6703 Mid Cities Blvd
N Richland Hills TX 76182
(817) 330-9103
www.MathisATA.com
PARTICIPANT WAIVER, ASSUMPTION OF RISK & RELEASE OF LIABILITY
Participant Name: {name} Date of Birth: {dob}
ASSUMPTION OF RISK
I understand that participation in martial arts, fitness activities, classes, demonstrations, camps, tournaments, special events, games, and related activities involves physical contact and inherent risks. These risks include, but are not limited to, falls, collisions, strikes, kicks, throws, grappling, use of training equipment or weapons, muscle or joint injuries, broken bones, concussion, serious bodily injury, permanent disability, and death.
I voluntarily choose for myself and/or the minor participant named above to participate and KNOWINGLY AND VOLUNTARILY ASSUME THE RISKS OF PARTICIPATION, whether known or unknown.
RELEASE OF LIABILITY — PLEASE READ CAREFULLY
TO THE FULLEST EXTENT PERMITTED BY TEXAS LAW, I RELEASE AND AGREE NOT TO SUE MATHIS MARTIAL ARTS, ITS OWNER, INSTRUCTORS, EMPLOYEES, CONTRACTORS, VOLUNTEERS, AGENTS, AND THE OWNER OR LESSOR OF THE PREMISES ("RELEASED PARTIES") FOR CLAIMS ARISING FROM INJURY, DEATH, OR PROPERTY DAMAGE CAUSED BY THE ORDINARY NEGLIGENCE OF ANY RELEASED PARTY, INCLUDING THE RELEASED PARTIES' OWN NEGLIGENCE.
This release does not apply to liability that cannot legally be waived under Texas law.
HEALTH & EMERGENCY CARE
I represent that the participant is physically able to participate or that I have disclosed any condition that may affect safe participation. In an emergency, I authorize Mathis Martial Arts to obtain reasonable emergency medical assistance when a parent, guardian, or emergency contact cannot promptly be reached. I understand that I am responsible for resulting medical expenses.
PARENT/GUARDIAN CONSENT
If the participant is under 18, I certify that I am the participant's parent or legal guardian and authorize the minor to participate. I acknowledge the risks described above, assume those risks on behalf of myself to the extent permitted by law, and release any claims belonging to me arising from the minor's participation to the fullest extent permitted by Texas law.
ACKNOWLEDGMENT
I HAVE READ THIS WAIVER AND UNDERSTAND THAT I AM GIVING UP CERTAIN LEGAL RIGHTS. I SIGN IT KNOWINGLY AND VOLUNTARILY.
Printed Name: Date: {sign_date}
Mathis Martial Arts
