Adult Membership Sign-up

WAIVER AND RELEASE OF LIABILITY

In consideration of being allowed to participate in any way in Integral Progression Fight System LLC (IPFS) Martial Arts Training, related events and activities, the undersigned acknowledges that:

• The risks of injury from the activities involved in this program are significant, including the potential for permanent paralysis and death,
• I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
• I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Integral Progression Fight System LLC (IPFS) their coaches, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

PHOTO/VIDEO RELEASE

I hereby give permission for images of myself, captured at the IPFS Dojo  through video, photo and digital camera, to be used solely for the purposes of the Integral Progression Fight System LLC (IPFS) promotional material and publications, and waive any rights of compensation or ownership thereto. 

⬜ Yes I am ok with this.

  ⬜ I do not want my photo or video used.

COVID-19 (CORONAVIRUS)  

I acknowledge that participation in martial arts training could increase the risk of transmitting COVID-19.  By signing this Agreement, I acknowledge that I understand the risks related to COVID-19 and other communicable diseases and understand that the risk of contracting COVID-19 may be increased by participation in martial arts training. I hereby release, covenant not to sue, and agree to hold harmless Justin Zabroski, Emily Zabroski (Danler), and Integral Progression Fight System LLC (IPFS) for any and all claims, liabilities, harm, damages, costs, or expenses related to any injury or illness, including the contraction of COVID-19, arising out of my participation in martial arts training.

I agree to immediately notify the coach if I contract covid and have been in class.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, AND SIGN IT FREELY AND VOLUNTARILY.

               {sign_date}

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Signe & Date

Please provide some additional info:

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Phone #                                                Date of Birth