I Hereby WAIVE and RELEASE Lander Hendrix, LLC and all associated companies, entities, owners, personnel or employees from liability pertaining to the matters set forth below. I understand that by signing this waiver and release, I expressly and willingly agree to assume complete responsibility for any risk of injury that may arise from the below related activities. On behalf of myself, my assigns and next of kin, I waive all claims for damages, injuries and death sustained to me or my property that I may have against the above named Released Parties relating to such activities. I understand that the activities that I will participate in are inherently dangerous and may cause serious injuries, including bodily injury and/or death. By this waiver, I assume any risk and take full responsibility and waive any and all claims of personal injury, including severe bodily injury, damage to personal property and death relating to all activities associated with Lander Hendrix, LLC. Including but not limited to receiving lessons at the facility, using the facility and its equipment, practicing and engaging in martial arts activities, including Brazilian Jiu-Jitsu, Kickboxing, boxing, wrestling, yoga, pilates, submission wrestling and weapons training, and related activities on and off school premises, such as competitions, tournaments and seminars. If I am injured from said activities, I will not hold Released Parties responsible even if the injuries were caused by negligence on my part or the Released Party, or any other party affiliated with the above named Released Parties.

I do not have any physical limitations, physical ailments, physical or mental disabilities that would limit me from safely participating in the above-mentioned activities. I understand I have been urged to obtain a medial and physical examination from a doctor prior to participating in above mentioned activities. I HAVE READ AND FULLY AGREE TO THE TERMS OF THIS WAIVER AND RELEASE. I UNDERSTAND AND CONFIRM THAT BY SIGNING THIS WAIVER FREELY AND VOLUNTARILY, AND UNDER NO DURESS, OR THREAT OF DURESS WITHOUT INDUCEMENT, PROMISE OR GUARANTEE BEING COMMUNICATED TO ME. MY SIGNATURE IS PROOF OF MY INTENTION TO EXECUTE A COMPLETE AND UNCONDITIONAL WAIVER AND RELEASE OF ALL LIABILITY TO THE FULLEST EXTENT OF THE LAW. I am 18 years of age or older and mentally competent to enter grant this waiver.

The student agrees to respect the confidentiality of Lander Hendrix, LLC. The Student agrees not to set up a business as a direct competitor of Lander Hendrix, LLC within a radius of 10 miles of the school for a period of 2 years following the expiration or termination of this agreement. By signing below, you are honoring a non-compete agreement in the field of self-defense or Martial Arts.

I grant permission to Lander Hendrix, LLC and its agents, employs or assigns the irrevocable right to use the photographs taken of me for use in any publication such as advertising, direct mail, brochures, newsletters and magazines, and to use the photographs on display board, and to use such photographs in electronic versaions of the same publications or on web sites or other electronic form or media. I also grant permission to Lander Hendrix, LLC its agents, employees or assigns to offer any photographs for use or distribution in other publications, electronic or otherwise, without notifying me. I hereby waive any right to inspects or approve the finished photographs or printed or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to unknown, or me and I WAIVE ANY RIGHT TO ROYALTIES OR OTHER COMPENSATION ARISING FROM OR RELATED TO THE USE OF THE PHOTOGRAPHS.

Responsible Party *
Responsible Party
(Parent or Guardian if student is under 18 years of age)