ELEVEN ELEVATION MUAY THAI PARTICIPANT RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT

ELEVEN ELEVATION MUAY THAI PARTICIPANT RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT
Student's Name

First NameLast Name
Parent/Guardian's Name (Required for any student under 18 years of age)

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
PLEASE READ CAREFULLY BEFORE SIGNING
In consideration of being allowed to participate in any way in the Muay Thai program, classes, sparring sessions, or related events and activities at Eleven Elevation, the undersigned acknowledges, appreciates, and agrees that:
1. Risk of Injury: I fully understand that Muay Thai is a physically demanding and contact-based martial art that includes punching, kicking, clinching, and other physical exertions. Participation involves the risk of serious injury, including but not limited to bruises, sprains, fractures, concussions, permanent disability, or even death.
2. Assumption of Risk: I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of Eleven Elevation staff or others, and I assume full responsibility for my participation.
3. Medical Clearance: I certify that I am physically fit and have no medical condition that would prevent my full participation in Muay Thai training. I understand that it is my responsibility to consult with a physician before starting or continuing any physical training program.
Release and Waiver: I, for myself and on behalf of my heirs, assigns, personal representatives, and next of kin, hereby release and hold harmless Eleven Elevation, its owners, instructors, staff, volunteers, and affiliated parties from any and all liability, claims, demands, losses, or damages caused or alleged to be caused in whole or in part by the negligence of the released parties or otherwise, including negligent rescue operations.
Responsibility for Equipment: I understand that I am responsible for using proper safety gear (e.g., gloves, shin guards, mouthpiece, headgear if sparring) and that failure to do so may increase risk of injury.
Sparring Acknowledgment : I understand that if I choose to participate in sparring sessions, it is entirely voluntary and done at my own risk. I agree to follow all safety instructions and rules as set by the instructors.
Photo/Video Release: I give Eleven Elevation permission to use photos or videos taken during Muay Thai classes for marketing, instructional, or promotional purposes.
Parental Consent (If under 18): I certify that I am the parent/legal guardian of the above-named minor and that I have read and understood the contents of this form. I consent to their participation and agree to all the terms stated above on their behalf.
Should be Empty: