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PLEASE READ CAREFULLY THIS DOCUMENT AFFECTS YOUR LEGAL RIGHTS
WAIVER / RELEASE / ASSUMPTION OF RISK

I, {name}, understand and have had explained to me that the martial arts and fitness instruction taught at Atomic Jiu-Jitsu is provided using precautions to avoid any injuries.  However, participation in the classes/activities offered such as  Jiu-Jitsu, Muay Thai, Yoga, Self-Defense, Strength and Conditioning, Personal Fitness, and all other classes that may be offered, carries with them certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries.  However, it may entail some risk of accident or injury and that this may be serious or even mortal as a consequence of the practice of the before mentioned activities.

I understand and have had explained to me that, along with the possibility of personal injury, injury to property is also possible, such as, but not limited to possible loss of wages and the ability to earn such wages.

With full knowledge of the aforementioned dangers, both to my person and to my property (current and future), and after having these dangers fully explained to myself and/or to my legal guardian, I hereby certify and declare that I will release and forever hold free and discharge from any liability Atomic United LLC, d.b.a. Atomic Jiu-Jitsu, and each of their agents, stockholders, directors, officers, employees and representatives of and from all claims, demands, rights and causes of action of any nature whatsoever which may have or which may hereafter accrue to me, arising from and by reason of any and all bodily or personal injury, damage to property or other loss and any consequence thereof, whether known or unknown, seen or unforeseen, resulting from my participation in  Jiu-Jitsu, Muay Thai, Yoga, Self-Defense, Strength and Conditioning, Personal Fitness, and other offered classes/activities, their persons and entities mentioned above.

Further, knowing and understanding these risks, nevertheless I hereby agree to voluntarily assume these risks and to release and hold harmless all the persons or entities mentioned above whom might otherwise be liable to me for damages. It is further understood that this waiver, release and assumption of risk is forever binding on my heirs and assigns. I also understand and acknowledge that I have and will maintain appropriate medical insurance during classes/training.

I understand and acknowledge that often times filming, video or photographs may be taken of me during classes/training. I hereby grant Atomic United LLC the unlimited use of my likeness in any format video/DVD for promotional advertisement or commercial use in any format known or yet to be developed in perpetuity and I forfeit any form of payment or credit.

My signature on this document is evidence that I know and understand and have had this document explained to me, that I fully understand the dangers that are inherent in this martial art and that I voluntarily certify that I will not hold Atomic United LLC, d.b.a. Atomic Jiu-Jitsu, any and all members of the family, their agents and/or assigns and all members of Atomic Jiu-Jitsu, responsible for any injury or loss, whether as a result of training or not.