Atlas MMA

Free Class Sign Up

Personal Details

* Required field
Add secondary Phone +
Change Email address
A member account already exists with this Email address. Log-in instead?
Add secondary Email +


Address

Contacts

* Required field
Additional Contact

Photo

Capture from camera No camera found. Please connect a camera to use this feature. Upload or use camera Upload photo

Edit Photo

Delete Photo Apply

Waiver / liability release

Atlas Wellness & MMA(Sup Dog? Inc) Release and Waiver of Liability and Indemnity Agreement

(Read Carefully Before Signing)

1. Participation is Voluntary: The participant has been advised by Atlas Wellness & MMA(Sup Dog? Inc) (hereinafter ATLAS MMA) that participation in any and all activities is voluntary. Participant understands and agrees that, if at any time, participant feels anything to be unsafe, including but not limited to equipment, facilities and/or activities, participant will immediately take all precautions to avoid the unsafe area, equipment, and/or activity and refuse to participate further.

2. Understand risks of participation: Participant fully understands and acknowledges that (a) there are risks and dangers associated with participation in martial arts events and activities which could result in bodily injury partial and/or total disability, contraction of illness and/or disease, paralysis and death, (b) the social, physical, mental, and economic losses and/or damages, which could result from these risks and dangers described above, could be severe, (c) these risks and dangers may be caused by the action, inaction or negligence of the participant or the action, inaction or negligence of others, including, but not limited to, the parties named below, (d) there may be other risks not known to us or are not reasonably foreseeable at

this time.

3. Acknowledge Risks of participation: Participant hereby acknowledges that the activities are very dangerous and involve the risk of serious injury and/or death and/or property damage. Each of the undersigned also expressly acknowledges that injuries received may be compounded or increased by negligent rescue operations or procedures.

4. Acceptance of responsibility/assumption of risk of participation: Participant accepts and assumes such risks and responsibility for the losses and/or damages following such injury, contracted illness or disease, disability, paralysis or death, however caused and whether caused in whole or in part by the negligence of Atlas MMA, its owners, agents or employees, or by intentional conduct of parties not an owner, agent, instructor, or employee of ATLAS MMA.

5. Participant Responsibilities: I certify that I am in good health and physical condition, do not have any communicable illnesses, conditions or diseases. I certify that I will not participate in any activities if I am not in good health and physical condition. It is my responsibility to be aware of the demands of the activity at all times. It is my responsibility to be adequately equipped and physically prepared. It is my responsibility to follow the instructions of the designated class leader. Skills taught in this program will not assure my safety in situations of self-defense on or off ATLAS MMA premises. I am solely responsible for my own personal safety and the safety of others in the program at all times.

6. Minor Participation requirements: In consideration of being permitted to participate in any way with ATLAS MMA and/or being permitted to enter for any purpose any restricted area (here in defined as any area where in admittance to the general public is prohibited), the parent(s) and/or legal guardian(s) of the minor participant named below agree: Prior to participating in the below martial arts activity or event, the Participant, parent(s) and/or legal guardian(s) will inspect the facilities and equipment to be used, and if he or she believes anything is unsafe, the participant will immediately advise the officials of such condition and refuse to participate.

7. Release of liability/covenant not to sue: Participant hereby releases, waives, discharges, and covenant not to sue ATLAS MMA, the martial arts facility used by the participant, including its owners, managers, promoters, lessees of premises used to conduct the martial arts event or program, premises and event inspectors, underwriters, consultants and others who give recommendations, directions or instructions to engage in risk evaluation or loss control activities regarding the martial arts facility or events held at such facility and each of them, their directors, officers, agents, employees, from all liability to the undersigned, my/our personal representatives, assigns, executors, heirs and next to kin For any and all claims, demands,

losses or damages and any claims or demands therefore on account of any injury, including but not limited to the death of the participant or damage to property, arising out of or relating to the events(s) caused alleged to be caused in whole or in part by the negligence of the releasee or otherwise.

8. Release applies to all parties associated with ATLAS MMA: This release applies to all parties including ATLAS MMA, ATLAS WELLNESS & SUP DOG? Inc, martial community, affiliated individuals, organizations, entities, designated instructors, guest instructors, owners and officers of these organizations, instructors, coaches, assistants, and the owners of the property location.

9. Release construed broadly: Each of the undersigned further expressly agrees that the foregoing release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the Province or State in which the event is conducted and that if any portion is held invalid, it is agreed that the balance shall, notwithstanding continue in full legal force and effect. This release also applies to any dependents, parents, heirs, guardian, family or any other party having the right to pursue any and all claims on my behalf.

10. Parents must defend, indemnify, and hold harmless ATLAS MMA for minors: On behalf of the participant and individually, the undersigned partners(s) and/or legal guardian(s) for the minor participant executes this Waiver and Release. If, despite the release, the participant makes a claim against any of the Releasees, the parents(s) and/or legal guardian(s) will reimburse the Releasee for any money which they have paid to the participant, or on his/her behalf, and hold them harmless.

11. Release applies to family, heirs etc: This release applies to any claim I or any parent, guardian, family member, dependent, heir or any other party having the right to make a claim on behalf against ATLAS MMA, guest instructors and organizations, the owners of these organizations, the instructors, and any owners of the property location.

