Book Private Lessons - Lex DeVille

Tell me about the training you want

Who is the student? *

MyselfI am booking and participating. My childI am the parent or legal guardian.

How much BJJ experience does the student have? * Current belt or experience level

What kind of training are you looking for? *

Basic Self-Defense Improved Technique Competition Prep

Specific goals, positions, or problems to work on

Student and contact information

Student first name * Student last name * Student date of birth * Gender * Booking contact email * Booking contact phone *

Injuries, physical limitations, or accessibility considerations

Emergency contact

Emergency contact name * Emergency contact phone *

Waiver and release

PLEASE HAVE THIS LANGUAGE REVIEWED BY A QUALIFIED ATTORNEY BEFORE USING IT AS YOUR FINAL WAIVER.

I understand that Brazilian Jiu-Jitsu, grappling, wrestling, martial arts training, physical conditioning, drilling, sparring, and related activities involve strenuous physical contact and inherent risks. These risks may include, without limitation, falls, collisions, joint injuries, sprains, strains, fractures, dislocations, concussions, illness, permanent disability, paralysis, or death.

I voluntarily choose to participate. To the fullest extent permitted by applicable law, I knowingly and voluntarily assume the risks associated with participation, including risks arising from the actions, inactions, negligence, or condition of other participants, instructors, equipment, or premises, except for conduct that cannot lawfully be released or waived.

To the fullest extent permitted by applicable law, I release and hold harmless Lex DeVille Private Jiu-Jitsu Lessons, its instructor(s), employees, contractors, agents, volunteers, and the owners or occupiers of any premises used for instruction from claims arising out of my participation, except for claims that cannot lawfully be released or waived.

I represent that I am physically able to participate, or that I have chosen to participate after obtaining any medical advice I consider necessary. I agree to stop participating and inform the instructor if I believe I cannot safely continue. In an emergency, I authorize reasonable efforts to obtain medical assistance when I am unable to make that decision myself.

I agree to follow safety instructions and understand that I may be removed from participation for unsafe conduct. I understand that this agreement is intended to be as broad as applicable law permits. If any provision is found unenforceable, the remaining provisions are intended to remain in effect.

I consent to the use of an electronic signature and agree that my electronic signature is intended to authenticate this waiver and reflect my agreement to its terms.

I have read this entire waiver, understand it, and voluntarily agree to its terms. I intend my electronic signature to be legally binding to the extent permitted by law.

Optional photo and video permission

I give permission for photographs or video from private lessons to be used for instructional or promotional purposes. I understand this permission is optional and is not required to participate.

Electronic signature

Draw the participant’s signature below using a finger, mouse, or stylus.

Choose an available lesson time

Select a date

Available times will appear here.

After submitting, the instructor will receive your booking details.

Book a Private BJJ Lesson