DMK Performance — Liability Waiver & Release

Member: {name} Date of Birth: {dob} Address: {address} Phone: {phone}

Emergency Contact: {contact_name} Emergency Contact Phone: {contact_phone} Relationship: {contact_relation}

Assumption of Risk

I, {name}, understand that Brazilian Jiu-Jitsu and related martial arts training involve inherent risks of physical injury, including but not limited to sprains, strains, fractures, joint injuries, and other bodily harm. I voluntarily assume all risks associated with training at DMK Performance, whether arising from my own actions, the actions of other participants, or the condition of the facility or equipment.

Release of Liability

In consideration of being permitted to participate in classes, training sessions, and other activities at DMK Performance, I, on behalf of myself, my heirs, and my legal representatives, release and hold harmless DMK Performance, its owners, coaches, staff, and affiliates from any and all claims, liabilities, or damages arising from my participation, except in cases of gross negligence.

Medical Acknowledgment

I confirm that I am physically fit to participate in training and have no medical condition that would prevent safe participation, unless disclosed below.

— Please list any medical conditions, injuries, or concerns the instructor should be aware of (write "None" if not applicable)

Photo/Media Release (optional)

I consent to DMK Performance using photos or video of me taken during classes or events for promotional or social media purposes.

Facility & Conduct Policy

I agree to follow DMK Performance's code of conduct, hygiene standards, and safety instructions provided by coaching staff at all times.

Acknowledgment & Signature

By signing below, I acknowledge that I have read, understood, and voluntarily agree to the terms of this waiver.

Signature: Date: {sign_date} Initials (confirming assumption of risk):

DMK Performance — Physical Activity Readiness Questionnaire (PAR-Q)

Client: {name} Date of Birth: {dob} Address: {address} Phone: {phone}

Emergency Contact: {contact_name} Emergency Contact Phone: {contact_phone} Relationship: {contact_relation}

Purpose

This questionnaire helps your trainer determine whether you should consult a physician before beginning a personal training program. Please answer each question honestly — your safety depends on it.

Health Screening Questions

Please answer YES or NO to each question below.

1. Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommended by a doctor? Yes No

2. Do you feel pain in your chest when you perform physical activity? Yes No

3. In the past month, have you had chest pain when you were not performing physical activity? Yes No

4. Do you lose your balance because of dizziness, or do you ever lose consciousness? Yes No

5. Do you have a bone or joint problem that could be made worse by a change in your physical activity? Yes No

6. Is your doctor currently prescribing medication for your blood pressure or a heart condition? Yes No

7. Do you know of any other reason why you should not engage in physical activity? Yes No

Additional Health Information

— Please list any medications, allergies, injuries, surgeries, or ongoing medical conditions your trainer should know about (write "None" if not applicable)

If You Answered YES to One or More Questions

We recommend consulting a physician before beginning or continuing your training program with DMK Performance. Please talk to your trainer before starting your session so a plan can be adjusted appropriately.

Acknowledgment

I confirm that the information provided above is accurate and complete to the best of my knowledge. I understand that it is my responsibility to inform my trainer of any changes to my health status.

Signature: Date: {sign_date} Initials: