Acknowledgment of Insurance, Liability Waiver & Permission to Treat

I confirm that the student is physically fit to participate and has had a physical exam within the last 12 months.

I give permission for myself and/or my child(ren) to take part in classes, events, and activities at UPPER Jiu Jitsu Academy. I understand that I am responsible for carrying my own accident and medical insurance.

In case of injury or emergency, I authorize standard medical treatment and transportation at my own expense or that of my insurance provider.

I understand that martial arts involves physical contact and includes risks of injury, paralysis, or death. I accept all risks—known or unknown—even if caused by negligence of UPPER Jiu Jitsu Academy, its staff, owners, or agents.

I release and hold harmless UPPER Jiu Jitsu Academy, its instructors, owners, employees, and representatives from all liability or claims related to participation. I agree to follow all safety rules and instructor directions and will notify staff if I observe any hazard.

I further release UPPER Jiu Jitsu Academy, its affiliates, sponsors, and facility owners from all liability for injury, disability, death, or property loss.

Membership & Cancellation Policy

• UPPER Jiu Jitsu Academy may update policies, schedules, forms, or curriculum at any time.

• Classes may be canceled or rescheduled if fewer than four (4) students attend.

• Progress in training is not guaranteed and depends on attendance, effort, and instructor evaluation.

• All memberships and subscription products are non-refundable.

• All memberships include a 90-day minimum commitment.

• After 90 days, members may cancel with a 30-day written notice submitted via the official cancellation form.

• Early termination within the initial 90 days will result in the remaining balance being charged and the reversal of any discounts, including uniform discounts.

Photo & Media Consent

I authorize UPPER Jiu Jitsu Academy to use photos or videos of me/my child(ren) for promotional purposes, including the website, social media, and printed materials.

Acknowledgment & Acceptance

I have read, understand, and voluntarily agree to all terms above. I acknowledge that by signing, I am waiving certain legal rights without pressure or coercion.

Membership Commitment Options

1️⃣ Regular Plan (Month-to-Month after 90 days)

• Maximum flexibility after completing the 90-day minimum.

• Standard bi-weekly rate.

• Uniform sold at regular price.

• 30-day notice required to cancel.

2️⃣ 6-Month Commitment

• Lower bi-weekly rate.

• Option for discounted pricing.

• Early termination voids all discounts and adjusts previous payments to regular rates.

• 30-day notice required once term is completed.

3️⃣ 12-Month Commitment (Best Value)

• Lowest bi-weekly rate.

• Includes membership and uniform discounts.

• Early termination reverses all discounts and charges the full uniform discount amount if applied.

• 30-day notice required after completing the term.

Important Notes

• All plans bill bi-weekly.

• Discounted plans rely on the member’s commitment to complete the full term.

• Ending a plan early results in adjustments based on regular pricing and reversal of uniform discounts.

• A 30-day notice is required for cancellation on all plans.