Waiver

Judo Sport Club Waiver and Assumption of Risk

 

For participation of the sport of Judo at Sasaki Judo Club, please complete this Waiver and Assumption of Risk form.

I, in consideration of being permitted to participate in the Judo program at Sasaki Judo, on behalf of myself, my family, my heirs, and my assigns, I hereby release Sasaki Judo Club, its officers, employees, and agents from any and all liability for injury, death, negligence including negligence by a third party, or property loss suffered by me as a result of my participation in the class, or any way associated with participating in any and all program activities now or in the future, unless such liability results from Sasaki Judo Club’s negligent acts or omissions resulting from the ordinary negligence of Sasaki Judo Club, its agents, or employees while I am participating in the program, using the facilities and its equipment, or any way associated with participating in any and all program activities now or in the future.

I, acknowledge that I know, understand, and appreciate the inherent risks of participating in this program, using the facilities or the equipment and in participating in class at Sasaki Judo.  I know that these risks range from minor scrapes, strains, and bruises to significant injuries such as broken bones, eye injury or loss, concussions, paralysis, and even death.

By execution of this agreement, I fully assume the inherent risks associated with Judo and assert that I am voluntarily participating in such activities. I understand that by signing below, I have read this release of liability, fully understand it, freely and voluntarily sign the same, and am acting for myself, my heirs, personal representatives and assigns.


Sasaki Judo Club Waiver and Release of Liability and Agreement to Participate

In consideration of being permitted to participate in any way, including travel to and from, in any Judo tournament, practice, clinic, and related events and activities of the United States Judo Inc., I hereby:

1. Agree to follow all instructions from the instructors

2. Agree that, prior to participating, I will inspect the mats, equipment, facilities, to be used, and if I believe anything is unsafe or beyond my capability, I will immediately advise my coach, of such conditions.

3. Acknowledge and fully understand that I will be engaging in a contact sport that might result in serious injury, including permanent disability or death and severe social and economical losses due not only to my own actions, inactions or negligence, but also to the actions, inactions or negligence of others, the rules of the sport of Judo, or conditions of the premises or of any equipment used.  Further, I acknowledge that there may be other risks not known to me or not reasonably foreseeable at this time.

4. Knowing the risks involved in the sport of Judo, I assume all such risks and accept personal responsibility for the damages following such injury, permanent disability, or death.

5. I release, waive, discharge, and covenant not to sue the United States Judo, Inc.,

together with their affiliated clubs, their respective administrators, directors, agents, coaches, and other employees or volunteers of the organization, other participants, their parents, guardians, supervisors and coaches, and if applicable, owners, lessors, and lessees of premises, from any and all claims, demands, losses, or damages on account of injury, including permanent disability and death or damage to property, caused or alleged to be caused in whole or in part by the negligence to the fullest extent permitted by law.

I HAVE READ THE ABOVE WARNING, WAIVER, AND RELEASE, UNDERSTAND THAT I GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND KNOWING THIS, SIGN IT VOLUNTARILY, I AGREE TO PARTICIPATE KNOWING THE RISKS AND CONDITIONS INVOLVED AND SO ENTIRELY OF MY OWN FREE WILL. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENT/GUARDIAN AS EVIDENCED BY THEIR SIGNATURE BELOW.