Minor Participant Consent Form

  (Gym / Studio Name)

Facility Address:  

Phone:     Email:  

1. Minor Information

Minor's Full Name:  

Date of Birth:     Age:  

Program / Class:   (e.g., Kids BJJ, Youth Fitness)

2. Parent / Legal Guardian Information

Name:  

Relationship to Minor:  

Address:  

Phone:     Email:  

3. Consent to Participate

I, the undersigned parent or legal guardian, hereby give consent for the above-named minor to participate in classes, training, and activities at the above-named facility. I understand that martial arts, fitness training, and related activities involve inherent risks of physical injury, including but not limited to: bruises, sprains, fractures, concussions, and other injuries.

4. Assumption of Risk

I acknowledge that I have been informed of and understand the risks involved in my child's participation. I voluntarily assume all risks on behalf of the minor, including risks arising from the negligence of the facility, its employees, or instructors.

5. Waiver and Release

I, on behalf of myself and the minor, release, discharge, and hold harmless the facility, its owners, officers, employees, agents, and instructors from any and all liability, claims, or demands arising from the minor's participation.

6. Medical Authorization

In the event of an emergency, I authorize the facility staff to seek and obtain emergency medical treatment for the minor. I understand that I will be responsible for all medical expenses incurred.

Known medical conditions or allergies:  

Medications currently taken:  

7. Emergency Contact (if parent/guardian unavailable)

Name:     Phone:  

Relationship:  

8. Photo / Video Consent

I   (do / do not) consent to the facility photographing or recording the minor during classes and events for use in marketing and promotional materials.

9. Acknowledgment

I have read this consent form in its entirety, understand its terms, and sign it voluntarily on behalf of the above-named minor.