Waiver/Liability and Photo Release
I, {name}, hereby agree to the following:
- That I am participating in the training, programs, exercises and events offered by The Base Longview LLC or contracted coaches which I will be receiving instruction.
- I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any fitness program. I represent and warrant that I am physically fit and I have no medical condition that will prevent my full participation in the activities provided by The Base Longview LLC.
- I acknowledge and understand that there are dangers inherent in Brazilian Jiu Jitsu, Strength/Conditioning Training, Weight Lifting, and any other related fitness/martial arts activities (“the activities”), and that mortal or serious personal injuries may occur from my participating in the activities.
- In consideration of being permitted to participate in the activities at The Base Longview LLC, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the activities. I knowingly, voluntarily, and expressively waive any claim I may have against The Base Longview LLC, owners, landlords, insurers or any independent contract instructors (“parties to this document”) for injury or damages that I may sustain as a result of participating in the program.
- I, my heirs or legal representatives forever indemnify and hold harmless all parties to this document from all claims, demands, actions, lights of action, or legal rights to claim compensation for any loss, injury or death which I may sustain as a result of their negligence or faults, or the condition of the premises, or an other cause whatsoever, whether loss, injury or death occurs while participating in, going to, or coming from said activities.
- I hereby grant and authorize The Base Longview LLC the right to edit, alter, copy and make use of all photos and/or videos taken of me to be used in and/or for promotional materials without payment or consideration. This grant of use includes but is not limited to publishing on Internet, social media, emails, magazines, pamphlets, advertisement flyers, and then whatever other manner the photographer find useful or for any other lawful purpose.
- I understand and agree that all photograph/video materials will become The Base Longview’s property and will not be returned. This release extends to all formats, media, languages, and formats not now known or here after develops. I also understand The Base Longview cannot control photos being taken by other members and spectators and I release all liability of these photographs. This release will continue indefinitely.
- In addition, I waive any right to royalties or other compensation arising or related to the use of the photos or videos. I hereby release rights to all claims, demands, and causes to action which I, my errors, representatives, executors, administrators, or any other persons acting on my behalf of my estate have or may have reason of this authorization.
- I expressly agree that this waiver and release agreement is intended to be as broad and inclusive as permitted by the laws of the state of Washington and if any other state were in such activities may occur, and if any portion here of is held in valid, the remainder here of shall continue full force in effect.
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.
Student’s Name: {name}
Student’s Date of Birth: {dob}
Today’s Date: {sign_date}
***Parent/Guardian’s Signature Required Below for Minor***
Assumption of Risk / Waiver of Liability / Indemnification Agreement for Communicable Diseases Including COVID-19/Coronavirus
In consideration of being allowed to participate on behalf of The Base Longview LLC athletic program and related events and activities, the undersigned acknowledges, appreciate, and agrees that:
- 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, I understand that no list of restrictions, guidelines or practices will remove 100% of the risk of exposure as these viruses can be transmitted by persons who are asymptomatic and before some people show signs of infections. I understand the risk of serious illness and death does exist. I understand that upon entering The Base Longview LLC, I will be in contact with children, families and other teammates who are also at risk of community exposure; and,
- I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releases or others, and assume full responsibility for my participation; and,
- I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,
- I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless The Base Longview LLC, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“releases”), with respect to any and all illness, disability, death, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OR RELEASES 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.
Student’s Name: {name}
Student’s Date of Birth: {dob}
Today’s Date: {sign_date}
***Parent/Guardian’s Signature Required Below for Minor***
FOR 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, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, other parents/guardians, all family members, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, other parents/guardians, all family members, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.
Parent/Guardian’s Name:
Parent/Guardian’s Date of Birth:
Today’s Date: {sign_date}
END OF AGREEMENT
