Liability Waiver and Photo/Video Release Form

IMPORTANT NOTICE: 

By signing this Liability Waiver and Photo/Video Release Form, you acknowledge that you understand and accept the risks of participating in Jiu-Jitsu, Grappling, Martial Arts, or any other related activities at UMMA JIU-JITSU LLC. You also grant permission for the use of your image and/or likeness in photos and videos taken during classes, events, or activities, as detailed below. This document must be signed before participation in any activities at UMMA JIU-JITSU LLC.


1. Acknowledgment of Risk 

I, the undersigned, entirely upon my own initiative, risk, and responsibility am about to
participate in Jiu-Jitsu, Grappling and or Martial Arts Training conducted by UMMA JIU-JITSU LLC and/or Khurshid Rozimatov. If I am under 18 years of age, a parent or guardian will sign below on my behalf. 
I hereby understand and acknowledge that the training, activities, programs, and events held by UMMA JIU-JITSU LLC and/or Khurshid Rozimatov and/or UMMA JIU-JITSU LLC officers, instructors, coaches, volunteers, and management may expose me to many inherent risks, including accidents, injury, illness, or even death. I fully understand that each participant will be engaging in activities requiring physical contact, which by their very nature involve the risk of serious injury, dislocation, fracture, sprains, permanent disability, paralysis, and severe social and economic losses, including damage or loss of personal property, which might result not only from my own actions, inactions, or negligence but also the actions, inactions, or negligence of others, the rules of play, the conditions of the premises, or of any equipment used. Furthermore, there may be other risks not known to me or not reasonably foreseeable at this time. 


2. Waiver and Release of Liability 

In consideration for being allowed to participate in classes, training, and events organized by UMMA JIU-JITSU LLC, I, the undersigned, on behalf of myself, my heirs, personal representatives, and assigns, do hereby waive, release, and discharge UMMA JIU-JITSU LLC, its officers, directors, employees, agents, volunteers, instructors, coaches (including Coach Khurshid Rozimatov), staff, and affiliates from any and all liability, claims, or demands for any injury, damage, loss, or expense of any kind, arising from or related to my participation in any activity or event, whether caused by the negligence of UMMA JIU-JITSU LLC or otherwise.


3. Indemnification 

I hereby agree to indemnify and hold harmless Khurshid Rozimatov, coaches, managers, staff, or affiliates of UMMA JIU-JITSU LLC against any and all claims, suits, or actions of any kind whatsoever for liability, damages, compensation, or otherwise brought by me or anyone on my behalf, including attorney's fees and any related costs, if litigation arises pursuant to any claims made by me or by anyone else acting on my behalf. If UMMA JIU-JITSU LLC and/or Khurshid Rozimatov incurs any of these types of expenses, I agree to reimburse UMMA JIU-JITSU LLC. I acknowledge that UMMA JIU-JITSU LLC and their directors, officers, volunteers, representatives, and agents are not responsible for errors, omissions, acts, or failures to act of any party or entity conducting a specific event or activity on behalf of UMMA JIU-JITSU  LLC and/or Khurshid Rozimatov.

4. Assumption of Risks

I assume all risks of injuries associated with participation, including but not limited to falls, contact with other participants, the effects of the weather (including high heat and/or humidity), and all other such risks being known and appreciated by me. I hereby acknowledge my responsibility in communicating any physical and psychological concerns that might conflict with participation in the activity. I acknowledge that I am physically fit and mentally capable of performing the physical activity I choose to participate in. It is understood that before participating in any fitness activity, my doctor must first be consulted for personal risks/benefits.


5. Minor Participants (If Applicable) 

If the participant is under the age of 18, I, the undersigned, as a parent or legal guardian of the minor, acknowledge and agree to the following:
  • I am the legal guardian of the minor and have the authority to sign this waiver on their behalf.
  • I understand that by signing this waiver, I am waiving my right to sue on behalf of the minor in the event of injury or harm.
  • I consent to the minor’s participation in training, classes, and events offered by UMMA JIU-JITSU LLC and assume full responsibility for their safety.

6. Photography and Media Release

I, the undersigned, hereby give UMMA JIU-JITSU LLC, its officers, instructors, coaches, volunteers, and management, its assigns, licensees, and legal representatives the irrevocable right to use my name, video, picture, portrait, or photograph in all forms and media and in all manners, including composite, for advertising, publication, social media, or any other lawful purposes. I waive any right to inspect or approve the finished product, including written copy, which may be created in connection therewith.


7. No Obligation to Use Media 

I understand that UMMA JIU-JITSU LLC is under no obligation to use any of the media taken, and that any media may be used or discarded at the sole discretion of UMMA JIU-JITSU LLC. 


8. Right to Revoke Permission 

I understand that I can revoke this release at any time in the future by providing written notice to UMMA JIU-JITSU LLC at the address below. Such revocation will not affect the use of any media taken before the revocation was made.


9. Governing Law 

This waiver and release shall be governed by and construed in accordance with the laws of the State of Louisiana. Any disputes arising from this release shall be subject to the jurisdiction of the courts located in Jefferson Parish, Louisiana.


10. Agreement to Terms 

By signing below, I acknowledge that I have read and understood the terms of this Liability Waiver and Photo/Video Release Form. I am voluntarily signing this form and am aware that by doing so, I am waiving certain legal rights, including the right to sue.
By submitting this form, I acknowledge that checking the box serves as my electronic signature, and I fully understand that this waiver is legally binding under the Louisiana Uniform Electronic Transactions Act (LUETA) and federal E-SIGN Act.