Liability Waiver

WAIVER AND RELEASE OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT

Black House MMA HQ — 1450 W 228th St, Unit 15, Torrance, CA 90501

In consideration of being permitted to participate in any way in the programs, classes, training, and activities of Black House MMA HQ ("Black House"), I, the undersigned participant (and, if the participant is a minor, the parent or legal guardian signing below), agree as follows:

1. Activities and Risks. Black House offers instruction and training in mixed martial arts (MMA), Brazilian Jiu-Jitsu, Muay Thai, boxing, kickboxing, wrestling, judo, self-defense, and strength and conditioning. These are contact activities that involve inherent risks that cannot be eliminated regardless of the care taken, including but not limited to: strikes, kicks, throws, takedowns, joint locks, chokes and other submission holds; falls and impact with mats, the cage, equipment, and other participants; cuts, bruises, sprains, strains, fractures, concussions and other head injuries, dental injuries, skin infections, and other illnesses from close physical contact; and, in rare cases, serious permanent injury, paralysis, or death. I understand and voluntarily accept these risks, both known and unknown, even if arising from the negligence of the released parties.

2. Assumption of Risk. I knowingly and freely assume all risks of participating in Black House activities, including training, sparring, open mat, competitions held on the premises, and use of all facilities and equipment.

3. Release and Waiver of Liability. I release, waive, and discharge Black House MMA HQ, its owners, officers, coaches, instructors, employees, agents, volunteers, and landlords (collectively, "Releasees") from any and all liability, claims, and demands arising out of or related to my participation, including claims of ordinary negligence, to the fullest extent permitted by California law. I covenant not to sue the Releasees for any such claim. I understand this release does not cover gross negligence or willful misconduct.

4. Health and Medical Authorization. I certify that I am physically fit to participate, that I have disclosed (in writing to Black House) any medical condition, injury, medication, or limitation that could affect my safe participation, and that I will update Black House if that changes. I will not train while injured, ill, or with any contagious skin condition. I authorize Black House staff to administer basic first aid and, in an emergency, to secure medical treatment for me; I am responsible for all costs of such treatment and maintain my own health insurance.

5. Rules and Conduct. I agree to follow the instructions of Black House coaches and staff at all times, to train with control and respect for training partners, to observe mat hygiene (clean training gear, trimmed nails, no shoes on the mats, no jewelry while training), and to stop any activity I feel is unsafe for me. Black House may remove any participant, without refund, for unsafe or disrespectful conduct.

6. Indemnification. I agree to indemnify and hold harmless the Releasees from any loss, liability, damage, or cost, including attorney's fees, arising from my participation or breach of this agreement.

7. Minors. If the participant is under 18, the signing parent or legal guardian: (a) consents to the minor's participation; (b) agrees to all terms of this agreement on the minor's behalf and on their own behalf; (c) releases the Releasees as provided above; and (d) agrees to indemnify the Releasees for any claims brought by or on behalf of the minor.

8. Photo and Video (optional). Black House may photograph or record classes and events. ☐ I GRANT / ☐ I DECLINE permission for Black House to use images or video of me (or my minor child) in its website, social media, and promotional materials without compensation. Declining does not affect participation.

9. Personal Property. Black House is not responsible for lost, stolen, or damaged personal property.

10. General. This agreement is governed by California law. If any provision is found unenforceable, the remaining provisions continue in full effect. This is the entire agreement regarding liability and supersedes any prior oral or written statements. I understand this agreement binds me, my heirs, executors, and assigns.

I have read this agreement in full, I understand its terms, I understand that I am giving up substantial legal rights, and I sign it freely and voluntarily.

Participant name (print): ____________________________ Date of birth: ______________

Participant signature: ______________________________ Date: ______________

Email: ______________________________ Phone: ______________

Emergency contact (name & phone): ______________________________

For minors:
Minor's name (print): ____________________________ Date of birth: ______________
Parent/guardian name (print): ______________________________
Parent/guardian signature: ______________________________ Date: ______________
Relationship to minor: ______________