PLEASE READ CAREFULLY!
THIS IS A LEGAL DOCUMENT WHICH AFFECTS YOUR LEGAL RIGHTS

I, {name}, have enrolled in the personalized health and fitness program offered through “AT Jiu-Jitsu NYC”, 80-22 Northern Blvd. Jackson Heights, NY 11372, Professor Alvaro Tautiva and the staff (herein after “AT Jiu-Jitsu NYC”). I recognize that the program may involve strenuous physical activity including, but not limited to, muscle strength and endurance training, cardiovascular conditioning and training, Martial Arts, Brazilian Jiu-Jitsu, striking and other various fitness activities. I hereby affirm that I am in good physical condition and do not suffer from any known disability or condition which would prevent or limit my participation in this exercise program. I acknowledge that my enrollment and subsequent participation in purely voluntary and in no way mandated by “AT Jiu-Jitsu NYC”.

In consideration of my participation in this program, I, {name}, hereby release “AT Jiu-Jitsu NYC” and its agents from any claims, demands, and causes of action as a result of my voluntary participation and enrollment. I fully understand that I may injure myself as a result of my enrollment and subsequent participation in this program and I, {name}, hereby release “AT Jiu-Jitsu NYC” and its agents from any liability now or in the future for conditions that may occur during the course of my training, or the direct result thereof. These conditions may include, but are not limited to; heart attacks, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, heat prostration, injuries to knees, injuries to back, injuries to foot, or any other illness or soreness that I may incur, including death.

This is a liability waiver and release for yourself and your legal successors and assigns. It releases from liability AT JIU JITSU NYC, and its respective past and present agents, affiliates, subsidiaries, officers, directors, promoters, managers, coaches, staff, partners, employees, members, volunteers, assigns, representatives, sponsors, advertisers, venue owners/lessors, attorneys, other attendees, and their legal successors and assigns. By entering you acknowledge that you fully understand and agree that your entrance into this venue may lead to COVID-19 exposure and that contracting COVID-19 may result in severe and permanent damage to your health and/or the health of others, including, but not limited to, death, fever, weight loss, irreversible pulmonary, respiratory and/or neurological system damage, mental or emotional distress, temporary or permanent disability, loss of income, loss of employment, loss of financial or other opportunities, medical expenses, which may or may not be covered by insurance, cleaning expenses, mandatory self-quarantine, and other harms and lost opportunities, whether economic, reputational or otherwise. This Liability Waiver & Release includes your waiver of any and all claims, known and unknown, arising out of, based upon or relating to your attendance at AT JIU JITSU NYC, including negligence or any possible exposure to, or contracting of COVID-19. It also includes any claims or matters that were, have been, or could in any way have been alleged by you arising out or related to your attendance at AT JIU JITSU NYC. By entering AT JIU JITSU NYC you agree to be bound by this Waiver & Release. PLEASE WEAR A FACE MASK - SOCIAL DISTANCING OF SIX FEET

Person appearing (“Participant/Model Name”) {name}
I hereby authorize AT Jiu-Jitsu NYC to record and photograph the likeness, and appearance (the “Images/Recordings”) of the Model identified above, and to use the Images/Recordings in connection with AT Jiu-Jitsu NYC and any AT Jiu-Jitsu NYC promotional material.

Furthermore, I hereby grant AT Jiu-Jitsu NYC, royalty-free, irrevocable permission to use, reproduce, publish, broadcast and distribute the Images/Recordings, in connection with AT Jiu-Jitsu NYC in any works created by AT Jiu-Jitsu NYC.

I represent and warrant that I am at least 18 years of age and have the full legal capacity to executive this release.

Parent(s) or Guardian(s) (if the person is a minor or lacks capacity in the jurisdiction of residence)

Parent warrants and represents that Parent is the legal guardian of Model, and has the full legal capacity to consent to the Shoot and to execute this release OF ALL RIGHTS IN MODEL’S IMAGES.

I have the right to enter this agreement of the Model Identified above.