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LIABILITY WAIVER FORM

PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT WHICH AFFECTS YOUR LEGAL RIGHTS

General Liability:

____ I, _______________________________, have enrolled in the martial arts program offered through ZenCosmic. To the best of my knowledge, I am in good physical condition and fully able to participate in this course. I am fully aware of the risks and hazards connected with the participation in Jiu-Jitsu and yoga. I recognize that the program may involve strenuous physical activity including, but not limited to, muscle strength and endurance training, cardiovascular conditioning and training, physical injury or even death. I hereby affirm that I am in good physical condition and do not suffer from any known disability or condition which would prevent or limit my participation in this program. I hereby elect to voluntarily participate in said event, knowing that the associated physical activity may be hazardous to me and my property. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OR LOSS, PROPERTY DAMAGE, OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by me, or loss or damage to property owned by me, as a result of participation in this course.  I further certify that I am at least 18 years of age. If under 18, my parent/guardian is the below signed.

____ I hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE, ZenCosmic, DKTL, LLC, their officers, servants, agents, and employees (hereinafter referred to as RELEASEES) from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, while participating in physical activity, or while on or upon the premises where the event is being conducted. It is my expressed intent that this release and hold harmless agreement shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representative, if I am deceased, and shall be deemed as a RELEASE, WAIVE, DISCHARGE, and CONVENTION TO SUE the above named RELEASEES. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be constructed in accordance with the laws of the State of Texas.

____ In signing this release, I acknowledge and represent that I HAVE READ THE FOREGOING Waiver of Liability and Hold Harmless Agreement, UNDERSTAND IT AND SIGN IT VOLUNTARILY as my own free act and deed; no oral representations, statements or inducements, apart from the foregoing written agreements have been made; and I EXECUTE THIS RELEASE FOR FULL, ADEQUATE AND COMPLETE CONSIDERATION FULLY INTENDING TO BE BOUND BY SAME. I hereby release the Releasee and its agents from any liability now or in the future for conditions that I may obtain. These conditions may include, but are not limited to, heart attacks, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, heat prostration, injuries to knees, injuries to back, injuries to foot, or any other illness or soreness that I may incur, including death.”

Video and Media Consent:

____ I, _________________________, hereby grant permission to the Releasee to use any photographs and/or video of me or my child in any capacity in publications, news releases, online, and in other communications. I understand that there will be no payment for or royalties from this release. I understand that I may revoke this authorization at any time by notifying the Releasee in writing. The revocation will not affect any actions taken before the receipt of this written notification. Images and videos will be stored in a secure location and only authorized staff will have access to them. Images and videos will be kept as long as they are relevant and after that time they will be destroyed or archived. We, the Releasor and Releasee, understand and agree to the aforementioned terms and conditions.

Tuition Rights and Refund Policy:

____ I understand that upon enrollment, I will be expected to choose between either a daily or monthly enrollment and pay a tuition fee in order to use the facilities.  I understand that I can choose between daily payments that will be collected on the date of drop-in and monthly payments that will be collected on the 1st of every month. Enrollment to the monthly tuition plan will be collected on a prorated basis . I also understand that the facilities offer private lessons with instructors for an individual and separate fee. Upon payment, the drop-in fee entitles me to access to use the facilities for 24 hours and the monthly fee entitles me to access to use the facilities for one calendar month. Late or missed payments will be sent to collections after 10 business days.  I also understand that if I am not satisfied with the instruction provided for any class, I can ask for a full-refund. Payment disputes will be handled by the Releasee. The Releasee reserves the right to refuse service to anyone for any reason.

I HEREBY AFFIRM THAT I HAVE READ AND FULLY UNDERSTAND THE ABOVE STATEMENTS.

___________________________ (Participant or Parent/Guardian Signature, if under 18)

___________________________ (Participant Printed Name)

___________________________ (Date)

___________________________ (Emergency contact & Phone#)

Safety Rules & Etiquette Guidelines 

• Don't be gross

No shoes, food, drink, or cell phones on the mat. Never walk barefoot outside the marked areas or you will be asked to wash your feet before being allowed back on the mat. Wear shoes or flip flops when going to the bathroom. Launder your gi and rash guard daily. Only wear clean equipment. Replace your gi if there are any holes or tears. Wear property fitted athletic undergarments. Practice proper hygiene. Trim your finger and toenails. Be clean, smell clean, and brush your teeth before going to class. Never train when sick or experiencing contagious skin conditions. Stay home if you are feeling unwell. Protect yourself and your partners.

• Respect others

Keep a respectful posture. If you are late to class, wait for permission from instructors before stepping onto the mats. Let an instructor know if you want to leave the mat or leave before the end of class. Show respect for your teammates when drilling and rolling – don't be a spaz, maintain focus.

• Respect the process

During kids' classes, parents or guardians should not interfere in the class. Allow the teacher to run the class from the beginning to the end. Bowing to the instructor is generally accepted practice when entering the training area. Bow to your partner before and after training. Classes begin and end with a formal bow to the instructor with students lining up in descending grade order. Sit with respect and pay attention when your instructor is teaching. Talking during class should be kept to a minimum level and should relate to class. No foul language inside the school.

• Respect yourself

Know when it is time to drink water and use the restroom. Show responsibility for your own agency - you are always allowed to say "no".

• Communicate effectively

Use your words. Start a roll with the fist bump slap. End a roll with a handshake and a good word. Always respect the tap. Tapping is revocation of consent and an acknowledgement for the simulated combat to end. Be gracious in victory and defeat – don’t boast about submitting someone. Do not make excuses when submitted. Be open to receiving feedback.

• Wear the right equipment

All metal objects like jewelry, rings, piercings, or necklaces should be removed. Inappropriate imagery on gis and rash guards will not be tolerated.

• Be safe and responsible 

Know which techniques or body manipulations are off limits. When in doubt - ask a higher belt for help. Never coach a match unless the instructor asks you to do it.

• Acknowledge appropriate time and place

Show respect for your training partners– no sexual innuendo. Use appropriate levels of force - particularly training partners who might be smaller or weaker than you. This is not a fight club.

• Make goals

Talk to your instructor about your goals

• Remember that you and everyone else came here to have fun