Self-Defense Class Waiver and Release of Liability

Host: Maximus Security Instructor: Mark Strickland

Location: The Sassy Collection Creative Center                                                                                4291 North Expressway, Hampton GA, 30228

                 

  • Date: ______________________
    Participant Name: __________________________
    Address: _________________________________
    City, State, ZIP: ___________________________
    Phone Number: ____________________________
    Email Address: ____________________________

  • Acknowledgment and Assumption of Risk

  • By signing this waiver, I acknowledge and understand that participating in a self-defense class involves physical activity and potential risk of injury. I voluntarily choose to participate in this class and assume all risks associated with such activity, including but not limited to falls, physical contact, or accidents.

  • Release of Liability

  • I hereby release, discharge, and hold harmless Maximus Security, The Sassy Collection Creative Center, their instructors, staff, volunteers, and affiliates from any and all claims, liabilities, or causes of action arising out of or related to my participation in the self-defense class, including any injury or damages sustained.

  • Medical Fitness

  • I certify that I am in good physical health and capable of participating in physical activity. I have consulted with a healthcare provider if I have any concerns about my ability to participate in this class.

  • Emergency Contact

  • Name: __________________________
    Phone Number: _________________________

  • Media Release

  • I grant permission to Maximus Security and The Sassy Collection Creative Center to use photographs or videos taken during the class for promotional purposes, including social media and other marketing materials.

  • Participant’s Signature

  • Signature: _____________________________
    Date: _________________________________

  • For Participants Under 18 Years of Age

  • As the parent or legal guardian of the above participant, I consent to their participation in the self-defense class and agree to the terms of this waiver.

  • Parent/Guardian Name: __________________________
    Parent/Guardian Signature: _______________________
    Date: _________________________________________