Part I: Student Waiver
This agreement is between {name} and RGJJSA; or anyone representing this business.
- I acknowledge before signing this agreement that the techniques taught in Joshua Lauber’s, RGJJSA is intended strictly for self-defense, physical health & fitness purposes, and that these techniques are not to be used negatively or aggressive manner against any person or property. I understand that I may be expelled at any time from participation in a program or event if the instructors learn that I used these techniques in a negative manner against anyone or anything.
- I agree that I, my heirs, next of kin, legal representatives and assigns (a) will not make claims against Joshua Lauber, Relson Gracie, Relson Gracie San Antonio, or any of their appointed instructors for any death, injury, or property damage, resulting directly or indirectly from my participation in a program, class, seminar, clinic, demonstration, or any event run by Joshua Lauber, RGJJSA and (b) Release and discharge Joshua Lauber, RGJJSA, RGJJSA instructors from any claims or demands arising from injury, death, or property damage to me caused by my participation in any Relson Gracie Jiu-Jitsu, or Joshua Lauber’s program, class, seminar, clinic, demonstration, or any event.
- I promise to defend, indemnify, and hold harmless RGJJSA, Joshua Lauber from any claims made by third parties alleging injury or damage resulting from my conduct and activities while on any training premises or during any RGJJSA, Joshua Lauber, program, class, seminar, clinic, demonstration, or any event from my conduct as a RGJJSA student, and from my use of any technique learned in a RGJJSA program, class, seminar, clinic, demonstration, or any event.
- If I have any disabilities or illnesses, pregnant, or i am currently seeing a psychological therapist, I have advised Relson Gracie Jiu-Jitsu instructor of this fact, and will obtain written consent from my physician or therapist to participate in RGJJSA program or events.
- I agree to allow RGJJSA to use my still or moving picture for any promotion and/or publicity relating to RGJJSA. I understand that I will not receive any compensation for such use in any way.
- I have not requested nor received any warranties as to the effectiveness of any RGJJSA program.
- If I am under 18 years of age, I have advised a RGJJSA instructor of this fact, and I have shown this agreement to my mother, father, or legal guardian. My mother, father, or legal guardian hereby consent to my participation in RGJJSA program, class, seminar, clinic, demonstration, or any event and further agree to be bound in full by terms and provisions of this agreement as evidenced by their signature below.
- I agree that there have been no oral representation, statements, or inducements made apart from this written agreement.
- I agree that this statement shall be binding upon my heirs, Next of kin, representatives and assigns.
- I understand that this release, waiver, indemnity agreement is extended to be as broad and all inclusive as is permitted by the law of the state of Texas and that if any portion thereof is held invalid, I agree that the balance shall, notwithstanding, continue in full force and legal effect.
- There is no prorating of fees for missed classes or for late enrollments.
- In the event of an injury, condition, or death, I hereby give permission to obtain qualified emergency medical assistance to myself, my son/daughter and do not hold RGJJSA, Joshua Lauber, appointed instructors or any independent contractors liable for such an occurrence.
- Memberships can only be cancelled if student enrolled is moving 25+ miles away, Military service has issued orders (active duty), or death. Memberships can only be cancelled if student pays 60% of remaining contract balance.
- I have carefully read this agreement and fully understand its contents and I am aware that this agreement releases any liability between Relson Gracie Jiu-Jitsu San Antonio, Joshua Lauber, appointed instructors and myself. I voluntarily agree to each of the terms and provisions thereof and sign this agreement on my own free will.
Part II: COVID 19 or other Contagion Addendum
Assumption of Risk, Waiver, Release, and Indemnification Relating to Coronavirus and other Contagion
I acknowledge the corona virus contagion and its variants has spread across the globe and is present in the local community. I acknowledge there is risk of contracting this virus or other virus strains, staph infections, MRSA, flu, and other contagion by participating in or accepting the services offered by Relson Gracie Jiu Jitsu San Antonio, LLC, (hereinafter referred to as RGJJSA and henceforth collectively includes its owners, agents, employees, contractors, and members, in both personal and professional capacities). These risks include but are not limited to illness, physical injury, mental injury, transmission to others, and death.
I AGREE TO ASSUME THE RISK associated with any of these contagion by virtue of participation in RGJJSA activities or acceptance of services, including but not limited to contact with the facility and any person connected with it.
I AGREE TO WAIVE THE RIGHT TO SUE RGJJSA for any injury or damage whatsoever connected with the RGJJSA activities or services, including but not limited to contact with the facility and any person connected with it.
I RELEASE RGJJSA from any liability whatsoever arising from any contagion-related claim.
I AGREE TO HOLD HARMLESS AND INDEMNIFY RGJJSA from any such claims, demands, injuries, damages, or actions connected with the RGJJSA activities or services, including but not limited to contact with the facility and any person connected with it.
I incorporate by reference and assume the terms of the “Waiver, Release, and Indemnification” contained in the Membership Agreement. I understand that its terms shall apply to and include any contagion and specifically COVID-19 and its strains.
I affirmatively state and swear that RGJJSA activities are not a deviation from the ordinary standard of care, nor a disregard for safety. I understand that I may decline to participate at any time, and RGJJSA services are only being offered in exchange for my assurance that I will always maintain safety. It is my responsibility to maintain my/my child’s safety. I affirmatively state and swear that I denounce any claim that public policy would prevent RGJJSA’s operation or enforcement of any portion of this agreement.
I represent that I have exhibited no signs of COVID-19 or any coronavirus in the last 14 days, have no chronic illness or compromised immune system, have never tested positive for COVID-19 and have not been in contact with anyone who has in the last 14 days, and if any of these conditions changes, I will immediately cease non-virtual participation and physical attendance at RGJJSA and notify RGJJSA immediately. By entering the premises, I consent to temperature checks and hand washing before getting on the mats.
It is my intent to give full implementation and enforcement of all the provisions of this agreement, and if any portion is stricken, the remainder shall survive.
I acknowledge I have read and understood this document and freely consent to its terms, on behalf of myself, my children, my successors, and assigns. If my child is under 18, my signature is likewise binding on his/her/their behalf.