Waiver and Release Form

Good2Go Mixed Martial Arts

100 Founders Way, #4, Strasburg, Va 22657

First and Last Name

First and Last Name of Member (if different from above) and/or additional member(s)

DOB of Signer

SECTION 1: VOLUNTARY PARTICIPATION I understand that participation in Brazilian Jiu-Jitsu, boxing, Muay Thai, mixed martial arts, conditioning, sparring, drilling, competition preparation, open mats, seminars, and related activities at or with Good2Go Mixed Martial Arts is voluntary. I understand that martial arts and combat-sport training involve physical contact and carry risks of injury that cannot be completely eliminated even when reasonable safety precautions are used. I may decline to perform a technique, drill, sparring round, exercise, or other activity that I believe I cannot safely perform, and I agree to notify an instructor when I am injured, become ill, experience unusual symptoms, or believe continued participation would be unsafe.

SECTION 2: ACKNOWLEDGMENT OF SPECIFIC RISKS I understand and acknowledge that participation may involve, among other things: punches, kicks, knees, elbows, blocks, and other striking techniques; takedowns, throws, sweeps, trips, grappling, wrestling, ground fighting, joint locks, chokes, and submission techniques; sparring or drilling with partners of different sizes, abilities, experience levels, strength, speed, and intensity; falling, being thrown or taken down, collisions with another participant, walls, mats, equipment, or other surfaces; accidental or unexpected actions, reactions, movements, or mistakes by me or other participants; strains, sprains, bruises, cuts, abrasions, dislocations, fractures, dental injuries, eye injuries, and joint or soft-tissue injuries; choking, restricted breathing, loss of consciousness, concussion, traumatic brain injury, neurological injury, spinal or neck injury, paralysis, cardiac events, and, in rare cases, death; fatigue, overexertion, dehydration, overheating, dizziness, or other physical responses to intense exercise; skin-to-skin contact and possible exposure to communicable or infectious illnesses or skin conditions; failure, shifting, breaking, misuse, or unexpected movement of pads, bags, gloves, protective equipment, mats, training equipment, or other objects; slips, trips, falls, wet areas, uneven or unexpected conditions on training surfaces or elsewhere in the facility; and travel to, attendance at, or participation in competitions, seminars, exhibitions, demonstrations, or other martial-arts-related activities. I understand that this list cannot describe every possible risk. I understand that protective equipment, rules, supervision, instruction, experience, and safety procedures can reduce risk but cannot guarantee that an injury will not occur.

SECTION 3: ASSUMPTION OF RISK Knowing and understanding the nature of these activities and the risks described above, I voluntarily choose to participate, or, if signing for a minor Participant, voluntarily permit the minor to participate. To the fullest extent recognized by Virginia law, I knowingly and voluntarily assume the inherent and reasonably foreseeable risks of participation that I understand and appreciate. Nothing in this Agreement is intended to waive or release any claim that Virginia law does not permit to be waived or released in advance.

SECTION 4: HEALTH AND PARTICIPATION RESPONSIBILITY I am responsible for determining whether I, or the minor Participant for whom I am signing, should participate in a particular activity. I agree to inform an instructor of any current injury, illness, restriction, or physical condition that is relevant to safe participation before participating when appropriate. I understand that Good2Go Mixed Martial Arts and its instructors do not provide medical diagnoses and that I should obtain advice from a qualified healthcare professional when I have questions concerning my ability to participate safely. If an injury or medical concern arises during training, I agree to stop participating when reasonably necessary and promptly notify an instructor.

SECTION 5: COMPLIANCE WITH SAFETY RULES I agree to follow reasonable safety instructions, facility rules, instructor directions, hygiene requirements, equipment requirements, and training restrictions communicated by Good2Go Mixed Martial Arts. I understand that Good2Go Mixed Martial Arts may limit, suspend, or end my participation in an activity when instructors reasonably believe doing so is necessary for safety or compliance with school rules.

SECTION 6: MINOR PARTICIPANTS If the Participant is under 18 years of age, I represent that I am the Participant's parent or legal guardian and have authority to authorize the Participant's involvement in Good2Go Mixed Martial Arts activities. I acknowledge the risks described in this Agreement and authorize the minor Participant to participate subject to Good2Go Mixed Martial Arts' rules and instructor supervision. I understand that this Agreement does not purport to waive any legal right of a minor that cannot lawfully be waived by a parent or guardian.

SECTION 7: DAMAGE OR LOSS OF PERSONAL PROPERTY I understand that Good2Go Mixed Martial Arts is not responsible for ordinary loss, theft, or damage to personal property brought to the facility except to the extent responsibility may be imposed by applicable law. Participants are encouraged to secure or avoid bringing unnecessary valuables to training.

SECTION 8: GOVERNING LAW, VENUE & SEVERABILITY, This Agreement shall be governed by the laws of the Commonwealth of Virginia. If any provision of this Agreement is held invalid or unenforceable, that provision shall be limited or disregarded only to the extent necessary, and the remaining provisions shall remain in effect to the fullest extent permitted by law. This Agreement applies to participation occurring on or after the date it is signed and remains in effect until replaced by a later written participation agreement or prospectively revoked in writing. To the extent permitted by applicable law, any legal action arising out of or relating to this Agreement or participation in Good2Go Mixed Martial Arts activities shall be brought in a court of competent jurisdiction having proper venue in Shenandoah County, Virginia.

SECTION 9: ACKNOWLEDGMENT I certify that I have had an opportunity to read this Agreement before signing it. I understand the nature of martial arts and combat-sport participation, understand that serious injuries can occur, understand the risks described in this Agreement, and voluntarily choose to participate or authorize the minor Participant to participate.

By signing below, I affirm that I have read this agreement in full, understand its contents, and voluntarily agree to all terms. I am aware that by signing this agreement, I am waiving certain legal rights, including the right to sue for injuries or damages, as permitted by law.

Clear

Member Signature (Parent/Guardian if member is under 18 years old)

Yes, I consent

No, I do not consent

MEDIA CONSENT: This Media Consent is not required as a condition of participation.I authorize Good2Go Mixed Martial Arts to photograph, video record, or audio record me or the minor Participant identified above during classes, training, competitions, demonstrations, seminars, or related activities and to use those photographs, recordings, name, voice, or likeness for Good2Go Mixed Martial Arts' lawful promotional, educational, social-media, website, and organizational purposes. For a minor, this choice must be made by the parent or legal guardian.