Signup

NOBLE GROUNDS BRAZILIAN JIU JITSU
MEMBER WAIVER, RELEASE & ASSUMPTION OF RISK

Participant Information

{name}

{dob}

{phone}

Acknowledgement of Risk

I understand and acknowledge that Brazilian Jiu Jitsu (BJJ), martial arts, and fitness training involve inherent risks , including but not limited to:

• Physical contact and close bodily interaction

• Throws, takedowns, joint locks, and submissions

• Strains, sprains, fractures, dislocations, concussion

• Cuts, bruising, illness, or infection

• Serious injury or, in rare cases, death

I understand that these risks may occur even when all safety precautions are followed.

I acknowledge and accept these risks.

Health Declaration

I confirm that:

• I am physically and mentally fit to participate in martial arts training, or

• I have disclosed any medical conditions, injuries, or limitations that may affect my participation.

I have the following conditions, injuries or limitations that may affect my participation (if none, type "N": 

I agree to notify the instructor immediately of any injury, pain, or condition during training.

I confirm the above is true and accurate. 

Assumption of Risk & Release of Liability

To the fullest extent permitted by law, including under the Wrongs Act 1958 (Vic) , I:

• Voluntarily assume all risks associated with participation in any and all activities at Noble Grounds BJJ

• Release and discharge Noble Grounds BJJ, its owners, instructors, coaches, employees, and representatives from any liability for injury, loss, or damage arising from participation in any and all activities at Noble Grounds BJJ

• Acknowledge that this includes claims resulting from intentional acts, or negligence, or recklessness insofar as such exclusions are not prohibited by law

I agree to this release and waiver of liability. 

Indemnity

I agree to indemnify and hold harmless Noble Grounds BJJ against any claims, demands, or losses arising from my participation or breach of this agreement.

I agree. 

Personal Property

I understand that Noble Grounds BJJ is not responsible for loss, theft, or damage to personal property brought onto the premises.

I acknowledge this. 

Photography & Media Consent 

I consent to photographs or video recordings being taken during training and used for promotional or educational purposes by Noble Grounds BJJ.

Yes   No

Communicable Illness Acknowledgement

I acknowledge that participation in close-contact training carries a risk of transmitting communicable illnesses and accept responsibility for managing my own health and hygiene.

I acknowledge. 

Final Acknowledgement & Digital Signature

By checking the boxes above and submitting this form, I confirm that:

• I have read and understood this waiver in full

• I agree to be legally bound by its terms

• I am 18 years of age or older, or a parent/guardian has provided consent

Full Name:
Date: {sign_date}

Emergency Contact Details

• Emergency contact                     {contact_name} 
• Emergency contact phone          {contact_phone}
• Emergency contact relation        {contact_relation} 

For Participants Under 18

Parent/Guardian Full Name:
Relationship:
Date: {sign_date}