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  • Boxing Sessions

    18 years and older or parent/legal guardian of under 18 must complete the form
  • LIABILITY WAIVER

    I am 18 years of age or older. If I am completing this form on behalf of my minor child, I attest that I am the parent or legal guardian and that I am completing the liability waiver in reference to their participation in this activity.

    I hereby certify and represent that I am in sound mental and physical condition. I agree that all training recommendations given to me (or my minor child), are undertaken at the sole risk of myself. Newberg BJJ, LLC dba Impact Training Center  (referred to as GYM) is not liable for any claims for injuries or damages, whatsoever, to my person (or that of my minor child) or property arising out of, or in connection with, the training and recommendations given by GYM. I agree to indemnify and hold harmless GYM, its employees, subcontractors and representatives from all claims of liability by me (or on behalf of my minor child).

    I also certify and represent that as a student I agree to abide by all rules and regulations issued by GYM. Failure to do so may result in my expulsion from training and forfeiture of all monies paid to GYM.

    I give GYM the irrevocable right to use my video, picture, portrait or photograph in all forms and media and in all manners, including composite for social media, advertising, publication or any other lawful purposes and waive any right to inspect or approve the finished product, including written copy, which may be created in connection therewith. I understand this is a waiver and release of liability and I voluntarily agree to its terms.

     

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  • Your submission will be provided to our boxing coach, Bryan Torres.  He will directly reach out to you via text to arrange sessions.  Payment will be made to him directly.

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