I do hereby submit my application for participation in Jiu Jitsu in the Park, in the City of Fullerton.
I hereby assume full responsibility and liability for all damages, injuries and losses that I may sustain or incur while participating in or watching the event.
I realize that serious injury is a possibility in martial arts events such as the one I am hereby entering and that death is a possibility. I also realize that if I am injured, I might be disfigured, disabled and/or rendered unable to work again. By entering into this event I agree to and fully accept and assume liability for any and all injuries that I may incur expressly give up and waive any and all claims that I or anyone acting on my behalf or through me might have against the promoters Jiu Jitsu in the Park, the City of Fullerton, operators, sponsors, officials, participants, non-participants, and their agents, employees and representatives for any injury regardless of its nature, effect or affect on me as a result of my participation and/or presence at the event.
I authorize, and agree to hold harmless, whatever medical personnel may be present at the event to take any action necessary, should I become injured.
I further understand that news media and others might cover the event and that it may also be videotaped or otherwise shown to audiences around the world. I hereby expressly and irrevocably forever consent to having my likeness shown, publicized, commented and/or reported on; and I do not expect to, and in fact waive any compensation I might otherwise be entitled to as a result thereof.
I represent that I am in good health; that I am not presently, nor will I participate while under the influence of any drug or medication; that no one affiliated with this event has encouraged me to enter or made any representations regarding my fitness or ability to participate; that I have read and understood every provision of this release; and that I am legally competent to and freely enter into this waiver, release and assumption of risk agreement.
The Organizer hereby expressly reserves the right, in its sole and absolute discretion, with or without cause to deny a potential event participant’s registration and waiver for permission to participate in the event.
If any dispute arises out of, or is any way related to your participation in this event, by entering this waiver form, you are hereby expressly waiving and giving up your right to the make any legal claim in court and a trial by jury. The word "dispute" as used above refers to anything, including claims for injury (which you have already waived) that may have occurred or you claim did not occur at the event.
In case of minors under 18 years old.
Furthermore, if the event participant is a minor I, hereby certify that I am parent and/or legal guardian of the above named minor who has been given my express permission to participate in the event for which we are registering. And, that I have read and understood every provision of the release of liability and that I am legally competent to and freely enter into this release of liability and assume all risk on behalf of the minor (event participant) named herein and any and all successors, assigns or any other representative acting upon the minor's behalf.