I, ATHLETE-NAME hereby submit my application for participation in "ADCC-Moldova International Champioship 2019" , held Chisinau, Republic of Moldova str.Andrei Doga 22, Sport HALL -U.S.E.F.S, on Sunday 10th February.

I hereby assume full responsibility and liability for all damages, injuries and losses that I may sustain or incur while participating in or watching the tournament.

I realize that serious injury is commonplace in martial arts tournaments such as the one I am hereby entering; and that even death is a very real possibility.

I also realize that if I am injured, I might be disfigured, disabled and/or rendered unable to work again.

I realize that regardless of how this consequences might occur - whether it be the result of an opponent's actions, the action or inaction of a referee, the condition of the mats used, the conduct of a non-participant or some other reason - By entering into this agreement I accept the risk of entering and being present at the tournament and give up and waive all claims I or anyone acting on my behalf or through me might have against ADCC-Moldavian Federation, operators, sponsors, officials, participants, non-participants, Sport HALL -U.S.E.F.S and their employees and representatives for any injury regardless of its nature, effect or affect on me as a result of my participation and/or presence at the tournament.

I authorize, and agree to hold harmless, whatever medical personnel that may be present at the tournament to take any action necessary, should I become injured.

I further understand that news media and others might cover the tournament and that it may also be videotaped or otherwise shown to audiences around the world.

I hereby consent to having my likeness shown, publicized, commented and/or reported on; and I do not expect to, and in fact waive any compensation I might otherwise be entitled to as a result thereof.

I represent that I am in good health; that I am not presently, nor will I participate while under the influence of any drug or medication; that no one affiliated with this tournament has encouraged me to enter or made any represations regarding my fitness or ability to participate; that I have read and understood every provision of this release; and that I am legally competent to and freely enter into this waiver, release and assumption of risk agreement.

(c) ADCC MOLDOVA - All Rights Reserved.