Child (17 years & under)

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Salvosa BJJ Ascension Inc.
31 Progress Avenue, Unit #1
Scarborough, Ontario. M1P 4S6
www.mmatoronto.com

Parent Consent and Release of Legal Guardian

I am the parent of legal guardian of child listed below. My child is fit for participation in Salvosa BJJ Ascension Inc. classes, related events, programmes and/or activities and I consent to my child's participation.

I HAVE READ AND I UNDERSTAND THE WAIVER AND RELEASE AGREEMENT.

In consideration of allowing my child to participate, I consent to it and agree that its terms shall likewise bind me, my child, my heirs, legal representatives and assignees. I hereby release and shall defend, indemnify and hold harmless the Releasees (as described in the Adult waiver) from any and every claim and any liability that I or my child may allege against the Releasees as a direct or indirect result of injury to me or my child because of my child's participation in Salvosa BJJ Ascension Inc. classes, related events, programmes and/or activities, whether caused by the actions, inactions or negligence of the Releasees or others.


MEDIA AND SOCIAL MEDIA RELEASE WAIVER

I hereby give permission for myself (or my child) to be interviewed and/or images to be captured in a photograph or video that may be used by Salvosa Jiu-Jitsu Academy for the purposes of:

  • Media coverage
  • Website promotion on Salvosa Jiu-Jitsu Academy’s website
  • Social media promotion on Salvosa Jiu-Jitsu Academy’s social media accounts (e.g. Facebook, Instagram, YouTube or other)

and hereby release Salvosa Jiu-Jitsu Academy from any and all claims whatsoever in connection with the use, reproduction or publication of the images thereof.

 

COVID-19 AND OTHER COMMUNICABLE DISEASE ACKNOWLEDGEMENT AND ASSUMPTION OF THE RISK AGREEMENT

1. I, with full knowledge of the current status and evolving nature of the global coronavirus pandemic (COVID-19), knowingly and voluntarily acknowledge that my attendance and participation in class at Salvosa BJJ Ascension Inc. is completely voluntary.

2. I am fully and completely aware that my voluntary participation in class may subject me to communicable diseases including but not limited to COVID-19, other coronaviruses, seasonal flus, and colds and bacterial or viral diseases of the skin despite the precautionary measures being taken.

3. I am aware of the actual dangers involved and appreciate the nature and extent of the specific risks including but not limited to personal injuries, fatigue, illness, respiratory failure, hospitalization and associated required treatments such as medications and ventilation, and possible death.

4. I voluntarily and knowingly assume these risks and agree to subject myself to these risks by participating in class with full knowledge of the potential consequences.

5. I also agree to not attend any class if I have any suspicion that I have been exposed to COVID-19, am sick, or have any communicable disease of any kind.

6. I specifically waive my legal rights and agree not to file any lawsuit against Salvosa BJJ Ascension Inc., its affiliates, owners, instructors, professors, or employees in any way related to the above-referenced diseases/illnesses.                  


Signee Information



By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.