Registration, assumption of risk and release form
This form is for participation in ________________ classes and activities organised by ________________, ________________, ________________. Please read it carefully before signing.
Participant details
Emergency contact
Assumption of risk
I understand that ________________ are contact activities involving physical exertion, strikes, throws, takedowns, joint locks, chokes and sparring. Despite instruction and safety measures, injuries can occur, including bruises, sprains, fractures, concussions and in rare cases serious injury. I take part voluntarily and accept these inherent risks.
Health declaration
I confirm that I am in good health and know of no medical reason that prevents me from training. I will tell the instructor about any injury, illness, pregnancy or condition that may affect my safety or that of others, and I will stop training if I feel unwell.
Club rules and conduct
I will follow the instructions of the coaches and the rules of ________________, train with control and respect for my partners, keep good hygiene (clean training clothes, short nails, no jewellery) and not train under the influence of alcohol or drugs. The club may refuse or end participation for unsafe behaviour.
Release of liability
To the fullest extent permitted by the law of ________________, I release ________________, its owners, coaches, staff and volunteers from liability for injury, loss or damage arising from my participation, except where caused by their gross negligence or wilful misconduct, or where such a release is not permitted by law. Nothing in this form limits rights that cannot be excluded by law.
First aid and medical treatment
In case of injury, I consent to first aid by club staff and to the club calling emergency services. I understand that any medical costs are my responsibility unless covered by insurance.
Photos and video (optional)
________________ may take photos and videos during classes and events for its website and social media. This choice does not affect membership and can be changed at any time.
☐ I agree to appear in club photos and videos.
☐ I do not agree.
Data protection
________________ processes the personal data on this form to manage membership, safety and communication, on the basis of the membership contract and, for health information and photos, your consent. Data is kept only as long as needed and never sold. You may request access, correction or deletion at any time by contacting the club.
Signature
Parent or legal guardian consent
I am the parent or legal guardian of the participant named above, who is under the age of majority. I have read this form, consent to their participation and accept its terms on their behalf.
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