I am willingly participating in the New Creation Jiu Jitsu (NCJJ) program, its activities and events. I recognize that NCJJ, and that all coaches, leaders and helpers are volunteer workers and will not be held accountable for any liability or expense of any kind on my behalf. I also understand that NCJJ is using the residence of 1942 Main St. Suite 101 and these will not be held accountable or responsible for any liability or expense of any kind on my behalf.
SAFETY & HEALTH AGREEMENT: I acknowledge that Jiu Jitsu is a contact sport and involves the risk of accident or injury. New Creation Jiu Jitsu does not guarantee safety. It is my responsibility to follow and practice all safety rules (both written and expressed), methods and techniques properly, and the New Creation Jiu Jitsu Code of Conduct that are in place for the health and safety of all participants. If I am needing required medical attention for existing conditions or injuries or illnesses contracted prior to my participation in New Creation Jiu Jitsu, I acknowledge that it is my responsibility to inform New Creation Jiu Jitsu and its leaders. I acknowledge that all New Creation Jiu Jitsu leaders are volunteers who are NOT medically trained professionals and are limited in their knowledge, understanding and ability to administer medical care. New Creation Jiu Jitsu and its volunteers will not be administering any medications, prescribed or otherwise, and it is my responsibility to be accountable for my medication. I agree that it is my responsibility to keep New Creation Jiu Jitsu and its leaders updated on my health and any changes that may occur that affect my participation, performance, health and safety. I will take all precautions to protect the health and safety of myself and all NCJJ participants by refraining from participating in New Creation Jiu Jitsu activities/events if I am injured, sick, or have any contagious illnesses or rashes.
MEDICAL RELEASE: I acknowledge and agree that participation in the New Creation Jiu Jitsu program, its activities and events subjects myself to the possibility of physical illness or injury (minimal, serious, catastrophic and/or death) and that I, in my own behalf, acknowledge that I am assuming the risk of such illness or injury by participating in the New Creation Jiu Jitsu program, its activities and events. In the event of such illness or injury, I authorize New Creation Jiu Jitsu and its leaders and volunteers to obtain necessary medical treatment for myself and hereby, in my own behalf, release and hold harmless New Creation Jiu Jitsu and its leaders, in the exercises of this authority. I further acknowledge and understand that I will be responsible for any and all medical and related bills that may be incurred for any illness or injury that I may sustain during the activity/event and while traveling to and from the site for the event whether or not the event actually occurs. In the event I cannot care for myself in an emergency, I hereby give my permission to the physician or dentist selected by New Creation Jiu Jitsu (NCJJ) and its leaders and volunteers to hospitalize, secure proper medical and/or dental treatment and/or order an injection, anesthesia, or surgery for myself as deemed necessary.
PHOTOGRAPHY WAIVER: I hereby irrevocably consent to and authorize the reproduction, publication and any other use by New Creation Jiu Jitsu, its licensees and assigns, of the photographs taken on of myself, and my name and likeness, for use in whole or part or in conjunction with other photographs/audio/video, or any medium and for any lawful purpose, including illustration, promotion, advertising, or web content as well as other publications.
I hereby release and hold harmless New Creation Jiu Jitsu from any reasonable expectation of privacy or confidentiality for myself associated with the images specified above. I assign to New Creation Jiu Jitsu any and all rights of ownership to the photographs, the transparencies or digital files thereof, and agree that New Creation Jiu Jitsu has full right of lawful disposition in any manner.
I further acknowledge that participation is voluntary and that I will not receive financial compensation of any type associated with the taking or publication of these photographs or participation in marketing materials or other publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever.
I waive any rights that I have to notice, inspection, or approval of any use of the photographs whichNew Creation Jiu Jitsu may make or authorize. I hereby release New Creation Jiu Jitsu, its contractors, its employees and any third parties involved in the creation, altering, processing or publication of publications, from liability for any claims by me or any third party in connection with my participation.
The authority hereby given on this form shall remain in effect unless it is withdrawn in writing. I consent, authorize and release New Creation Jiu Jitsu employees, coaches and its volunteers to the agreements as specified above. I have read and agree to the New Creation Jiu Jitsu (NCJJ) Medical, Liability Release and Waiver Form in its entirety.
I am willingly attending the New Creation Jiu Jitsu program and events on an ongoing basis with adult leaders and youth. I agree to follow all rules (both written and spoken), be responsible for my behavior, to respect the health and safety of others and myself, to relate to others and to use property and equipment in appropriate ways.