Training Waiver

By signing the form
on the previous page you agree to all of the following…

I {the signed} have volunteered to participate in a training program provided to me by Fred Sesler of Sesler’s Jujitsu, LLC (“Instructor”), which may include, but may not be limited to, boxing, partner drills, and self-defense/martial arts instruction. In consideration of Instructor’s agreement to instruct and train me, I do here now and forever release and discharge and hereby hold harmless Instructor and his respective agents, heirs, assigns, contractors, and employees from any and all claims, demands, damages, rights of action or causes of action, present or future, arising out of or connected with my participation in this or any training program including any injuries resulting there from. THIS WAIVER AND RELEASE OF LIABILITY INCLUDES, WITHOUT LIMITATION, INJURIES WHICH MAY OCCUR AS A RESULT OF (A) YOUR USE OF ANY EQUIPMENT OR FACILITIES WHICH MAY MALFUNCTION OR BREAK, (B) IMPROPER MAINTENANCE OF ANY EQUIPMENT, PREMISES OR FACILITIES, (C) NEGLIGENT INSTRUCTION OR SUPERVISION, INCLUDING TRAINING, AND/OR (D) SLIPPING OR TRIPPING AND FALLING WHILE ON ANY PORTION OF A PREMISES OR WHILE TRAVELING TO OR FROM TRAINING, INCLUDING INJURIES RESULTING FROM INSTRUCTOR’S OR ANYONE ELSE’S NEGLIGENT INSPECTION OR MAINTENANCE OF THE FACILITY OR PREMISES.

I {the signed} have been informed of, understand and am aware that any training program, whether or not requiring the use of special equipment, is a potentially hazardous activity. I also have been informed of, understand and am aware that any exercise and/or training activities involve a risk of injury, as well as abnormal changes in blood pressure, fainting, and a remote risk of heart attack, stroke, other serious disability or death, and that I am voluntarily participating in these activities and using equipment and machinery with full knowledge, understanding and appreciation of the dangers involved. I hereby agree to expressly assume and accept any and all risks of injury, regardless of severity, or death. I have been advised that an examination by a physician should be obtained by anyone prior to commencing a fitness and/or exercise program, or initiating a substantial change in the amount of regular physical activity performed.

If I {the signed} have chosen not to obtain a physician’s consent prior to beginning this fitness program with Instructor, I hereby agree that I am doing so solely at my own risk. In any event, I acknowledge and agree that I assume the risks associated with any and all fitness related activities and/or exercises in which I participate.

I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS FORM IN ITS ENTIRETY AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. BY SIGNING THIS DOCUMENT, I AM WAIVING ANY RIGHT I OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST INSTRUCTOR FOR YOUR NEGLIGENCE OR THAT OF YOUR EMPLOYEES, AGENTS, OR CONTRACTORS.

This form is an important legal document that explains the risks you are assuming by beginning a training program. It is critical that you have read and understand this document completely. If you do not understand any part of this document, it is your ultimate responsibility to ask for clarification prior to signing it.