Par-Q Form

PARTICIPANT RELEASE OF LIABILIY ASSUMNPTION OF RISK AGREEMENT

Participant Name *

If signing on behalf of a child, enter your name and relationship to child *

Organisation Name: Guts over fear Muay Thai & GamefightBJJ Wakefield.

In consideration of being allowed to participate in the classes, related events, use of equipment & gym, I the
undersigned, acknowledge, appreciate, and agree that:

The risk of injury from the activities involved at our organisation is significant, including the potential for permanent paralysis and death. *

Agree

I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation in any and all activities *

Agree

I willingly agree to comply with terms and conditions for participation, If I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such attention of the nearest official or represent *

Agree

I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS BOTH GUTS OVER FEAR MUAY THAI & GAMEFIGHTBJJ WAKEFIELD its officers, officials agents and/or employees, other particip *

Agree

Health Statement I will notify Guts over fear/GamefightBJJWakefield ownership or employees if I suffer from any medical or health condition that may cause injury to myself, others, or may require emergency care during my participation *

Agree

Media Statement By signing below, I hereby grant and convey to Guts over fear muay Thai & GamefightBJJWakefield all right, title and interest in and to record my name, image, voice, or statements including any and all photographic images and video or audi *

Agree

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT< FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT *

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