPANT, do hereby submit my WAIVER to the Ribeiro Jiu-Jitsu La Jolla (Dojo) and any of it’s member schools, including Ribeiro Jiu-Jitsu La Jolla and the University of Jiu Jitsu. I hereby assume full responsibility and liability for all damages, injuries and losses that I may sustain or incur while participating in or watching activities within the Dojo.

I realize that serious injury is commonplace in martial arts schools such as the one I am hereby entering; and that even death is a very real possibility. I also realize that if I am injured, I might be disfigured, disabled and/or rendered unable to work again. By entering into this agreement, I realize that regardless of how these consequences might occur, I accept the risk of being present at the Dojo and give up and waive all claims I or anyone acting on my behalf or through me might have against the Dojo, and any owners, instructors, employees, members, and guests of the Dojo for any injury regardless of its nature, effect or affect on me as a result of my participation in activities and/or presence at the Dojo.

I authorize, and agree to hold harmless, whatever medical personnel that may be present at the Dojo to take any action necessary, should I become injured. I represent that I am in good health; that I am not presently, nor will participate in activities at the Dojo while under the influence of any drug or medication; that no one affiliated with the Dojo has made any representations regarding my fitness or ability to participate; that I have read and understood every provision of this release; and that I am legally competent to and freely enter into this waiver, release and assumption of risk agreement.

Agreement of Release and Waiver of Liability – Photography/Videography

I further understand that filmmakers, photographers, and spectators may be present at the RIBEIRO JIU-JITSU LA JOLLA & YOGAFUZN and activities there may be videotaped, photographed or otherwise shown to audiences around the world. I hereby consent to having my likeness shown, publicized, commented and/or reported on; and I do not expect to, and in fact waive any compensation I might otherwise be entitled to as a result thereof.

Signature

By entering my name below and clicking the “Submit Waiver” button below, I indicate my acceptance and delivery of this waiver and release. I acknowledge that I have been given an opportunity to prevent or correct any error in connection with this waiver form. If I have submitted this waiver form in error, I will immediately notify you of the error, revoke my signature as instructed, and refrain from participating in any event or activity to which the waiver applies, as provided in Section 204(b) of the Uniform Electronic Transactions Act.