Intake Form & Liability Waiver
Please fill out all fields below before your first class.
Please read the following agreement carefully.
Sensei Sandy Brazilian Jiu Jitsu Warning, Waiver, Release of Liability, Assumption of Risk and Agreement to Participate
In consideration of being allowed to participate in any way in the sanctioned events of Sensei Sandy Brazilian Jiu Jitsu, I:
For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I hereby grant to Sensei Sandy BJJ... an unrestricted, irrevocable, exclusive, royalty-free, world-wide... license to use, reproduce, edit, modify, publish and/or broadcast all or any part of the personal photograph(s), videotaped likeness and other information that I have provided to the Gym.
I understand and agree that the Authorized Parties in their sole discretion may (i) reproduce, digitize, modify... and (ii) edit, delete and/or use some or all of Images and Likeness....
I agree that in no event shall the Authorized Parties be liable for any damages whatsoever arising out of or related to my submission of the Images and Likeness....
I represent that I am of full age and have the right to contract in my own name, and I have read the foregoing and fully understand the meaning and effect thereof.