Acknowledgement of Risk and Release of Liability under age of majority

ACKNOWLEDGEMENT OF RISK AND RELEASE OF LIABILITY -under age of majority-parent-guardian

Repeatable form

I, the undersigned, hereby,

ACKNOWLEDGEMENT OF RISK AND RELEASE OF LIABILITY

For Participants Under the Age of Majority in the Province or Territory in which
the Athletic Activities are Provided by the Organization

WARNING: THIS AGREEMENT WILL AFFECT YOUR LEGAL RIGHTS.
READ IT CAREFULLY!

The Parent/Guardian Must Read and Understand this Waiver Prior to the Minor
Participating in Athletic Activities The following waiver of all claims, release from all liability, assumption of all risks, and other terms of this agreement are entered into by me (the "Participant) with and for the benefit of: their directors, officers, employees, volunteers, business operators, agents and site property owners or Occupiers (the "Organization", or "Ontario Inc. #2129184 or "Oracle Jiu Jitsu" or "1LeftAlive"). Occupiers is defined in accordance with the definition of Occupiers contained in the Occupiers Liability legislation applicable to the Province or Territory in which the Athletic Activities are provided by the Organization.

By check marking the below boxes, you consent as your initials: *

1. I am the Parent/Guardian of the Minor and am executing this waiver on behalf of the Minor in my capacity as Parent/Guardian and with the intent that this waiver be binding on me and the Minor for all legal purposes.,

2. I am aware that there are inherent and significant risks ("Risks") associated with the participation in Athletic Activities. I am aware that those Risks include, but are not limited to, the potential for serious personal injury caused by any event or any condition of the facility or equipment where Athletic Activities are provided by the Organization, and health risks such as transient lightheadedness, fainting, abnormal blood pressure, chest discomfort, muscle cramps or soreness, and nausea. I understand the Risks a relative to the Minor's state of fitness and health (physical, mental and emotional), and to the awareness care and skill with which the Minor conducts him or herself while participating in Athletic Activities.,

3. I freely accept and fully assume all responsibility for all Risks and possibilities of personal injury, death property damage or loss resulting from my participation in Athletic Activities. I agree that although the Organization has taken steps to reduce the Risks and increase safety of the Athletic Activities, it is not possible for the Organization to make the Athletic Activities completely safe. I accept these Risks and agree to the terms of the waiver, even if the organization is found to be negligent or in breach of any duty of care or any obligation to me in my participation in Athletic Activities.,

4. I acknowledge on behalf of the Minor the Minor's obligation to immediately inform the nearest employee of the Organization if the Minor feels any pain, discomfort, fatigue or other symptoms that he or she may suffer during and immediately after his or her participation in Athletic Activities. I understand the Minor may stop participation at any time, and may be requested to stop by an employee of the Organization who observes any symptoms of distress or abnormal response.,

5. Athletic Activities include but are not limited to contact and non-contact sports, fitness activities, personal training instruction and activities, use of facilities, and fitness programs and services provided to the Participant by the Organization.,

6. In addition to consideration given to the Organization for the Minor's participation in Athletic Activities, I, my heirs, next of kin, executors, administrators and assigns, as well as the Minor and his or her heirs next of kin, executors, administrator and assigns (collectively our "Legal Representatives") agree: a. To waive all claims that I or the Minor have or may have in the future against the Organization; to release and forever discharge the Organization from all liability for all personal injury, death, property damage, or loss resulting from the Minor's participation in the Fitness Activities due to any cause, including but not limited to negligence (failure to use such care as a reasonably prudent and careful person would use under similar circumstances), breach of any duty imposed by law, breach of contract or mistake or error of judgment of the Organization; and b. To be liable for and to hold harmless and indemnify the Organization from all actions, proceedings, claims, damages, costs demands including court costs and costs on a solicitor and own client basis, and liabilities of whatsoever nature or kind arising out of or in any way connected with the Minor's participation in Athletic Activities. c. I agree that this waiver and all terms contained within are governed exclusively by the laws of the Province or Territory of Canada in which the Athletics Activities are provided to me by the Organization. I hereby irrevocably submit to the exclusive jurisdiction of the courts of that Province or Territory. Any litigation to enforce this waiver must be instituted in the Province or Territory in which the Athletic Activities are provided by the Organization. ,

7. I confirm that I have had sufficient time to read and understand each term in this waiver in its entirety, and have agreed to the terms freely and voluntarily. I understand that this waiver is binding on me as Parent/Guardian, the Minor and our Legal Representatives.

8. I confirm the use of my child's image captured in class videos for the purposes of security, abuse prevention and/or as part of online garden walled for profit video curriculum. I make no claim now or in the future for the use of said videos. Videos may include for the purposes of promotion and advertising.

Yes

No. This selection may require your child to on occasion stay off camera during such video capture moments. Oracle Jiu Jitsu will do it's best to enforce your selection, however, it is the sole responsibility of the parent/legal guardian to enforce.

Minor Participant Name: (first and last): *

Minor Participant address address: *

Parent/Guardian name: (first and last): *

Parent/Guardian address: *

Parent/Guardian City: *

Parent/Guardian Country: *

Participant Country: *

Parent/Guardian Email: (required if you would like a copy sent to you)Participant Postal/Zip code: *

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