EmailMe Form - Welcome Form (Adults)

Name *

First Last

Phone

Email *

D.O.B *

DD / MM / YYYY

Any medical problems we should know about? *

Choose the most important benefits you would like to get through the Jiu Jitsu. *

1. Recognize and understand that martial arts training is a physical contact activity and that my participation might result in serious injury, including permanent disability or death, and severe social and economic loss.
2. Recognize and understand that such risk may be due to not only my own actions, but also the action, inaction or negligence of others, the regulations of participation, or the conditions of the premises, or of any of the equipment used.
3. Recognize that there may be other risks that are not known to me or to others or not reasonably foreseeable at this time.
4. Agree to inspect the facilities, equipment and pairings prior to participation. I will immediately inform an instructor if I believe that anything is unsafe or beyond my capability and refuse to participate.
5. Assume all of the foregoing risks and accept personal responsibility for any damages that may result from injury, permanent disability or death.
6. Enter martial arts training and/or competition entirely of my own free will and understand the importance of following the rules of training and competition. I have been given a copy of the rules and regulations of Sydney Jiu Jitsu Academy and agree to abide by the instructions given therein.
7. I certify that I am in good physical condition, and have no disease, injury or other condition that would impair my performance or physical and mental well-being during intense training practice and/or competition.
8. Grant permission in case of injury to have a doctor, nurse, athletic training or other emergency medical personnel provide me with medical assistance or treatment for such injury.
9. Release, waive, discharge and covenant not to sue, Sydney Jiu Jitsu Academy, its affiliated organizations and governing bodies, their officers, instructors and personnel, other members of the organizations, participants, supervisors, coaches, sponsoring organizations or their agents, and if applicable, owners and leasers of the premises from any and all liability to the undersigned, his or her heirs and next of kin for any and all claims, demands, losses and damages which may be sustained and suffered on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the realeasees or otherwise.
10.You will receive email communication from us which may include: informations,marketing and promotion of upcoming events.

We appreciate your cooperation in keeping our SJJA community as healthy as possible.

Byentering our Facilities, you agree and accept the following terms and conditions for yourself and

those in your care.

1. HEALTH & SAFETY

a. I confirm I do not have any symptoms related to and have not been knowingly

exposed to COVID-19.

b. If the above status changes, I agree not to visit the club.

2. SOCIAL DISTANCING

a. I agree to keep 1.5 metres between myself and other members while in the club.

3. CLEANLINESS

a. I agree to use a clean uniform and rash guard

b. I agree to keep my hands washed/sanitized while at the club.

WAIVER

In light of the COVID-19 pandemic, I reaffirm the Waiver which I executed on my Member

Agreement, and assume the risk of use of the facilities at SJJA.

SJJA Staff will be monitoring the facilities

1. Focusing on cleaning

2. Discouraging close proximity between members

3.Check uniform of our members.

If a staff member or member asks you to do one of the above, we ask that you please cooperate anddo your part. Thank you for your cooperation in making this a safe and healthy environment.

I HAVE READ THE ABOVE WARNING, WAIVER, RELEASE AND AGREEMENT TO PARTICIPATE. I UNDERSTAND ITS CONTENTS AND DO HEREBY SIGN IT VOLUNTARILY. *

I agree the above

Signature *

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