Signup

All students must sign this waiver of claims and liability. By signing this waiver of claims and liability the student, parent or guardian acknowledges that they have read this agreement and will abide by all rules of MDS Jiu Jitsu. Signing this waiver also means that the undersigned/student releases MDS Jiu Jitsu, Myron Mangubat, Kim Custodio and its instructors from any liability in case of injury or death from the instruction at MDS Jiu Jitsu.

 In consideration of being allowed to attend this Brazilian Jiu Jitsu/Grappling/Self-Defense/Kids Class/Boxing, the undersigned/student acknowledges that Brazilian Jiu Jitsu/Grappling/Self-Defense/Kids Class/Boxing are physical activities and that participation may result in serious injury including death, and or other damage, due not only to the undersigned/students actions, inaction or negligence, but also to that of others associated with and or present at these or other classes. Furthermore, I acknowledge that there may be risks not known to me and or not reasonably foreseeable at this time. I personally, totally and completely assume all risks involved or in any way related to my participation in this Brazilian Jiu Jitsu/Grappling/SelfDefense/Kids Class/Boxing whether known or unknown to me at the present time. Participation in this Brazilian Jiu Jitsu/Grappling/Self-Defense/Kids Class/Boxing is voluntary and entirely of my own free will. I hereby represent and certify that

I am in good physical condition, and have no diseases, injuries or other physical or mental conditions that would impair my ability to participate in the Brazilian Jiu Jitsu/Grappling/Self-Defense/Kids Class/Boxing. The undersigned/student, heirs, executors and successors hereby waive claim of accidental and or negligent damages or injury against MDS Jiu Jitsu, Myron Mangubat, Kim Custodio and its instructors and any physical location where a MDS Jiu Jitsu class is taught. The undersigned/student also certifies that they are/will be covered by a medical insurance plan and will assume responsibility for all bills/costs associated with injuries sustained while attending or participating in a MDS Jiu Jitsu class or seminar.