Student Consent and Waiver Form

For participants under 18 years old -

I consent and authorize my child to participate in training and other events with Ebb N Flo Maui, LLC.

In consideration of my (or my child's, hereafter referred to constructively as myself) participation in Martial Arts and Fitness classes held at Level Up Fitness 808 Gym on behalf of Ebb N Flo Maui, LLC, 343 Hanamau St. Kahului, HI 96732.  I hereby freely agree to make the following contractual representations and agreements:

I fully realize the dangers of participating in a sport of this type (Martial Arts) and voluntarily assume all the risks associated with such participation. I understand the risks include, by way of example, and not limitation, the following:  accidents such as falls, equipment failure, other participants or instructors or guests, contact with various hard and soft floor or ground surfaces, other people, and/or over exertion could result in injuries including sprains, concussion, broken bones, torn muscles/tendons, dislocations, puncture wounds, psychological trauma, hospitalization, blindness, and death.

I agree that it is my sole responsibility to be familiar with the physical and mental demands associated with this sport (Martial Arts). With these demands in mind, I attest that I have no physical or mental condition, which to my knowledge, would endanger myself or others if I participate in this sport, or would interfere with my ability to safely participate in the sport. I also agree to abide by any and all established rules and regulations while engaged in this sport, and with the directions and precautions given by the facilitators. Shane Reed and Lyka Reed, Ebb N Flo Maui, LLC, their coaches, associates, the property owner(s), and any agents thereof, are facilitating this Martial Arts program (collectively referred to herein as the “facilitator(s)”).

I understand that the facilitators have no duty to provide any extraordinary duties or safety measures in relation to this sport (Martial Arts) and that I must use reason and judgment in my undertakings hereunder. I consent to anyone providing emergency health or medical assistance if it is determined necessary at the facilitator's discretion, and consent to anyone contacting my emergency contact for notification.

I understand that the property and terrain on which this event shall take place contains both obvious and hidden dangers which I may not be made aware of by the facilitators. I understand that before engaging in this sport it is my duty and responsibility to make myself aware of any and all dangers related to the property or terrain to my satisfaction, and any dissatisfaction of such information will be manifest by my non-participation of this sport in any manner.

I understand that there may be video photography and/or still images being recorded at the gym and events held outside of gym property. I hereby grant permission for the trainer to use, reproduce, and distribute these images and videos for promotional, educational, or marketing purposes. I release any rights to these materials and waive any claims for compensation, monetary or otherwise, now or in the future. I understand that my likeness and/or voice may be used in various formats including, but not limited to, websites, social media, advertisements, and promotional materials, without the expectation of any compensation. This release is binding and extends to all media and formats now known or hereafter developed.

I understand and acknowledge that participation in sports of this kind (Martial Arts) is unreasonably, unnecessarily, and inherently dangerous. Serious injuries, blindness and death may result from ordinary, general and future negligence, and such injuries/death are an inherent risk of the activities associated with participation.

I hereby release, waive, discharge, and covenant not to sue anyone acting as a facilitator, or any insurance of, gents of, servants of, or guests of the facilitators (collectively referred herein as the “Releasees”) from all liability, claims, demands, actions, or causes of action whatsoever arising out of any damages, loss, or injury to me, my child(ren) or to my property while participating in any of the sports/activities contemplated by this Agreement, regardless of whether such damage, loss, or injury results from the negligence of the Releasees or from any other cause, including unknown conditions of the property or terrain. I also hereby release, waive, discharge and covenant not to sue the Releasees from any claims whatsoever on account of any first aid, treatment, or service rendered to me during my participation in the above activities.

I hereby agree to indemnify and hold harmless the Releasees from any loss, liability, damage, judgment awards or costs, including court costs and attorneys' fees that they may incur due to my participation in said activities or subrogation suits or claims, whether caused by the negligence of Releasees or otherwise.

I have carefully read this form and fully understand its contents. All information I have provided is true. My signature below signifies that I understand that it is my responsibility to abide by all guidelines and terms as outlined herein.