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Liability Waiver Form

Reign Jiu Jitsu

BY SIGNING BELOW, I HEREBY AGREE TO ACCEPT, ON BEHALF OF MYSELF AND MY CHILD(REN)/WARD(S) ANY AND ALL RISKS, INCLUDING RISK OF INJURY, ILLNESS, OR DEATH INHERENT IN REIGN JIU JITSU ACTIVITIES & SERVICES.

WAIVER AND RELEASE OF LIABILITY: I, RELEASOR, understand that I and/or my child(ren)/ward(s) will be engaging in Brazilian jiu Jitsu, utilizing facility and equipment, and it is my voluntary and informed decision to release any future claims, causes of action, and/or lawsuits that I and/or they have or may have against the RELEASEES. RELEASOR expressly releases and forever discharges and holds harmless RELEASEES from any and all demands, claims, causes of action, liability, and/or damages whatsoever and of whatever nature arising out of any damage, loss, personal injury, illness, disability, or death to me and/or my child(ren)/ward(s), while on REIGN JIU JITSU premises, including the premises parking lot, and/or while participating in Brazilian Jiu Jitsu. This release is valid and effective whether the damage, loss, personal injury, illness, disability, or death is a result of any act or omission on the part of any RELEASEES, including an act or omission of negligence, gross negligence, or recklessness, or from any other cause. This Waiver and Release of Liability includes, but is not limited to, damage, loss, personal injury, illness, disability or death, which may occur as a result of the: (a) use or misuse of the facility in any way by anyone; (b) use of any equipment that malfunctions or breaks; (c) improper maintenance of the facility, grounds, or any equipment; (d) instruction or supervision; or (e) slipping, tripping, and /or falling while in the facility or on the surrounding premises.

As consideration for being permitted by REIGN JIU JITSU to participate in Brazilian Jiu Jitsu, I, on my behalf and on behalf of my child(ren)/ward(s), hereby agree that I, my assignees, heirs, distributees, guardians, and legal representatives will not make a claim against or sue RELEASEES, who are: REIGN JIU JITSU, its past, present, or future parent(s), subsidiaries, affiliates, other related entities, successors, owners, members, directors, officers, shareholders, agents, employees, servants, assigns, investors, legal representatives, and all individuals and entities, involved in the operations REIGN JIU JITSU, for damage, loss, personal injury, illness, disability, or death resulting from my and/or my child(ren)’s/ward(s)’s participation in REIGN JIU JITSU ACTIVITIES & SERVICES and the RISKS involved therein.

I agree to hold harmless, indemnify, and defend the RELEASEES from and against any and all demands, claims, causes of action, damages, costs, expenses, settlement amounts, and other losses or liabilities, including those brought by any of the RELEASORS, including any and all costs and expenses incurred in connection therewith including but not limited to attorneys’ fees and costs including expert witness expenses (collectively, “CLAIMS”), arising out of or connected with my and/or my child(ren)’s/ward(s)’s presence in REIGN JIU JITSU facility, including the facility parking lot, or participation in REIGN JIU JITSU ACTIVITIES, even if the CLAIMS are the result of negligent, grossly negligent, or reckless acts or omissions of me, my child(ren)/ward(s), the RELEASEES, or any third parties. I recognize, acknowledge, and agree that such indemnity obligation includes but is not limited to any CLAIMS in which it is alleged that I or my child(ren)/ward(s) negligently or intentionally causes any damage, loss, personal injury, illness, infectious disease, disability, or death to a RELEASEE and/or third party.

