Birthday Registration Form
We look forward to welcoming you in for an upcoming birthday party!
Please review and affirm your release by completing this form in advance of your arrival.
IMPORTANT NOTES:
Please bring your child in athletic clothing. No zippers, buttons, clasps or other materials that can scratch. We never put bare feet on the main floor and we never put shoes on the mat. For that reason, we recommend participants come in slip-on shoes.
We also recommend you bring your child a bottle of water.
Please complete one form per youth participant.
WAIVER / RELEASE / ASSUMPTION OF RISK
This waiver, release and assumption of risk acknowledgement is entered into between GRPL LLC, a Colorado limited liability company (“GRPL”), and me the participant signed below on behalf of myself and if applicable, my child and family. I hereby agree and acknowledge:
a) I have been advised that the activities that occur on and around the mat, including the martial art known as "Jiu-Jitsu" is taught and carried out using precautions to avoid any injuries. However, participation in gym activities carry with it certain inherent risks and dangers that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks range from minor injuries such as scratches, bruises, and sprains, to major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions, to catastrophic injuries including paralysis and death.
b) The practice of JiuJitsu presents a risk of skin infections, MRSA, transmittable diseases, bacteria(s) and viruses, including, but not limited to, COVID-19.
c) Along with the possibility of personal injury, injury to property is also possible, including but not limited to, possible loss of wages and the ability to earn such wages.
d) I acknowledge that I have consulted with a physician and I have no health problems that would preclude me from full and safe participation in this event..
e) With full knowledge and understanding of the aforementioned risks, both to myself and to my property, and after having these dangers fully explained to myself and/or to my legal guardian who has herunder signed, I nevertheless desire to participate in this event.
g) Due to the nature of the activities conducted on the mats, it would be unreasonable for GRPL (d.b.a. GRPL HAUS) and/or the respective owners, directors and shareholders, agents and employees to be in any way responsible for my injury (or death) and to the maximum extent permitted by law I hereby waive my legal rights of action against and fully release the company for loss, damages, injury or death however arising out of or in relation to my participation in the activities conducted or organized by the company including, without limitation, liability for any negligent or tortious act or omission, breach of duty, breach of contract or breach of statutory duty on the part of the company, its office bearers, directors, employees or agents. Further, I hereby indemnify and hold harmless GRPL, its affiliates, subsidiaries, officers, directors, shareholders, agents, and employees from and against any and all claims, damages, liabilities, costs, expenses, and attorney fees arising out of or in connection with my participation in GRPL activities.
h) I have and will maintain appropriate medical insurance during classes/training. I authorize any emergency first aid, CPR, AEDs, medication, medical treatment, and/or emergency transportation and I assume all costs involved in such treatment.
I) By participating in this event, you are consenting to receive periodic communication from GRPL. You may opt out at any time.