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4607 Cherry Ave. San Jose CA 95118
I, understand and have been explained to me that the martial art known as jiu-jitsu and "Gracie jiu-jitsu" may entail some risk of accident or injury and that this risk may be in the form of an accident that may be serious or even mortal as a consequence of the practice of the before mentioned, "Gracie Jiu-Jitsu".
I further understand and have had explained to me that along with the possibility of personal injury, that injury to property is also possible, such as, but not limited to possible loss of wages and the ability to earn such wages. With full knowledge of the aforementioned dangers both to my person and my property (current and future) and after having these dangers fully explained to myself and/or my legal guardian, I hereby certify and declare that i release and forever hold free and discharge from any liability, Ralph Gracie Jiu-Jitsu - San Jose or any other Ralph Gracie academy, each of their agents, directors, officers, employees, and representatives from all claims, demands, rights and causes of action of any nature whatsoever which i may have or which hereafter accrue to me, arising from and be reason of any consequence thereof, whether known or unknown, seen or unforeseen, resulting in my participation in "Gracie Jiu-Jitsu" the persons and entities mentioned above.
Further knowing and understanding these risks, I hereby agree to voluntarily assume these risks and to release and hold harmless all the persons or entities mentioned above whom might otherwise be liable to me for damages. It is further understood this WAIVER-RELEASE AND ASSUMPTION OF RISK, IS FOREVER BINDING on my heirs and assigns.
Additionally, I hereby give consent for the commercial use or social media use or other distribution of any digital media associated with Ralph Gracie Jiu-Jitsu - San Jose for which I may be a subject. Any copyright claims or privacy claims are hereby waived.
My signature on the student agreement is evidence that I know, understand, and have had this document explained to me. I fully understand the dangers that inherent in this martial art and that I voluntarily certify that I will not hold Brazilian Jiu-Jitsu Inc., Ralph Gracie Jiu-Jitsu San Jose, any Gracie family member, their agents. instructors and/or assigns, responsible for any injury whether as a result of training or not.
PARENT'S SIGNATURE IF UNDER 18
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4607 Cherry Ave.,