Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Adults Waiver - Step 1 of 2Name *FirstLastEmail *Mobile Date know history Address *Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryDate of Birth *OccupationDo you have a history of a significant medical condition such as: *Heart disease (e.g. ischaemic heart disease/heart failure)Significant back/neck/joint problemsRespiratory disease (e.g. asthma)Neurological disease (e.g. epilepsy)None of the aboveAny other significant medical problems we should know about? (e.g. severe allergies)Choose the most important benefits you would like to get through the Jiu Jitsu. *ExerciseSelf DefenceAnti StressRespectSelf ConfidenceConcentrationCoordination/BalanceFocusFunCompetitionBe a championIf you are here by referral could you please let us know their name?NextBlue Mountains Jiu Jitsu Academy Adult Participation Waiver & Release of Liability Staff Responsibilities and Participant Cooperation Staff at Blue Mountains Jiu Jitsu Academy will be regularly monitoring the facilities, focusing on: Ensuring the cleanliness of the space. Checking participants' uniforms and safety gear (e.g., mouthguards, rash guards). Enforcing safety rules during training, including sparring and grappling. If a staff member or fellow participant asks you to assist with any of the above, please cooperate to maintain a safe and clean environment. Health and Safety Acknowledgement I confirm that: I have not travelled overseas in the past 14 days. I have not been in contact with anyone confirmed to have COVID-19. I do not have any symptoms such as fever, cough, runny nose, shortness of breath, or any other viral symptoms. I agree to wear a clean uniform and rash guard. I will keep my hands washed or sanitised while at the club. I will refrain from using foul language while on the premises. I will use all required protective gear (e.g., mouthguard, headgear for MMA/striking) during sparring or grappling. I will immediately stop training and inform an instructor if I feel unwell, injured, or unsafe. Martial Arts Participation Waiver 1. Understanding of Risks I understand that martial arts training, including Brazilian Jiu-Jitsu, grappling, sparring, and MMA, involves physical contact and inherent risks. These risks include, but are not limited to: Serious injury (e.g., fractures, dislocations, concussions, spinal injuries). Permanent disability or death. Social and economic impacts (e.g., medical expenses, lost income). Injuries caused by my own actions, the actions of others (including fellow participants), or negligence. Unknown or unforeseen risks. I specifically acknowledge that sparring, grappling, and MMA training carry a high risk of injury, including injuries caused by other participants. 2. Assumption of Risk I voluntarily assume all risks associated with training, including sparring and grappling. I accept full responsibility for any injury, disability, or death that may occur to me, regardless of cause. I understand that Blue Mountains Jiu Jitsu Academy does not provide liability coverage for injuries caused by participant-to-participant contact during sparring, grappling, or MMA training. 3. Release of Liability I release, waive, discharge, and covenant not to sue Blue Mountains Jiu Jitsu Academy Pty Ltd, its affiliates, officers, instructors, personnel, volunteers, participants, landlords, and premises owners from any and all liability, claims, demands, actions, or causes of action arising out of or related to: My participation in any activity at the academy, including sparring, grappling, and MMA. Injuries caused by other participants, whether intentional, negligent, or accidental. The use of equipment or facilities, even if due to negligence. Any advice, instruction, or supervision provided by instructors or staff. This release applies to all claims, including those based on negligence, breach of contract, or other legal theories. 4. Indemnification I agree to indemnify and hold harmless Blue Mountains Jiu Jitsu Academy and its affiliates from any claims, damages, or liabilities arising from my actions or the actions of my guests or dependents. 5. Medical Treatment Consent In the event of injury, I authorize medical personnel (including instructors trained in first aid) to provide emergency treatment. I understand that I am responsible for all medical expenses incurred as a result of my participation. 6. Compliance with Rules I agree to follow all academy rules, including: Using appropriate protective gear during sparring (e.g., mouthguard, headgear for striking). Stopping immediately if an instructor deems my behavior unsafe. Not participating if I am injured, unwell, or under the influence of alcohol/drugs. I understand that failure to comply with these rules may result in my removal from training. 7. Video Recording and Photography I consent to being recorded during training for safety, instructional, and promotional purposes. I waive any privacy claims related to these recordings. 8. Legal Enforceability I acknowledge that this waiver is a legally binding contract and that I have read it in its entirety. I certify that I am at least 18 years old and legally competent to sign this waiver. 9. Severability If any portion of this waiver is found to be unenforceable, the remaining portions shall remain in full force and effect. 10. Governing Law This waiver shall be governed by the laws of New South Wales, Australia. By clicking 'Submit,' I confirm that: I have read, understood, and voluntarily agreed to all terms above. I am physically fit to participate in martial arts training, including sparring and grappling. I accept full responsibility for my safety and the risks involved. Submit