Assumption of Risk, Waiver and Release of Liability
- Trainer:
- Jeremy Robert Buda ("Trainer")
- Participant:
- [Participant's full name] ("I")
- Activity:
- Private Muay Thai training and related activities, including conditioning, pad work, technique drills, and sparring (if I choose to take part) ("Activity")
1. Risks
I understand Muay Thai is a combat sport. It involves striking, kicking, clinching and physical contact, and it carries risks of injury, including bruises, sprains, broken bones, concussions, serious injury and, in rare cases, death. These risks exist even when the Trainer uses reasonable care. I voluntarily choose to take part.
2. Health
I confirm that I'm physically able to take part and have no medical condition that would make training unsafe, or I have already told the Trainer about it. I will tell the Trainer right away if I feel pain, dizziness or discomfort, and I understand I can stop at any time.
3. Sparring is optional
I understand I decide whether to spar. If I do, I accept the added risk of contact. I agree to use the protective gear I choose to wear and to spar only at a level I'm comfortable with.
4. Equipment and location
I understand sessions may take place at a gym, a home or another location agreed by email. I'm responsible for checking that the space is safe for the Activity and that I have the right to use it.
5. Release
In exchange for being allowed to take part, I release and agree not to sue the Trainer, and the Trainer's heirs and representatives, for injury, loss or damage arising from the Activity, including from ordinary negligence. This release does not apply to gross negligence or intentional misconduct.
6. Medical care
I agree to pay for any medical treatment I need. I permit the Trainer to call for emergency help if necessary.
7. Photos and video (optional)
I [ ] do / [ ] do not allow the Trainer to use photos or video of me from sessions on social media or the website.
8. Agreement
I have read this document, I understand it, and I'm signing voluntarily. I understand it affects my legal rights. A signed electronic copy has the same effect as a paper copy.
Participant signature / typed full name:
Date:
If under 18, parent or guardian: I am the parent or legal guardian of the participant, and I agree to the above on their behalf.
Parent/guardian name and signature:
Date:
Emergency contact (name and phone):