Janjjira Gym Wavier
I do hereby agree to participate in the [Martial Arts Business] (referred to as "Janjira Gym") located
at [22235 Sherman Way, Canoga Park, CA 91303]. The responsible party must read the entire
agreement before signing.
1. I Recognize and understand that martial arts training is an activity that involves physical
contact and that my participation might result in serious injury, including permanent disability or
even death, and severe social and economic loss.
2. I Recognize and understand that such risk may be due to not only my own actions, but also the
action, inaction or negligence of others, the regulations of participation, or the conditions of the
premises, or of any of the equipment used.
3. I Recognize that there may be other risks that are not known to me or to others or not
reasonably foreseeable at this time.
4. I Agree to inspect the facilities, equipment and pairings prior to participation. I will immediately
inform an instructor if I believe that anything is unsafe or beyond my capability and refuse to
participate.
5. I Assume all of the foregoing risks and accept personal responsibility for any damages that may
result from injury, permanent disability or death.
6. I will enter martial arts training and/or competition entirely of my own free will and understand
the importance of following the rules of training and competition.
7. I certify that I am in good physical condition, and have no disease, injury or other condition that
would impair my performance or physical and mental well-being during intense training practice
and/or competition.
8. I grant permission in case of injury to have a doctor, nurse, athletic training or other emergency
medical personnel provide me with medical assistance or treatment for such injury.
9. I release, waive, discharge and covenant not to sue, Janjira Stand Up Sports and Fitness Gyms
LLC and Canoga Park Fitness LLC., its affiliated organizations and governing bodies, their
officers, instructors and personnel, other members of the organizations, participants, supervisors,
coaches, sponsoring organizations or their agents, and if applicable, owners and leasers of the
premises from any and all liability to the undersigned, his or her heirs and next of kin for any and
all claims, demands, losses and damages which may be sustained and suffered on account of
injury, including death or damage to property, caused or alleged to be caused in whole or in part
by the negligence of the releases or otherwise.
10. I grant permission to Janjira Stand Up Sports and Fitness Gyms LLC and Canoga Park Fitness
LLC, and its agents and employees, to use photographs, video images and audio taken of me at
any facility or function for use in any and all marketing, public relations and advertising mediums
used by Janjira Stand Up Sports and Fitness Gyms LLC and Canoga Park Fitness LLC, and to use
such photographs, video images and audio in electronic versions of the same for any and all
media distributions without notifying me. I hereby waive any right to inspect or approve the
finished photographs, video images or audio or printed or electronic matter that may be used in
conjunction with them now or in the future, whether that use is known to me or unknown, and I
waive any right to royalties or other compensation arising from or related to the use of the
photographs, video images and audio. I hereby agree to release, defend and hold harmless Janjira
Stand Up Sports and Fitness Gyms LLC and Canoga Park Fitness LLC and its agents and
employees, including any firm publishing and/or distributing the finished product in whole or in
part, whether on paper, via electronic media, social media, or on web sites, from and against any
claims, damages or liability arising from or related to the use of the photographs, video images or
audio, including but not limited to any misuse, distortion, blurring, alteration, optical illusion or
use in composite form, either intentionally or otherwise, that may occur or be produced in taking,
processing, reduction or production of the finished product, its publication or distribution. I am 18
years of age or older and I am competent to contract in my own name. I have read this release
before signing below, and I fully understand the contents, meaning and impact of this release. I
understand that I am free to address any specific questions regarding this release by submitting
those questions in writing prior to signing, and I agree that my failure to do so will be interpreted
as a free and knowledgeable acceptance of the terms of this release.
I HAVE READ THE ABOVE WARNING, WAIVER, RELEASE, AND ASSUMPTION OF RISK. I FULLY
UNDERSTAND ITS CONTENTS, AND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING
IT. I HEREBY SIGN IT VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR
GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND
UNCONDITIONAL RELEASE OF ALL LIABILITY.

***DISCLAIMER: By typing your FIRST AND LAST name below, you are signing this application
electronically. You agree that your electronic signature is the legal equivalent of your manual
signature on this application. ***