Waiver of Liability, Indemnity Agreement & Assumption of Risk

In consideration of my voluntary participation, today and on all future dates in the Many Roads Martial Arts program (Program) using facilities provided by Many Roads Martial Arts LLC, I (Participant), on behalf of myself, my heirs, personal representatives, or assigns, do hereby fully release, waive, discharge, hold harmless, covenant not to sue, defend and indemnify Many Roads Martial Arts LLC, its directors, officers, employees and independent contractors, and the instructor(s) (collectively “Parties”) from any and all responsibility and liability from any and all claims arising from the ordinary negligence of the aforementioned Parties while participating in the Program.

Indemnification and Hold Harmless: I also agree to hold harmless and indemnify the Parties from all claims resulting from ordinary negligence and to reimburse them for any expenses incurred as a result of my involvement with the Program. I further agree to pay all costs and attorneys’ fees incurred by the Parties in investigating and defending a claim or suit if my claim is withdrawn, or to the extent a court or arbitrator determines that the Parties are not responsible for the injury or loss. I take full responsibility for my personal insurance and I will not make any claims whatsoever as a result of any injury I may sustain as a result of my participation in the Program.

Assumption of Risks: Physical activity, by its very nature, carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. Some of these involve strenuous exertions of strength using various muscle groups, some involve quick movements involving speed and change of direction, and others involve sustained physical activity which places stress on the cardiovascular system. The specific risks vary from one activity to another, but in each activity the risks range from minor injuries such as scratches, scrapes, bruises and sprains to major injuries such as loss of sight, joint or back injuries, skeletal breaks, tissue tears, concussions, and heart attacks to catastrophic injuries including paralysis and death. I also understand that participation in the Program poses a possible inherent risk of injury (minimal or severe) while participating and that I should consult a qualified medical professional if I have any health concerns before participating in the Program.

Severability, Venue & Jurisdiction: I understand that the waiver, indemnification agreement, and assumption of risk is intended to be as broad and inclusive as permitted under the law of the State of Oregon, and that if any portion is held invalid, I agree the remainder shall continue in full legal force and effect. Likewise, I agree that if legal action is brought, it must be brought in Multnomah County, Oregon.

Acknowledgment of Understanding: I have read this waiver of liability, indemnification agreement, and assumption of risk and fully understand its terms. I understand the demands of the Program relative to my physical condition and skill level, and I appreciate the types of injuries which may occur as a result of activities made possible by the Parties. I hereby assert that my participation is voluntary and that I knowingly assume all such risks. I acknowledge that I am signing the agreement freely and voluntarily and intend my signature to signify a complete and unconditional release of all liability for ordinary negligence and assumption of the inherent risks of participating in or observing the Program to the greatest extent allowed by law in the State of Oregon. This is the complete understanding, and no other understandings or agreements were made, either oral or written.


This is a legal instrument. If you have any questions you should consult an attorney before signing.

Participant *
Is the Participant under 18? *
Parent/Guardian Name
Parent/Guardian Name
In the case of a Participant under 18 years of age the parent or legal guardian of the Participant named above is required. Submission of this form agrees to the above terms and conditions.
Emergency Contact *
Emergency Contact
Emergency Contact Number *
Emergency Contact Number