RYZE MARTIAL ARTS & FITNESS ACADEMY
Youth Member Waiver, Release of Liability, and Code of Conduct Agreement
Student Name: {name}
Date of Birth: {dob}
Parent/Guardian Name:
Phone Number: {phone}
Email Address:
Emergency Contact: {contact_name}
Emergency Contact Phone: {contact_phone}
Emergency Contact Relation: {contact_relation}
Known Allergies / Medical Conditions:
Medications / Special Instructions:
1. Acknowledgment of Risk
I understand that participation in classes at Ryze Martial Arts & Fitness Academy may include Brazilian Jiu-Jitsu, martial arts training, fitness exercises, stretching, drills, partner work, sparring, takedowns, grappling, self-defense instruction, games, and other supervised physical activities.
I understand that martial arts and fitness activities involve physical movement and contact. There is a risk of injury, including but not limited to bruises, sprains, strains, falls, soreness, accidental contact, or more serious injury.
I understand that injuries may occur even when safety rules are followed and instructors are supervising.
2. Release of Liability
I agree to release and hold harmless Ryze Martial Arts & Fitness Academy, its owners, instructors, coaches, staff, volunteers, representatives, and affiliates from liability for injuries, accidents, losses, or damages that may occur during participation in classes, training, academy events, or academy-related activities, except in cases of gross negligence or intentional misconduct.
I understand that it is my responsibility to inform Ryze Martial Arts & Fitness Academy of any medical conditions, allergies, injuries, medications, behavioral concerns, or limitations that may affect my child’s participation.
3. Medical Permission
In the event of an emergency, I authorize Ryze Martial Arts & Fitness Academy staff to contact emergency medical services if necessary.
I understand that staff will make reasonable efforts to contact the parent/guardian or emergency contact listed on this form.
I understand that the parent/guardian is responsible for any medical expenses related to the student’s care.
4. Parent/Guardian Responsibility
Parents/guardians are responsible for ensuring that their child arrives on time, is picked up on time, and is prepared for class.
Students should come to class with proper training attire, water, good hygiene, trimmed nails, and any required gear.
Parents/guardians are responsible for notifying the academy of any changes to emergency contact information, medical information, or custody/pick-up permissions.
5. Personal Belongings
Students are responsible for their own personal belongings, including clothing, bags, water bottles, phones, money, shoes, training gear, and any other items brought to the academy.
Ryze Martial Arts & Fitness Academy is not responsible for lost, stolen, damaged, or misplaced items.
We recommend that students do not bring valuable items to class.
6. Respect and Behavior Expectations
All students are expected to show respect for:
The academy
The instructors and staff
Themselves
Their teammates
Other students and families
Academy equipment and property
Students must follow instructor directions, use safe behavior, control their body, and treat others with kindness and respect.
Students are expected to help maintain a positive, safe, and respectful training environment.
7. Bullying, Aggression, and Unsafe Behavior
Ryze Martial Arts & Fitness Academy does not tolerate bullying, harassment, threats, intentional harm, unsafe behavior, stealing, destruction of property, repeated disrespect, or behavior that puts others at risk.
If a student is caught hurting others, bullying, threatening, intimidating, or acting in a way that creates a safety concern, the academy may use a strike system before considering suspension or termination of membership.
Strike System
Strike 1: Verbal warning and parent/guardian notification.
Strike 2: Written warning and parent/guardian discussion or meeting.
Strike 3: Possible suspension or termination of membership.
Ryze Martial Arts & Fitness Academy reserves the right to immediately remove a student from class, suspend participation, or terminate membership without completing all strikes if the behavior is severe, dangerous, intentional, or creates a safety concern for others.
8. Use of Martial Arts Outside the Academy
I understand that students are taught martial arts for self-defense, discipline, confidence, fitness, and personal growth.
Students are not permitted to use martial arts techniques to bully, threaten, harm, or intimidate others outside of supervised training.
Misuse of martial arts outside the academy may result in disciplinary action, suspension, or termination of membership.
9. Hygiene and Health Policy
Students should not attend class if they are sick, contagious, have a fever, have an open wound, or have a skin condition that may spread to others.
Students must maintain good hygiene, wear clean training clothes, and keep fingernails and toenails trimmed.
Ryze Martial Arts & Fitness Academy reserves the right to ask a student to sit out or leave class if there is a health, hygiene, or safety concern.
10. Mandatory Reporting / Duty to Report Concerns
If Ryze Martial Arts & Fitness Academy staff observe or become aware of concerning behavior, suspected abuse, neglect, threats of harm, serious injury, unsafe conduct, or any issue that may require reporting, we are obligated to take appropriate action.
This may include notifying a parent/guardian, contacting emergency services, or reporting the concern to the proper authorities when required.
11. Media Release / Photo & Video Permission
I understand that Ryze Martial Arts & Fitness Academy may take photos or videos during classes, training, academy events, promotions, ceremonies, tournaments, or other academy-related activities.
Photos and videos may be used for safety, training, memories, marketing, social media, website use, flyers, and other academy-related promotional materials.
Ryze Martial Arts & Fitness Academy will not intentionally post personal identifying information such as my child’s full name, address, phone number, school, or other private details without parent/guardian permission.
12. Membership Termination
Ryze Martial Arts & Fitness Academy reserves the right to suspend or terminate a student’s membership if the student’s behavior creates a safety concern, repeatedly disrupts class, violates academy rules, misuses martial arts training, or negatively affects the safety and experience of other students.
Membership cancellation, refund, and payment policies are handled according to the academy’s membership agreement and billing policies.
13. Parent/Guardian Agreement
By signing below, I confirm that I have read, understood, and agree to the terms of this waiver and agreement.
I understand the risks involved, the behavior expectations, the media release section, the hygiene policy, the use of martial arts policy, and the responsibility for personal belongings.
Parent/Guardian Name:
Parent/Guardian Signature:
Date: {sign_date}
Student Name: {name}