PUEBLO JIU-JITSU
Colorado Liability Waiver and Release of Liability
This waiver is intended for participants in Brazilian Jiu-Jitsu, striking, martial arts, fitness training, and related activities at Pueblo Jiu-Jitsu, Pueblo, Colorado.
Participant Name: {name}
Date of Birth: {dob} Phone: {phone}
Emergency Contact: Phone:
If participant is under 18, Parent/Guardian:
1. Acknowledgment of Risks
Participant acknowledges that Brazilian Jiu-Jitsu, striking, grappling, throws, takedowns, joint locks, chokes, sparring, strength training, and related activities involve inherent risks including serious injury, paralysis, or death. Participant voluntarily assumes these risks. Initials:
2. Health Certification
Participant certifies they are physically able to participate and will notify instructors of any medical condition that could affect safe participation. Initials:
3. Assumption of Risk
Participant knowingly and voluntarily assumes all known and unknown risks associated with participation, whether arising from ordinary negligence or the inherent nature of martial arts activities, to the fullest extent permitted by Colorado law. Initials:
4. Release of Liability
In consideration for being allowed to participate, participant releases and holds harmless Pueblo Jiu Jitsu, its owners, instructors, coaches, volunteers, employees, affiliates, and landlords from claims arising from ordinary negligence or inherent risks of participation, to the fullest extent permitted by Colorado law. This release does not waive claims that cannot legally be waived under Colorado law. Initials:
5. Medical Treatment
Participant authorizes emergency medical treatment if necessary and accepts responsibility for all associated costs. Initials:
6. Rules
Participant agrees to follow all academy rules and instructor directions. Failure to do so may result in removal without refund. Initials:
7. Photo/Video Release (Optional)
Yes No I authorize Pueblo Jiu Jitsu to use photographs or videos of me for promotional purposes.
8. Governing Law
This agreement shall be governed by the laws of the State of Colorado. Any legal action shall be brought in a court of competent jurisdiction in Pueblo County, Colorado.
9. Severability
If any provision is found unenforceable, the remaining provisions shall remain in effect.
10. Acknowledgment
By signing below, I certify that I have read, understood, and voluntarily agree to this waiver.