1Participant
Full name
Date of birth
Nationality
Passport or ID number
Phone
Email
Emergency contact: name, relationship, phone
2Health
I confirm that I am in good health and physically fit to take part in intensive training. I have told CHIDAOBA about any medical condition, injury, allergy or medication that could affect my training or my safety, listed below.
Medical conditions and past injuries
Allergies
Medication I take
Dietary needs
3Risks of training
Brazilian jiu-jitsu, grappling, wrestling and judo are full-contact sports. Training includes throws, takedowns, joint locks and chokes. Injuries can happen even when everyone follows the rules: bruises, sprains, dislocations, fractures, concussion, skin infections and, in rare cases, serious or permanent injury.
The camp takes place in the mountains, far from large hospitals. Activities outside training, such as hiking, travel and sightseeing, carry their own risks, including weather and road conditions.
4My responsibility
- I take part of my own free will and I accept the risks described above.
- I will follow the instructions of the coaches and staff, train at a level that is safe for me and my partners, and tap or stop when needed.
- I will stop training and tell a coach if I feel unwell or am injured.
- I will not train under the influence of alcohol or drugs.
- I will keep good hygiene: clean training clothes, short nails, and no training with skin infections or open wounds.
- I am responsible for my own travel and medical insurance. CHIDAOBA strongly recommends insurance that covers sports injuries.
- CHIDAOBA is not responsible for loss of or damage to my personal belongings.
5Release of liability
To the extent permitted by the law of Georgia, I release CHIDAOBA, its organisers, coaches, staff and partner venues from any claim for injury, illness, loss or damage arising from my participation in the camp, its training and its activities. This release does not cover harm caused intentionally or through gross negligence.
6Medical treatment
If I am injured or fall ill, I allow CHIDAOBA staff to give first aid, call emergency services and arrange transport to a doctor or hospital. Any medical costs are my responsibility or that of my insurance.
7Photos and video
Photos and video are taken during the camp for the CHIDAOBA website and social media.
I agree to appear in themI do not agree
8Declaration
I am 18 or older. I have read and understood this waiver, I have had the chance to ask questions, and I sign it voluntarily.
Signature
Full name
Passport or ID number
Date
Place
1Child
Full name
Date of birth
Age
Nationality
Passport or ID number
2Parent or guardian
Full name
Relationship to the child
Passport or ID number
Date of birth
Phone
Email
Address
3Emergency contacts
People we can call if we cannot reach you.
Contact 1: name, relationship, phone
Contact 2: name, relationship, phone
4Health
I confirm that my child is in good health and fit to take part in intensive training. I have listed below everything the coaches need to know.
Medical conditions and past injuries
Allergies
Medication: name, dose and times
Dietary needs
Anything else we should know
5Permission to take part
I give permission for my child to take part in the training camp named above, including training in Brazilian jiu-jitsu, grappling, wrestling or judo, and the activities that are part of the camp programme.
Brazilian jiu-jitsu, grappling, wrestling and judo are full-contact sports. Training includes throws, takedowns, joint locks and chokes. Injuries can happen even when everyone follows the rules: bruises, sprains, dislocations, fractures, concussion, skin infections and, in rare cases, serious or permanent injury.
The camp takes place in the mountains, far from large hospitals. Activities outside training, such as hiking, travel and sightseeing, carry their own risks, including weather and road conditions.
6Permission to travel and stay with CHIDAOBA
I give permission for my child to travel to and from the camp and to stay at the camp venue under the supervision of CHIDAOBA coaches and staff, on the dates written above. This includes:
- Transport arranged by CHIDAOBA from the meeting point to the camp and back.
- Shared accommodation with participants of the same sex and a similar age.
- Supervised activities outside training, such as meals, hikes and sightseeing.
- My child may not leave the camp venue without a member of staff.
At the end of the camp my child may be collected only by me or by the people named here:
Name, relationship, phone
Name, relationship, phone
7Rules and behaviour
I have explained the camp rules to my child: follow the coaches' instructions, respect training partners and staff, no alcohol, tobacco or drugs, and keep to the agreed times for sleep and phones. If my child seriously or repeatedly breaks these rules, CHIDAOBA may contact me to arrange an early return, at my cost.
8Medical treatment
If my child is injured or falls ill, I allow CHIDAOBA staff to give first aid, call emergency services and take my child to a doctor or hospital. If I cannot be reached in time, I allow the doctors to give the treatment they consider urgent and necessary. CHIDAOBA will contact me as soon as possible. Medical costs are my responsibility or that of my child's insurance.
9Release of liability
To the extent permitted by the law of Georgia, I release CHIDAOBA, its organisers, coaches, staff and partner venues from any claim for injury, illness, loss or damage arising from my child's participation in the camp, its training and its activities. This release does not cover harm caused intentionally or through gross negligence.
10Photos and video
Photos and video are taken during the camp for the CHIDAOBA website and social media.
I agree that my child may appear in themI do not agree
11Travelling from abroad
If your child travels to Georgia without one or both parents, border officers may ask for a notarised letter of consent from the parent or parents who are not travelling. Please check the rules of your country and of Georgia before you book flights.
12Declaration
I am the parent or legal guardian of the child named above. I have read and understood this form and I sign it voluntarily.
Signature of parent or guardian
Full name
Passport or ID number
Date
Place
Second parent or guardian, if required:
Signature
Full name
Passport or ID number
Date
