LIABILITY WAIVER
Read and sign only
First Name:
Last Name:
PHOTO RELEASE: I authorize Renaissance of Jiu Jitsu (ROJ) to use my image or my child’s image in photography for ROJ
newsletters, brochures, advertisements, dvd/video and on the ROJ website. I understand that we will not be compensated in any
way for the use of these photographs. Names will not be used without additional consent.
Release and Waiver of Liability and Indemnity Agreement
(Read Carefully Before Signing)
In consideration of being permitted to participate in any way in Renaissance of Jiu Jitsu (aka ROJ, RMNU, and/or Robson Moura
Brazilian Jiu Jitsu Association) and/or being permitted to enter the facility or for any purpose any restricted area (herein defined as
any area where in admittance to the general public is prohibited), the participant and/or parent(s) and/or legal guardian(s) of the
minor participant named below agree as follows:
I/We fully understand and acknowledge that:
1. Participation in the activities and events at ROJ entails unknown and unanticipated risks which could result in physical or
emotional injury, paralysis, death, or damage to the participant, to property or to third parties. Such risks simply cannot be
eliminated without jeopardizing the essential qualities of the activity. The risks also include, among other things intense
stressful and strenuous exercises with body contact.
2. I/We expressly consent to confront these known and unknown dangers and further agree, understand and recognize that
these risks may result in serious injury or illness, including but not limited to bruises, bloody noses, broken bones, sprains,
dislocations, heart attacks, or other cardiovascular disease, or other serious injury resulting in permanent and/or partial or
total disability, death, and/or property damage.
3. The physical, social and economic losses and/or damages which could result from these risks and dangers described
above, could be severe.
4. These risks and dangers may be caused by the action, inaction or negligence of the participant or the action, inaction or
negligence of others, including, but not limited to, the Releasees named below.
5. I/We HEREBY acknowledge that THE ACTIVITIES AND/OR EVENT(S) ARE VERY DANGEROUS and involve the risk of
serious injury and/or death and/or property damage. THE UNDERSIGNED also expressly acknowledges that INJURIES
RECEIVED MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE OPERATIONS OR PROCEDURES OF THE
RELEASEES.
6. I/WE certify that I/WE have adequate insurance to cover any injury or damage the participant may cause or suffer while
participating, or else I/WE agree to bear the costs of such injury or damage. I/WE further certify that the participant has no
medical or physical conditions, which could interfere with his/her safety in this activity, or else the participant and/or
parent(s) and/or legal guardian(s) is willing to assume and bear the costs of all risks that may be created, directly or
indirectly, by any such condition.
2. There may be other risks not known to us or are not reasonably foreseeable at this time. The participant and/or parent(s) and/or
legal guardian(s) will instruct the minor participant that prior to participating in the activities or event, he or she should inspect
the facilities and equipment to be used, and if he or she believes anything is unsafe, the participant should immediately advise
the officials of such condition and refuse to participate. I understand and agree that, if at any time, I feel anything to be
UNSAFE; I will immediately take all precautions to avoid the unsafe area and REFUSE TO PARTICIPATE further.
3. I/WE expressly agree and promise to accept and assume all of the risks existing in this activity. The participant’s participation
in this activity is purely voluntary and I elect to participate in spite of the risks.
4. I/WE accept and assume such risks and responsibility for the losses and/or damages following such injury, disability, paralysis
or death, however caused and whether caused in whole or in part by the negligence of the Releasees named below.
1. I/We HEREBY VOLUNTARILY RELEASE, WAIVE, FOREVER DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO
INDEMNIFY AND HOLD HARMLESS Renaissance of Jiu Jitsu, including its owners, agents, officers, volunteers, participants,
employees, and all other persons or entities acting in any capacity on their behalf (herein collectively referred to as “Releasee”
and/or “ROJ”), from all liability to the undersigned, children, wards, parents, personal representatives, assigns, executors, heirs
and/or next of kin for any and all claims, demands, causes of action, losses or damages and any claims or demands therefore
on account of any injury, including but not limited to the death of the participant or damage to property, arising out of or
relating to participation in this activity or use of ROJ equipment or facilities, including but not limited to any such claims which
allege negligent acts or omissions of ROJ to the fullest extent permitted by law.
2. EACH OF THE UNDERSIGNED further expressly agrees that the foregoing release, waiver, and indemnity agreement is intended
to be as broad and inclusive as is permitted by the law of Florida and that if any portion is held invalid, it is agreed that the
balance shall, notwithstanding continue in full legal force and effect.
3. The participant and/or legal guardian(s) on behalf of the minor participant executes this Waiver and Release. If, despite the
release, the participant makes a claim against any of the Releasees, the parents(s) and/or legal guardian(s) will reimburse the
Releasee for any money which they have paid to the participant, or on his behalf, and hold them harmless.
4. In the event that the participant and/or legal guardian for the minor participant files a lawsuit against ROJ, the participant and/or
legal guardian(s) on behalf of the minor participant agree to do so solely in the state of Florida, and further agrees that the
substantive law of Florida shall apply in that action without regard to the conflict of law rules of that state. The participant
and/or legal guardian for the minor participant WAIVES ALL RIGHTS TO A TRIAL BY JURY IN ANY LEGAL ACTION ARISING
FROM PARTICIPATION IN THE ACTIVITIES AND/OR EVENTS AT ROJ. Should ROJ, or anyone acting on their behalf, be required
to incur attorney’s fees and costs to enforce this agreement, the participant and/or legal guardian(s) on behalf of the minor
participant agree to indemnify and hold ROJ harmless for all such fees and costs.
5. PARENT OR GUARDIAN’S ADDITIONAL INDEMNIFICATION. In consideration of my child/ minor participant being permitted by
ROJ to participate in its activities and to use its equipment and facilities, the Parent and/or Legal Guardian of minor participant
(“I”) further agree to indemnify and hold harmless ROJ from any and all claims which are brought by, or on behalf of Minor, and
which are in any way connected with such use or participation by Minor. I certify that I have explained the risks associated with
participation to my child and he/she has acknowledged their understanding of those risks.
I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY
UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT
FREELY AND VOLUNTARILY WTHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY
SIGNATURE TO BE COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY
LAW.