Kicksite::Kids Membership Sign Up

Kids BJJ

INFO

Name

Name of participants if under 18

Email

Phone Number Sms Opt-In

By opting in to SMS, the Person agrees to receive announcements and billing alerts from Cobrinha Aliante.

Standard messaging rates may apply. Messaging cadence may vary. Reply STOP to opt out.

Has the participant done BJJ before? If yes, what is the highest belt they are at?

Birthdate

SHOPPING CART

Subtotal

$0.00

AGREEMENT

Health Representation: The student (or the parent/guardian of a minor student) represents and warrants that the student is in good health and has no physical or mental disability, impairment, or pre-existing condition that may otherwise prevent safe participation in the activities at Cobrinha Brazilian Jiu Jitsu Las Vegas. The student acknowledges the advice to receive a physical examination prior to participating in any strenuous physical activity. The student understands that Brazilian Jiu Jitsu activities are physically strenuous, potentially dangerous, and may expose them to serious injury. The student agrees to immediately notify management if their health condition changes during their membership.
Consent to Physical Contact: The student (or the parent/guardian of a minor student) understands that physical contact will be used by employees, other students, and authorized individuals as part of the training. The student gives full consent to any physical contact required or customary to Brazilian Jiu Jitsu training.
Waiver of Liability: The student, or their parent/guardian if the student is under 18, in consideration for participation in activities at Cobrinha Brazilian Jiu Jitsu Las Vegas, expressly waives, releases, and forever discharges the school, its management, owners, officers, directors, employees, agents, representatives, contractors, and volunteers from any and all liability for personal injuries or damages resulting from participation in the program’s activities, whether on or off the premises, to the fullest extent permitted by law.
Assumption of Risk: The student (or the parent/guardian of a minor student) acknowledges and voluntarily accepts all risks associated with participating in Brazilian Jiu Jitsu training, including but not limited to, injuries such as bruises, broken bones, sprains, strains, and other potential injuries from physical activity and contact.
Indemnification: The student (or the parent/guardian of a minor student) agrees to indemnify, defend, and hold harmless Cobrinha Brazilian Jiu Jitsu Las Vegas and its staff from any claims, liabilities, damages, or expenses, including reasonable attorney's fees, arising from the student’s participation in the program, regardless of whether caused by negligence.
Emergency Medical Treatment: In the event of an emergency, the student (or the parent/guardian of a minor student) authorizes Cobrinha Brazilian Jiu Jitsu Las Vegas to secure necessary medical treatment from any licensed hospital, physician, or medical personnel and agrees to be responsible for the payment of any medical services rendered.
Governing Law: This waiver and the rights of the parties hereunder shall be governed by and construed in accordance with the laws of the state of Nevada, without regard to its conflict of laws rules.
Severability: If any provision of this waiver is found to be unenforceable or invalid, that provision shall be limited or eliminated to the minimum extent necessary so that the waiver shall otherwise remain in full force and effect.
Acknowledgment of Understanding: The student (or the parent/guardian of a minor student) acknowledges that they have read this waiver of liability, fully understand its terms, and understand that they are giving up substantial rights, including the right to sue. The student affirms that they are signing this waiver freely and voluntarily with the intent of being a complete and unconditional release of all liability to the greatest extent allowed by law.

SIGN HERE

SUMMARY

Total

$0.00

BILLING INFO

No payment required.

Save this card for future use.

Kids Jiu Jitsu Membership

INFO

SHOPPING CART

Subtotal

$0.00

AGREEMENT

SUMMARY

Total

$0.00

BILLING INFO