RELEASE FROM LIABILITY WAIVER
DATE: Month: ________________________________ Date: ____________ Year: 20_______
PROMOTERS NAME: ______________________________ ___________________________
NAME OF VENUE: ____________________________________________________________
EVENT LOCATION: ___________________________________________________________
This Release of Liability is a Legal Contract binding the below signed, Combat Sports Commission, the Promoter named above,
and any and all of these companies, organizations, associates, officials, employees, and staff related to the event named above.
You hereby consent and agree to completely accept any and all risks of injury or death, and verify and confirm all of the below
statements by placing your initials at each item as well as signing your full name below.
________ - Voluntary Application. I, the undersigned, acknowledge and state that I have ACCEPTED to compete in the EVENT
NAMED ABOVE on the DATE NAMED ABOVE.
________ - Assumption of risk. I am aware and understand that in general, full contact fighting is a dangerous and hazardous
activity, and in particular, the techniques and methods of this convention, all in which as a competitor in this competition, I shall be
participating, is an extremely dangerous and hazardous event. I am voluntarily and of my own free will submitting an application to
compete in this event with full knowledge and understanding of the hazards involved.
________ - Release. In consideration for (a) being accepted as a competitor of the EVENT NAMED ABOVE on the DATE NAMED
ABOVE, (b) being entitled to participate in activities Sanctioned by the Combat Sports Commission, under the authority of the
Missouri Office of Athletics, and Promoted by the PROMOTER named above and (c) being permitted to use facilities and equipment,
whether owned or leased by Combat Sports Commission and or the PROMOTER named above and all associates, officials,
employees, staff and fellow participants and trainers/coaches. I hereby agree that I, my heirs, guardians, successors in interest and
legal representatives (collectively referred to as "Releasor") will not make a claim or file an action or suit against, sue, or attach the
property of (a) the EVENT NAMED ABOVE on the DATE NAMED ABOVE which would include Combat Sports Commission and
the PROMOTER named above or any and all of their officials, affiliated organizations, and/or their directors, officers, employees,
agents or managers, fellow participants, trainers, and (b) any or all manufacturers, distributors, wholesalers, suppliers and/or retailers
of the facilities and equipment I will use in connection with any and all activities Sanctioned by Combat Sports Commission and or
Promoted by the PROMOTER named above and any and all of these companies, federations or organizations associates, officials,
employees and staff (collectively referred to as the "suppliers"), Combat Sports Commission, and the PROMOTER named above and
any and all of these companies, federations or organizations associates, officials, employees and staff, and the Suppliers shall
collectively be referred to as "Releasees), for damages, injury, emotional distress claims, bodily injury claims, and punitive damages,
whether known or unknown, foreseen or not, due to or resulting from the acts, conduct, negligence, or misfeasance of, or
omissions or failures to act by, the Releasees, or any of them.
________ - Application of State Law. In further consideration of (a) being accepted as a competitor in the EVENT NAMED
ABOVE on the DATE NAMED ABOVE., (b) being entitled to participate in activities conducted and Sanctioned by Combat Sports
Commission and or Promoted by the PROMOTER named above and any and all of these companies, federations or organizations
associates, officials, employees and staff, and (c) being permitted to use facilities and equipment, whether owned or leased by
Combat Sports Commission and the PROMOTER named above and any and all of these companies, federations or organizations
associates, officials, employees and staff, I hereby agree that this Release from Liability shall be interpreted under and construed in
accordance with the laws of only the State or Province of Country named above, without the benefit of and fully disregarding all
conflicts of the laws provisions of the State or Province of Country named above, so that any and all disputes, contentions,
disagreements or controversies arising from or related to (a) this Release from Liability, (b) the application for acceptance into the
Challenge, or (c) my participation in any and all activities sanctioned by Combat Sports Commission and Promoted by the
PROMOTER named above and any and all of these companies, federations or organizations associates, officials, employees and
staff, shall be interpreted under and in accordance with only the laws of the State or Province of Country named above regardless of
my domicile or residency; and that the only court in which an action or suit may be brought in connection with the foregoing shall be
the court of original jurisdiction of the State or Province of Country named above. Further, I waive any right I may have to assert the
doctrine of forum non convenience or similar doctrine or to object to venue with respect to any proceeding brought in accordance
with this Release, and I stipulate that the courts of the State or Province of Country named above shall have in person jurisdiction
and venue over me for the purpose of litigation any dispute, controversy, or proceeding arising out of or related to this Release,
Combat Sports Commission and the PROMOTER named above and any and all of these companies, federations or organizations
associates, officials, employees and staff.
________ - Health Advisory and Condition. I hereby acknowledge and understand that participating in this event involves
extremely strenuous physical activity and heavy physical contact, and that I have been advised to consult a physician before
commencing and undertaking such activity. I hereby represent that, to the best of my knowledge, I am in good physical health and
condition, sufficient to undertake this dangerous and hazardous competition.
________ - Knowing and Voluntary Execution. I hereby declare that I have read this Release from Liability, and that I fully
understand the meaning and importance of its contents. I acknowledge that this Release is a binding contract among Combat Sports
Commission and the PROMOTER named above and any and all of these companies, federations or organizations associates, officials,
employees and staff and myself, and that under this contract I am releasing Combat Sports Commission and the PROMOTER
named above and any and all of these companies, federations or organizations associates, officials, employees and staff from all
liability for claims I may have against them.
________ - I further declare and represent that I am at least 18 years of age, that I have full legal capacity to be bound by this
contract, and that I am signing this contract of my own free will and accord.
Executed in the City & State as listed above on the ______ day of the month of _________________ , in the year 20____.
Applicant/ Releaser:
Signature: _______________________________
Print Name: ______________________________
