I agree that I am aware of the inherent dangers associated with training jiu jitsu, wrestling, grappling, mixed martial arts, boxing or any other combat related activity at 10th Planet Birmingham. These dangers include but not are not limited to death, grave bodily injury, loss of consciousness due to impact or blood restriction, traumatic brain injuries, partial or total vision loss, lacerations, joint separation, contusion and fracture of bones or cartilages.
I also agree that I could be injured by a slip, fall, or tripping over gear or equipment.
I also agree that I am aware of the addition dangers included but not limited to contact with blood borne pathogens, fungus, viruses including Flu, Coronaviruses and multiple skin conditions or infections.
Though we strive ourselves in maintaining an incident free safe training environment for all our Members, these rare types of accidents or scenarios can occur.
Print Legal Name Clearly on the line Below
I agree to these risks on my own accord and certify that in the event of any single or combinations of the dangers or risks listed above I will absolve any liability or legal actions against any coach, instructor(s), trainer, 10th Planet Jiu Jitsu Birmingham, Mick Broster, Edgar Bravo, Eddie Bravo, Ayahuasca LLC., 10th Planet Headquarters, Inch By Inch Productions, Eddie Bravo Invitational grappling event, Any Past or Current 10th Planet Jiu Jitsu Affiliate, Any Past or Present 10th Planet Jiu Jitsu Coach/Trainer/Instructor(s) at any Location throughout any Country they are located.
Print Legal Name Clearly on the line Below
I am completely and 100% aware of the risk and dangers listed in this document and agree to train at this facility despite the inherent risks listed in this document.
Sign and Date Legal Name Clearly on the line Below
Signature: Date: .