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                            Liability Waiver Form

To the best of my knowledge, I am in good physical condition and fully able to participate in this course. I am fully aware of the risks and hazards connected with the participation in Brazilian Jiu-Jitsu, Muay Thai Kickboxing, Boxing, Wrestling, Bootcamp Training or Lifting, including physical injury or even death, and hereby elect to voluntarily participate in said event, knowing that the associated physical activity may be hazardous to me and my property. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OR LOSS, PROPERTY DAMAGE, OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by me as a result of participation in this course. I further certify that I am at least 18 years of age. If under 18, my parent/guardian is the below signed.

I HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE Copper City Combat Club, and their employees from any and all liability, claims, demands, actions and causes of action whatsoever. In signing this release, I acknowledge and represent that I HAVE READ THE FOREGOING Waiver of Liability and Hold Harmless Agreement, understand it and sign it voluntarily as my own free act and deed. I execute this release for full, adequate and complete consideration.