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.

• Upper Jiu Jitsu Academy – Code of Conduct

  At Upper Jiu Jitsu Academy, we are committed to providing a safe, respectful, and professional training environment for all students, coaches, and families.

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  1. Core Values

  All members are expected to uphold:

  • Respect
  • Safety
  • Discipline
  • Integrity
  • Teamwork

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  2. Expectations for Students

  All students must:

  • Treat coaches, teammates, and staff with respect at all times
  • Follow all instructions to ensure a safe training environment
  • Train with control and avoid reckless or dangerous behavior
  • Maintain personal hygiene and proper training attire
  • Refrain from bullying, harassment, or inappropriate language
  • Report any injuries or concerns to a coach immediately

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  3. Expectations for Coaches & Staff

  All coaches and staff must:

  • Act professionally and lead by example
  • Provide safe, structured, and age-appropriate instruction
  • Treat all students equally and with respect
  • Maintain appropriate boundaries, especially with minors
  • Avoid any form of harassment, discrimination, or favoritism
  • Follow all safety policies, including supervision standards
  • Address misconduct promptly and fairly

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  4. Parent/Guardian Expectations

  Parents and guardians are expected to:

  • Support a positive and respectful training environment
  • Communicate respectfully with coaches and staff
  • Ensure their child follows academy rules
  • Avoid interfering with instruction during class

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  5. Safety & Conduct Standards

  • Zero tolerance for bullying, harassment, discrimination, or abuse
  • No dangerous or unsupervised techniques outside of instruction
  • All members must follow gym rules and safety guidelines
  • Concerns or incidents should be reported to staff immediately

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  6. Social Media & Communication

  • Members and staff must communicate respectfully online
  • No posting content that could harm the reputation of the academy or its members
  • Coaches should maintain professional communication with students, especially minors

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  7. Disciplinary Action

  Failure to follow this Code of Conduct may result in:

  • Verbal warning
  • Temporary suspension
  • Termination of membership
  • Canadian Anti-Doping Registry | Sport Integrity Canada

  All disciplinary actions will be handled fairly and at the discretion of Upper Jiu Jitsu Academy.

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  8. Acknowledgment

  By participating in any program at Upper Jiu Jitsu Academy, all members and parents/guardians agree to follow this Code of Conduct.