Thrive Adaptive Martial Arts
Liability Waiver & Hold Harmless Agreement
Participant Name: ___________________________
Parent/Guardian Name: ___________________________
Date: ___________________________
1. Acknowledgment of Risk
I understand that participation in Thrive Adaptive Martial Arts classes and activities involves physical activity and inherent risks. These risks may include, but are not limited to:
Falls or loss of balance
Physical contact with instructors or other students
Muscle strain or soreness
Minor or serious injury
Emotional or behavioral challenges during participation
I voluntarily allow my child to participate and assume all risks associated with participation.
2. Medical Responsibility
I certify that my child is physically able to participate in martial arts activities.
I agree to inform Thrive Adaptive Martial Arts of any:
Medical conditions
Physical limitations
Behavioral needs
Sensory needs
Medications
Special accommodations required
I understand that Thrive Adaptive Martial Arts is not a medical provider, therapy provider, or healthcare service and does not provide occupational therapy, physical therapy, or medical treatment.
3. Release of Liability
In consideration of participation in Thrive Adaptive Martial Arts, I hereby release and discharge:
Thrive Adaptive Martial Arts, LLC
Barry Huver Jr. (Owner)
All instructors, assistants, staff members, and volunteers
from any and all claims, demands, damages, rights of action, or causes of action, present or future, whether known or unknown, anticipated or unanticipated, resulting from participation in Thrive Adaptive Martial Arts activities.
4. Hold Harmless Agreement
I agree to indemnify and hold harmless:
Thrive Adaptive Martial Arts, LLC
The owner of Thrive Adaptive Martial Arts
All instructors and staff
All volunteers
All host facilities
Host facility owners
Host facility staff
from any claims, liabilities, damages, injuries, or expenses arising out of participation in Thrive Adaptive Martial Arts programs.
This agreement applies to all Thrive Adaptive Martial Arts classes, private lessons, assessments, events, and activities conducted at any location.
5. Physical Guidance Permission
I understand that martial arts instruction may require appropriate physical guidance and assistance for safety and skill development.
I grant permission for Thrive Adaptive Martial Arts instructors and staff to provide appropriate physical assistance and guidance as needed.
6. Facility Use
I understand that Thrive Adaptive Martial Arts operates at host facilities and that these facilities are not responsible for injuries or damages resulting from participation.
I release and hold harmless all host facilities and their owners, employees, and representatives from liability related to Thrive Adaptive Martial Arts activities.
7. Photo and Media Release
I grant permission for Thrive Adaptive Martial Arts to photograph or record my child during classes and events.
I understand that these images or recordings may be used for:
Social media
Website content
Marketing materials
Printed materials
Educational content
Promotional videos
I understand that no compensation will be provided for the use of these images or recordings.
I grant Thrive Adaptive Martial Arts permission to use these images and recordings indefinitely.
8. Agreement Duration
This agreement applies to:
Current enrollment
Future classes
Ongoing participation
Special events
Private lessons
This agreement remains in effect unless revoked in writing.
9. Acknowledgment
By signing below or completing registration online, I acknowledge that:
I have read this agreement
I understand this agreement
I agree to this agreement voluntarily
Parent/Guardian Signature: ___________________________
Printed Name: ___________________________
Date: ___________________________