I, ON BEHALF OF MYSELF AND MY HEIRS, INCLUDING MY SPOUSE AND CHILDREN/WARDS, ASSIGNEES, DISTRIBUTEES, AND LEGAL REPRESENTATIVES, ASSUME ALL RISK AND FULLY RELEASE, ACQUIT, REMISE, COVENANT NOT TO SUE AND FOREVER DISCHARGE AND HOLD HARMLESS REIGN JIU JITSU, ITS PAST, CURRENT, AND FUTURE PARENT(S), SUBSIDIARIES, AFFILIATES, OTHER RELATED ENTITIES, SUCCESSORS, OWNERS, MEMBERS, DIRECTORS, OFFICERS, SHAREHOLDERS, AGENTS, EMPLOYEES, ASSIGNS, INVESTORS, LEGAL REPRESENTATIVES, AND ALL INDIVIDUALS OR ENTITIES INVOLVED IN THE OPERATION OF REIGN JIU JITSU OF AND FROM ANY AND ALL PAST, PRESENT, AND FUTURE CLAIMS ARISING FROM THEIR ACTS OR OMISSIONS, EVEN IF NEGLIGENT, GROSSLY NEGLIGENT, OR RECKLESS, INCLUDING BUT NOT LIMITED TO DEMANDS, CLAIMS, CAUSES OF ACTION OR DAMAGES FOR: NEGLIGENCE, GROSS NEGLIGENCE, RECKLESSNESS, PERSONAL INJURY, PREMISES LIABILITY, DECEPTIVE TRADE PRACTICES, BREACH OF WARRANTY, INTENTIONAL OR NEGLIGENT INFLICTION OF EMOTIONAL DISTRESS, MENTAL ANGUISH, PAIN AND SUFFERING, LOST WAGES, LOSS OF EARNING CAPACITY, LOSS OF CONSORTIUM, AND/OR PUNITIVE OR EXEMPLARY DAMAGES, WHETHER ARISING OUT OF THE LAWS OF ANY COUNTRY, STATE, OR MUNICIPALITY, CONTRACT, OR TORT, WHETHER KNOWN OR UNKNOWN THAT I NOW HAVE, HAVE HAD, OR WILL EVERY HAVE, FOR DAMAGE, LOSS, PERSONAL INJURY, ILLNESS, DISABILITY, OR DEATH RESULTING IN ANY WAY FROM MY PRESENCE ON REIGN JIU JITSU PREMISES OR PARTICIPATION IN REIGN JIU JITSU ACTIVITIES.

RELEASE OF RIGHTS TO AUDIO, VIDEO, AND PHOTOGRAPHIC IMAGES: I grant REIGN JIU JITSU the right to photograph, videotape, and/or record me and/or my child(ren)/ward(s) and to use my or my child(ren)’s/ward(s)’s name, face, likeness, voice, and appearance in connection with exhibitions, publicity, advertising, and promotional materials without reservation or limitation. I agree that REIGN JIU JITSU shall own such images and recordings and that I am not entitled to any compensation for such images and/or recordings.

COMPANY RULES: Notwithstanding anything herein to the contrary, I agree that I will supervise my child(ren)/ward(s) at all times, that I and my child(ren)/ward(s) will use the facility and equipment in a safe and responsible matter, will follow all instructions and directions of REIGN JIU JITSU employees, and will report any safety concerns or violations to a REIGN JIU JITSU employee.

I authorize REIGN JIU JITSU to administer emergency first aid and CPR and seek emergency medical assistance on my and/or my child(ren)’s/ward(s)’s behalf and agree that I am responsible for all costs of any such assistance. I further release and discharge REIGN JIU JITSU from any and all claims, damages, costs, or liability associated with the rendition of such medical assistance.

I and my child(ren)/ward(s) are not under the influence of alcohol, drugs, or medication that will impact our judgment or ability to participate in any activities at REIGN JIU JITSU.

I have carefully read this Assumption of Risk, Waiver, and Release. I understand and agree that: (i) that this Assumption of Risk, Waiver, and Release is a legal agreement between me, individually and on behalf of my child(ren)/ward(s) and REIGN JIU JITSU; (ii) this Assumption of Risk, Waiver, and Release gives up important legal rights, including the right to sue REIGN JIU JITSU for any injuries or losses I or my child(ren)/ward(s) suffer while on REIGN JIU JITSU premises or participating in REIGN JIU JITSU ACTIVITIES; (iii) I am giving up these important legal rights, on behalf of myself and my child(ren)/ward(s) voluntarily, freely, under no threat of duress, without inducement, promise, or guarantee being communicated to me; and (iv) my signature below is proof of my intention to execute a complete and unconditional WAIVER AND RELEASE of all liability to the fullest extent of the law.

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