Sign before you
walk in.

I acknowledge that I am voluntarily participating in classes, events, sparring, conditioning, and other activities offered by Upper Cumberland MMA (operating at 125 East Spring St., Cookeville, TN 38501), including classes hosted by its 10th Planet Cookeville program (collectively, the 'Gym'). I am doing so of my own free will and for my personal benefit.

I understand that mixed martial arts, jiu-jitsu, kickboxing, boxing, wrestling, grappling, strength and conditioning, sparring, and related activities are inherently dangerous contact sports that carry a significant risk of serious injury, permanent disability, or death. Specific risks include, without limitation: strikes to any part of the body, joint locks, chokes, throws, takedowns, falls, sprains, fractures, dislocations, concussions, spinal injury, dental injury, contagious or infectious skin conditions, cardiovascular events, and injuries caused by equipment, mats, training partners, instructors, or other participants. I VOLUNTARILY AND KNOWINGLY ASSUME ALL SUCH RISKS, including risks not specifically enumerated here.

I represent that I am in good physical and mental health and have no medical condition, injury, disease, or impairment that would be aggravated by participation. I have been advised to consult a physician before beginning any training program and have had the opportunity to do so. I will not participate while under the influence of alcohol, illegal drugs, or prescription medications that impair judgment or coordination. I will immediately disclose to my coach any injury, symptom, or condition that arises.

In consideration for being permitted to participate, I, on behalf of myself, my heirs, personal representatives, and assigns, hereby FULLY AND FOREVER RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE Upper Cumberland MMA, 10th Planet Cookeville, and their owners, managers, instructors, employees, agents, volunteers, landlords, successors, and assigns (collectively, the 'Released Parties') from any and all claims, liabilities, actions, causes of action, damages, and expenses (including attorneys' fees) of any kind arising out of or related to my participation, including claims based on the ordinary negligence of any Released Party. This release does not waive claims for gross negligence or willful misconduct where prohibited by law.

I agree to defend, indemnify, and hold harmless the Released Parties from any third-party claim, loss, damage, or expense (including reasonable attorneys' fees) arising out of my participation or conduct at the Gym.

In the event of injury or emergency, I authorize Gym staff to seek and render reasonable first aid, call emergency responders, and consent on my behalf to transport to a medical facility. I acknowledge that I am financially responsible for all resulting medical costs. I agree to provide any necessary health-insurance or emergency-contact information on request.

I agree to follow all Gym rules, instructor directions, and safety protocols; to treat every instructor, student, and guest with respect; and to refrain from aggressive, bullying, discriminatory, or otherwise disruptive behavior. I understand the Gym may suspend or terminate my participation at any time, without refund, if I violate these standards.

The Gym is not responsible for lost, stolen, or damaged personal property. I will not leave valuables unattended and will use locker or storage areas at my own risk.

I grant the Gym a non-exclusive, royalty-free, perpetual right to photograph, record, and use my likeness and voice (and, if I am signing for a minor, my child's likeness and voice) in promotional, instructional, and social-media materials. I waive any right to inspect or approve such uses and release the Gym from any claim arising from them.

If the participant is under 18, the signature below must be provided by the participant's parent or legal guardian, who represents that they have the legal authority to sign on behalf of the minor and, on behalf of the minor and themselves, agrees to every provision of this agreement and assumes the same risks.

I consent to receive communications from the Gym (email, text, or phone) regarding my participation, schedule changes, and promotions. I can opt out of marketing messages at any time by replying STOP to texts or using the unsubscribe link in emails.

This agreement is governed by the laws of the State of Tennessee, without regard to conflict-of-law principles. Any dispute will be resolved exclusively in the state or federal courts located in Putnam County, Tennessee. If any provision is held unenforceable, the remainder of this agreement remains in full force and effect. This agreement constitutes the entire understanding between the parties concerning its subject matter.

I understand and agree that typing my full legal name (and, for minors, the parent or guardian's name) in the signature field, together with submitting this form, constitutes a legally binding electronic signature under the federal Electronic Signatures in Global and National Commerce Act (ESIGN) and the Tennessee Uniform Electronic Transactions Act, and has the same legal effect as a handwritten signature.