In consideration of being allowed to participate in any way in the Krav Maga & Fitness Program, its related events and activities, I the undersigned, acknowledge, appreciate, and agree that:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and

2. Participation includes possible exposure to and illness from infectious diseases, including but not limited to MRSA, influenza, and COVID-19.  While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and

3. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and

4. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such attention to the Company immediately; and

5. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS Baton Rouge Krav Maga & Fitness, LLC, officials, agents and/or employees, or other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessees of premises used for the activity (“Releases”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT.

For Parents/Guardians of Participants of Minority Age (under age 18 at the time of registration)

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releases, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the releases from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES to the fullest extent permitted by law.

• Mouthpiece

• MMA Gloves

• Boxing Gloves

• Shin Guards

• Extra T-Shirts/Rash Guards

• Water Bottle

• Towel

Please feel free to bring any other items you may need for your personal training and safety (spats, head gear, tape, braces, wraps, etc.). 

If you will be travelling from out of town and will need lodging, please contact Jeff directly at 225-229-9285 and I will give you a list of hotels in the area, which are close to the facility. 

All attendees who complete both days will be given a certificate of completion from BRKM Self Defense System. 

Please review your order carefully before submitting it for processing.

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