I understand BJJ and grappling involve physical contact, takedowns, submissions, and risk of injury. I’m joining voluntarily, I’m healthy enough to participate, and I accept all risks.
I release the organizers, instructors, venue, and participants from any liability, even if caused by negligence, to the fullest extent allowed by Washington law.
I understand there will be no medical staff on-site and I’m responsible for my own care and costs if injured.
By typing my name and submitting this form, I agree this is my electronic signature under the ESIGN Act and Washington’s UETA.

Name

First Name

Last Name

Date of Birth (18+ Only)

YYYY

Phone

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Emergency Contact

First Name

Last Name

Emergency Contact Phone

(###)

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