You are participating at your own Risk: (For your Safety and Ours [Standard Sports/Fitness Form])  

I understand and agree: that I am participating in a sport/fitness/nutritional activity, and this does not replace any medical treatment under any circumstances.    

I agree and understand that I and/or Participant is fully responsible for myself/ourselves and my/our/own actions.  I agree and understand that I will have fun in class!   

I agree and understand: that I will bring my best winning attitude to class. I agree and understand that a clean uniform and or fitness clothes are required in class. No Street shoes on the floor! I understand and agree: to show respect to others and/or my parent(s) and/ or guardian(s), Instructor and fellow Students…    

I agree and understand: that I and/or participant will be participating in a physical contact sport. I agree and understand that I and/or Participant is/are participating in Pure Defense/Mix Martial Art(s)/Fitness/Self Defense/Karate/anything taught by Rebecca Peacock participate and/or observing  I am doing so at my own risk.    

I agree and understand: that I will uphold a responsibility of politeness and a good attitude in class and/or at/on all facilities/locations/inbound and/or out bound.    

I agree and understand: this statement is a part of any sports activity: For the protection of the instructor and/or class participants/Location, Pure Defense/Mix Martial Art(s)/Fitness/Self Defense/Karate/anything taught by Rebecca Peacock: Rebecca Peacock is not held responsible for anything that may occur, you are participating and/or observing at your own risk, Rebecca Peacock and/or class participate, guest and/or observer: is not held liable or responsible for the following: such as/including: minor or major injury(s): physical, emotional, mental, stress, and/or anything that may occur including death, other students: behavior and/or physical contact, loss/stolen/left/damage of any personal items and/or property.    

I agree and understand: that I am in a controlled environment that will be told, and taught things under the instructions of Sensei and Master Trainer Rebecca Peacock. I agree and understand that I will control my actions, words and my body, and will not cause harm on others (understanding that breaking these rules will be cause for immediate dismissal of class)    

(I agree and understand that if I have an issue or problem with someone and/or class instruction, I and/or parent and/or guardian, will take it up with the instructor in private, upon instructors consent)    

I agree and understand: that if I have medical condition(s) and or not, I will inform/tell the instructor about them, and I agree and understand that I am aware that I should consult a doctor(s)/physician(s), before beginning any physical activity and/or fitness and/or nutritional program.  

 

I agree and understand that I will respected and obey house and/or ground rules, for This location physical/online,  And Dennis and Debbie Peacock: no roaming/wondering, steeling, breaking, breaking into, going into rooms uninvited, I understand that I may wait in my Vehicle and/or designated waiting area. Unless invited by the owners of the location otherwise implies.    

I understand that if I break and/or violate any house rule, I understand that I can and/or will be dismissed from the location agreed.  I agree and understand that I will treat this Location, with respect and honor and I understand, I cannot sue and or incriminate the owners (Dennis/Debbie Peacock/participants/teacher (Rebecca Peacock/instructor/location . I understand and agree that while I am at this location  I am responsible for myself/item(s)/vehicle(s)/participant(s). If any harm may come to these listed, I understand that the owners/participants/teacher/instructor/location are not held responsible and/or liable for anything that may occur (Including) physical, mentally, emotional, distress that may occur, even including death (even in a court of law). 


Sensei Master Instructor Rebecca Peacock                          

Thank you, it’s a pleasure working with you!  

PureDefenseMMA 

We can’t have class without you!  

 

God Bless I will see you in Class!