Agreement, Release and Waiver of Liability

I acknowledge that I am in good physical condition and have no disease or injury that would be aggravated by participating in activities at the gym or that would be communicable to others.*

I understand that participation may involve, but is not limited to:

Punching, kicking, grappling, takedowns, throws, sparring, and self-defense techniques

Use of fitness equipment, weights, heavy bags, pads, mats, and training gear

Slips, falls, collisions with equipment or participants

Cuts, bruises, sprains, fractures, concussions, spinal injuries, paralysis, permanent disability, illness, or death.*

I voluntarily choose to participate and knowingly assume all known and unknown risks associated with participation.*

I understand that I will not leave my minor child(ren) unattended while taking class and will remain responsible for their well-being and safety at all times.*

I agree to inspect facilities and equipment before use and report any unsafe conditions immediately.*

I consent to emergency medical treatment and transportation by ambulance if needed, and understand I will be responsible for all related costs.*

I allow my or my child's photograph, picture, likeness, videos, and/or voice to appear in promotional materials, documentaries, and media coverage without compensation.*

I understand that EMPIRE MMA, INC. personnel have no medical expertise and cannot diagnose or treat medical conditions.*

 I agree to follow all gym rules, instructor directions, and safety procedures. Failure to do so may result in removal from class without refund.*

 EMPIRE MMA is not responsible for lost, stolen, or damaged personal property.*

I release EMPIRE MMA Gym & Fitness, Inc., its owners, instructors, employees, volunteers, independent contractors, and affiliates from liability arising from ordinary negligence to the fullest extent permitted by Florida law.*

I have read this waiver in its entirety and ASSUME ALL RISKS and RELEASE, WAIVE, DISCHARGE, HOLD HARMLESS, INDEMNIFY AND COVENANT NOT TO SUE EMPIRE MMA, INC., its owners, employees, volunteers, coaches, trainers, officials, other participants, and all affiliated entities from any and all liability for injury, death, loss, or damage.*

Please email me a copy of my completed waiver to the email address provided above.