USD Instructor Liability

When instructing USD, sometimes (depending upon the audience) it is prudent to use a Personal Injury Waiver.  This will protect you, as the USD instructor, from financial liability should one of your students be injured.  Of course, military members instructing other military members with the appropriate risk assessments, permission, etc. may not need this legal protection but some civilian instructors or military instructors teaching civilians might need protection.  Below is an example Personal Injury Waiver.  If you want a printable copy of the waiver, click here.  (Click BACK on your browser to return.)

Please consult with your own lawyer for a personalized Personal Injury Waiver.  The MPUCA provides this waiver as a USD resource and waives all liability resulting from its use.

 

 

 

 

Personal Injury Waiver:

 

I hereby affirm that I am in good physical condition and do not suffer from any disability that would prevent or limit my participation in any defense classes taken with  _______________  and the Military Police.

 

I hereby release the U.S. Army Military Police, Provost Marshals Office and any fellow participants from any claims, demands, and causes of action arising from my participation during any class instructed by  _____________________.

 

I fully understand that I may injure myself and I hereby release the U.S. Army Military Police, Provost Marshals office and any fellow participants from any liability now or in the future, including, but not limited to pulls or tears (muscles, ligaments or tendons), muscle strains, broken bones, joint dislocations, hyper extensions of bones and joints, ankle, knee, hip, lower back, shoulder, elbow, wrist, finger or toe injuries, heart attacks, strokes, loss of vision, concussion, dental trauma, death, or any other injury or illness however caused, occurring during or after my participation in any Combatives Tactics training conducted by _____________.

 

Before starting this or any other exercise program, always consult your doctor.

 

All students are required to undergo a thorough medical examination prior to engaging in any form of physical contact training .

 

I hereby affirm that I have read fully, understand and agree with the above statements.

 

Signature:  

 

Date:

 

Printed Name:

 

Age:

 

Unit or Address:

 

Phone (Work):

 

Phone (Home):

 

How did you hear about this Military Combatives Class?

 

Please list previous Martial Arts experience.