WAIVER RELEASE FORM
This agreement is between (student’s name) and Brazilian Top Team, Taunton (BTT)
In consideration for enrollment in BTT, I make the following statements and promises:
1. I acknowledge before signing this agreement, that a student can be dismissed from BTT without any notice and without any financial reimbursement of any payments made to BTT for any misconduct on the part of the student whatsoever.
2. I am aware that participation in BTT can involve strenuous physical activity and I understand that my training as a student could involve physical contact between myself and other students, instructors, and equipment. With this knowledge, I voluntarily assume the full risk and responsibility for any and all bodily injury, death, or property damage arising from actions or conduct of the BTT, its instructors, or other students; from my actions or conduct while on BTT premises or during any BTT class, program, event, exhibition, demonstration, or any tournament attended by BTT students.
3. I acknowledge that I have been advised of the dangers of any transmittable diseases, and that I could potentially receive a transmittable disease or virus, including but not limited to COVID-19, while engaged in training activities at BTT. I further understand that I could in turn transmit such a disease or virus to a family member or friend.
4. I also acknowledge that I am fully aware of the dangers of COVID – 19 and other diseases and illnesses. I further confirm that if I have symptoms of a cough, fever, or viral symptoms, I will not train for at least 14 days from the onset of such symptoms.
5. I agree that this agreement shall be binding upon my heirs, next of kin, representatives, and assigns that the a.) will not make a claim against BTT, its instructors, owners, and other students for any illness, injury, death, or property damage resulting directly or indirectly from my participation in a BTT class, program, event, exhibition, demonstration, or any tournament attended by BTT students; and b.) will release and discharge BTT from any claims or demands arising from injury, or property damage to me caused by my participation in any BTT class, program, event, exhibition, demonstration, or any tournament attended by BTT students and/or instructors.
6. I have carefully read this agreement and fully understand its contents. I am aware that this agreement is a release of liability and responsibility between myself and BTT. I voluntarily agree to each of the terms and provisions thereof and sign this agreement on my own free will.
PHOTO RELEASE
7. I grant Brazilian Top Team - Taunton permission to use my likeness in a photograph in any and all of its publications, including but not limited to all of Brazilian Top Team - Taunton's printed and digital publications. I understand and agree that any photograph using my likeness will become property of Brazilian Top Team – Taunton and will not be returned.
8. I acknowledge that since my participation with Brazilian Top Team – Taunton is voluntary, I will receive no financial compensation.
9. I hereby irrevocably authorize Brazilian Top Team - Taunton to edit, alter, copy, exhibit, publish or distribute this photo for purposes of publicizing Brazilian Top Team Taunton's programs or for any other related, lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph.
Name:
Signature:
(Parent’s signature if student is under 18 years of age)