Release Waiver of Liability and Indemnity Agreement
Your Information:
First Name: Last Name:
Date of Birth:
I Hereby WAIVE AND RELEASE Wisdom Self Defense (Lander Hendrix, LLC), and all associated companies, entities, owners, personnel, or employees from liability pertaining to the matters set forth below. I understand that by signing this waiver and release, I expressly and willingly agree to assume complete responsibility for any risk of injury that may arise from the below related activities. On behalf of myself, my assigns and next of kin, I waive all claims for damages, injuries, and death sustained to me or my property that I may have against the above named Released Parties relating to such activities. I understand that the activities that I will participate in are inherently dangerous and may cause serious injuries, including bodily injury, and/or death. By this waiver, I assume any risk, and take full responsibility and waive any and all claims of personal injury, including severe bodily injury, damage to personal property and death relating to all activities associated with Wisdom Self Defense (Lander Hendrix, LLC), etc. including, but not limited to receiving lessons at the facility, using the facility and it’s equipment, practicing and engaging in martial arts activities, including Brazilian/Gracie Jiu-Jitsu, Keysi Fighting Method, Kickboxing, boxing, wrestling, yoga, pilates, submission wrestling, weapons training, conditioning activities such as the use of kettlebells, dumbbells and body weight movements and related activities on and off school premises, such as competitions and tournaments. If I am injured from said activities, I will not hold Released Parties responsible even if the injuries were caused by negligence on my part or the Released Party, or any other party or affiliated with the above named Released Parties.
I understand, on behalf of myself or as guardian of member participating in activities that Wisdom Self Defense offers that negligence of any kind either known or foreseen, and with such damages, injury, paralysis, loss, or death results will not show negligence acted upon by Wisdom Self Defense.
I understand, agree, and abide that I as the participant, member or guardian of participant and member understand and will not act on any legal action, claim or lawsuits of any kind against Wisdom Self Defense as a result of bodily injury, paralysis, and death inside the facility or within 500 yards of facility.
With full knowledge of the aforementioned dangers, both to my person and my property (current and future), and after having these dangers fully explained to myself and/or to my legal guardian.
I hereby certify and declare that I will release and forever hold free and discharge from any liability Wisdom Self Defense and each of their agents, stockholders, directors, officers, employees, and representatives of and from all claims, demands, rights and causes of action of any nature whatsoever which may have or which may hereafter accrue to me, arising from and by reason of any and all bodily or personal injury, damage to property or loss and any consequence thereof, whether known or unknown, seen or unforeseen, resulting from any participant in Wisdom Self Defense, their persons and entities mentioned above.
The student agrees to respect the confidentiality of Wisdom Self Defense (Lander Hendrix, LLC), Student agrees not to set up a business as a direct competitor of Wisdom Self Defense (Lander Hendrix, LLC), within a radius of 10 miles of Wisdom Self Defense for a period of 2 years following the expiration or termination of this agreement. By signing below you are honoring a non-compete agreement in the field of self-defense or Martial Arts.
I grant permission to Wisdom Self Defense (Lander Hendrix, LLC), and its agents, employees or assigns, the irrevocable right to use the photographs taken of me for use in any publication such as advertising, direct mail, brochures, newsletters, and magazines, and to use the photographs on display boards, and to use such photographs in electronic versions of the same publications or on web sites or other electronic form or media. I also grant permission to Wisdom Self Defense (Lander Hendrix, LLC), its agents, employees or assign’s to offer any photographs for use or distribution in other publications, electronic or otherwise, without notifying me. I hereby waive any right to inspect or approve the finished photographs or printed or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to unknown, or me and I waive any right to royalties or other compensation arising from or related to the use of the photographs.
It is further understood that this waiver, release and assumption or risk is forever binding on my heirs or assigns.
My signature on this document is evidence that I know and understand and have had this document explained to me, that I fully understand the dangers that are inherent when participating at Wisdom Self Defense I agree to the terms and conditions of this waiver form. I agree to the policies applied for all students of Wisdom Self Defense presented at the time of registration and future changes implemented.
COVID-19 WAIVER OF LIABILITY AND INDEMNIFICATION
1. I agree that I am personally responsible for myself and/or my childrens’ safety and actions while being at Wisdom Self Defense. I agree to comply with all policies and rules, including but not limited to all Wisdom Self Defense policies, guidelines, signage, and instructions. Because Wisdom Self Defense is open for use by other individuals, I recognize that I am at higher risk of contracting COVID-19. With full awareness and appreciation of the risks involved, I, for myself and on behalf of my family, spouse, estate, heirs, executors, administrators, assigns, and personal representatives, hereby forever release, waive, discharge, and covenant not to sue Wisdom Self Defense its members, officers, agents, servants, independent contractors, affiliates, employees, successors, and assigns (collectively the “Released Parties”) from any and all liability, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, or injury, including death, that may be sustained by me related to COVID-19 whether caused by the negligence of the Released Parties, any third-party using Wisdom Self Defense, or otherwise, while participating in any activity while in, on, or around Wisdom Self Defense and/or while using any of Wisdom Self Defense facilities, tools, equipment, or materials
2. I agree to indemnify, defend, and hold harmless the Released Parties from and against any and all costs, expenses, damages, claims, lawsuits, judgments, losses, and/or liabilities (including attorney fees) arising either directly or indirectly from or related to any and all claims made by or against any of the Released Parties due to bodily injury, death, loss of use, monetary loss, or any other injury from or related to my use of Wisdom Self Defense facilities, tools, equipment, or materials, whether caused by the negligence of the Released Parties or otherwise specifically related to COVID-19.
3. By signing below I acknowledge and represent that I have read the foregoing Waiver of Liability, understand it and sign it voluntarily as my own free act and deed, including without limitation the Release of Liability and Indemnification requirements contained in this document; I am sufficiently informed about the risks involved in using Wisdom Self Defense to decide whether to sign this document; no oral representations, statements, or inducements, apart from the foregoing written agreement, have been made; I am at least eighteen (18) years of age and fully competent; and I execute this document for full, adequate, and complete consideration fully intending to be bound by the same. I agree that this Wavier of Liability shall be governed by and construed in accordance with Tennessee law, and that if any of the provisions hereof are found to be unenforceable, the remainder shall be enforced as fully as possible and the unenforceable provision(s) shall be deemed modified to the limited extent required to permit enforcement of the Wavier of Liability as a whole. This waiver remains in effect until the State of Tennessee list all COVID-19 related mandates.
4. I agree to fully and wholeheartedly understand and will follow all recommendations of myself and my children to not enter into Wisdom Self Defense with any symptoms as follows: fever of 100 degrees or over, cough, runny nose, fatigue, sore throat, shortness of breath. As well as, if have been in contact with someone that has close contact with someone diagnosed in the past 14 days, and have traveled out of the country in the past 14 days. If you do enter Wisdom Self Defense with answering yes to any of the above and questionnaire, legal action will be taken due to the effects that will result from the actions you or your family have personally taken.
Please sign Here to Agree to the terms and conditions of this Waiver Form:
Parent/Guardian Signature if under 18 years of age