12. Only sanctioned use of skills: I understand that the skills taught at ATLAS MMA are to be used solely in accord with the law, that I have been explicitly instructed to not use the skills taught at ATLAS MMA outside of class with the exception of sanctioned tournaments or MMA events. I am solely responsible for my actions using the skills taught by ATLAS MMA, and agree to defend and indemnify ATLAS MMA for any of my actions that result in claims against ATLAS MMA.

13. Model Release: I agree that ATLAS MMA may use my image, photo, likeness for any purpose, including but not limited to: ATLAS MMA website, promotions, instructional videos, and school advertisements.

14. Release of personal property loss: I am responsible for my owner's personal property and agree to release and hold harmless ATLAS MMA for any losses of personal property.

15. ATLAS MMA Right to prohibit practice or participation: ATLAS MMA reserved the right to prohibit participation for any reason without providing a refund.

16. Validity of release: If any portion of this agreement shall be held invalid, illegal or unenforceable to any extent and for any reason by any Court of competent jurisdiction the remainder of this agreement shall not be affected thereby and shall be enforceable to the full extent permitted by law.

17. Participant Medical coverage: By signing below, participant acknowledges that they carry personal medical insurance and/or participant understands that they are solely responsible for their own medical bills and any injury regardless of the cause.

I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY AND PROCEDURES, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE/COMMONWEALTH OF VIRGINIA THAT THIS STATEMENT IS TRUE AND CORRECT.

Done Clear Sign Below:

**FACILITY NO-FAULT WAIVER AND RELEASE OF LIABILITY**

**Atlas Wellness & MMA (Sup Dog Corp)

4736 Virginia Beach Blvd., Virginia Beach, VA 23462**

**1. Acknowledgment of Risks**

I, the undersigned, acknowledge that I have voluntarily chosen to participate in wellness treatments, including but not limited to acupuncture, massage therapy, IV therapy, compression therapy, PEMF mat therapy, sauna use, and cold plunge, as well as martial arts training, including but not limited to MMA, Muay Thai, Jiu Jitsu, wrestling, and boxing, offered by Atlas Wellness & MMA (Sup Dog Corp) at 4736 Virginia Beach Blvd., Virginia Beach, VA 23462 (hereinafter referred to as the "Facility"). I understand that participation in these activities involves inherent risks, including but not limited to physical injury, pain, discomfort, aggravation of pre-existing conditions, and in rare cases, serious injury or death.

**2. Assumption of Risk**

I hereby voluntarily assume full responsibility for any risks of loss, property damage, or personal injury, including serious injury or death, that may be sustained by me, or any loss or damage to property owned by me, as a result of my participation in activities at the Facility, including risks that may arise from negligence or carelessness on the part of the Facility, its owners, employees, agents, or contractors.

**3. Release and Waiver of Liability**

In consideration of being permitted to participate in the activities and use the equipment and facilities provided by Atlas Wellness & MMA (Sup Dog Corp), I, on behalf of myself, my heirs, personal representatives, executors, administrators, agents, and assigns, hereby release, waive, discharge, and covenant not to sue Atlas Wellness & MMA (Sup Dog Corp), its owners, officers, directors, employees, agents, contractors, and affiliates (collectively, the "Releasees") from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, whether caused by the negligence of the Releasees or otherwise, while participating in any activities, or while in, on, or upon the premises where the activities are being conducted.

**4. Indemnification**

I further agree to indemnify, defend, and hold harmless the Releasees from any loss, liability, damage, or costs, including court costs and attorney’s fees, that they may incur due to my participation in the activities, whether caused by negligence of the Releasees or otherwise.

**5. Medical Fitness and Treatment**

I certify that I am in good health and physically able to participate in the activities at the Facility. I understand that I am responsible for consulting with a physician before beginning any wellness or martial arts programs. In the event of an injury, I consent to the administration of first aid and other medical treatment deemed necessary by the Facility, and I agree to assume all costs associated with such treatment.

**6. Premises Liability**

I acknowledge that the Facility includes certain inherent risks, including those related to the condition of the premises, such as slippery surfaces, tripping hazards, or other dangers. I agree that this release and waiver applies to any injury or damage sustained by me while entering, exiting, or being anywhere on the premises at 4736 Virginia Beach Blvd., Virginia Beach, VA 23462.

**7. Binding Agreement**

I understand that this document is intended to be as broad and inclusive as permitted by the laws of the Commonwealth of Virginia, and that if any portion of this agreement is held invalid, the balance shall continue in full legal force and effect. This agreement shall be binding upon me, my heirs, personal representatives, executors, administrators, agents, and assigns.

**8. Governing Law**

This waiver and release shall be governed by and construed in accordance with the laws of the Commonwealth of Virginia.

**9. Acknowledgment of Understanding**

I acknowledge that I have read this waiver and release, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing this agreement freely and voluntarily, and intend by my signature for it to be a complete and unconditional release of all liability to the greatest extent allowed by law.

**Signature:** ______________________ 

**Printed Name:** _______________________

**Date:** _______{sign_date}___________________

Done Clear Sign Below:

How did you hear about us?

Interface Language

  • Phone

    757-904-0030

  • Address

    4736 Virginia Beach blvd.
    Virginia Beach , VA 23462

  • Email

    AtlasWellnessVB@gmail.com

Map to Atlas MMA
  • © Atlas MMA
  • Powered by Gymdesk