Name: {name}
Date of Birth: {dob}
Phone: {phone}
Address: {address}
GENERAL RELEASE:
I hereby acknowledge and understand that MIXED MARTIAL ARTS (MMA) is
a physical activity and learning self-defense skills involve some physical contact. Torch MMA & Fitness LLC
and/or its staff and students are not to be held liable or responsible for any risks and/or injuries as a result of training in BOXING, JIU-JITSU, MUAY THAI, KICKBOXING, MMA, YOGA, AND/OR FITNESS CONDITIONING.
If below the age of 18 years old, have parent/guardian sign waiver for a minor.