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    Duration 1 day
    Access 1 sessions
    Cost FREE
    Programs All Programs

Membership Documents

Waiver / liability release

NEVERQUIT 60 KICKBOXING

​ Legacy Partner Student Application

Mission Statement:  NEVERQUIT 60 is a specialized training environment dedicated to longevity, neurological health (Parkinson’s support), and the mastery of martial arts for those aged 60 and over. We occasionally accept "Legacy Partners" (under age 60) who demonstrate exceptional martial etiquette and a commitment to supporting our senior community.

​1. Candidate Information

·  ​Name: __________________________________________________

·  ​Age: ________  (Note: Primary enrollment is reserved for ages 60+)

·  ​Martial Arts Experience: _________________________________

·  ​Connection to Program: 

            [ ] I am a family member/caretaker of a current 60+ member.

            [ ] I am seeking "Sustainable Martial Arts" for my own longevity.

            [ ] I wish to serve as a training catalyst/pad-holder for the senior group.

​2. The "Ego Check"

​Our environment is dictated by precision, safety, and mutual respect—not raw speed or ego. Please initial the following:

·  ​Control: I agree to always match the intensity and speed of my training partner, prioritizing their safety over my own workout. [ ____ ]

·  ​Service: I understand that as a Legacy Partner, my role is often to "feed" targets and provide steady support for senior members. [ ____ ]

·  ​Etiquette: I will maintain a orderly, focused, and encouraging demeanor that respects the "Mastery at 60+" atmosphere. [ ____ ]

​3. Statement of Intent

​In 2–3 sentences, why do you want to train in an environment where the average age is 20 years your senior? _________________________________________

________________________________________________________________

​4. Sponsorship (If applicable)

​If you are being sponsored by a current NEVERQUIT 60 member, please provide their name:

·  Sponsoring Member:  ______________________________________

​Master Instructor Review:

At 69 years old and with 48 years of experience, Master Instructor (Roger B. Hamilton Sensei) will personally vet every candidate to ensure our 2026 "One-Shot Experiment" remains a sanctuary for our seniors. You are appreciated for your enthusiasm, encouragement and support.

​[ ] Approved   [ ] Probationary (4-Week Trial)   [ ] Waitlisted (For New Class)

​Signature of Applicant: ___________________________ Date: __________

NEVERQUIT BRAND, LLC

419 Water Street * Oakland, CA 94607 * (510) 421-3328

________________________________________________________

Done Clear Sign Below:

Physician Medical Release Form                             Jack London Square  

TO BE COMPLETED BY YOUR PRIMARY CARE PROVIDER 

Date: _____/_____/______ 

Doctor’s Name:__________________________________________ 

Your patient, ______________________________, DOB ______/______/_______wishes to participate in the PARKINSON’S EXERCISE PROGRAM at the NEVERQUIT 60 Kickboxing Studio. This program consists of various movement exercise classes designed for people diagnosed with Parkinson’s Disease. These activities will involve cardiovascular training (paced walking, aerobic exercise movements, punching heavy bags and mitts, and jumping rope), focus and awareness drills, flexibility instruction (stretching, getting up and down from the floor), resistance training and core strengthening techniques. Participants can attend daily open mat and up to six classes per week that are anywhere from sixty to ninety minutes in duration.  

PHYSICIAN’S RECOMMENDATION          

         I am not aware of any restrictions to participate in this exercise program.             

         I believe the patient can participate but would urge caution (please explain): ______________ ______________________________________________________________________________________________________________________________________________________________             

         Patient should not engage in the following activities: ________________________________

______________________________________________________________________________________________________________________________________________________________

If your patient is taking medications that will affect their heart rate response to exercise, please indicate the manner of the effect (raises, lowers or has no effect on heart rate response during exercise:  

Type of medication ______________________________  Effect ____________________________

Type of medication ______________________________  Effect ____________________________

Type of medication ______________________________  Effect ___________________________  

PHYSICIAN COMPLETES  

____________________________ (patient’s name) has my approval to begin the Parkinson’s Exercise Program at NEVERQUIT 60 Kickboxing with the recommendations or restrictions stated above.  

Printed name ___________________________________   Phone_________________________________________

Signature ______________________________________

 

RETURN TO

419 Water Street, Oakland, CA, 94607

info@neverquitbrand.com (510) 421-3328 - (510) 459-4971

Done Clear Sign Below:

NEVERQUIT 60 KICKBOXING

LIABILITY WAIVER & RELEASE

1. Acknowledgment of Program Nature

I, _________________________________ (Participant), understand that NEVERQUIT 60 Kickboxing is a high-intensity, non-contact fitness and neuro-physical training program that may include boxing-based drills, heavy bag or mitt work, aerobic exercise movements, paced walking, balance and gait exercises, stretching, resistance training, core strengthening, getting up and down from the floor, and other adaptive or seated activities. I acknowledge that I have been advised to consult with a physician, to obtain medical clearance appropriate for my condition and level of activity, and to provide a Physician’s Clearance form to NEVERQUIT 60 prior to participation. 

If I provide a physician’s release or clearance form that includes limitations, conditions, or restrictions on my participation, I agree to communicate those limitations to NEVERQUIT 60 staff and to participate only within the scope of the clearance I have received. I understand that NEVERQUIT 60 staff are not medical professionals and are not responsible for monitoring or enforcing any physician-imposed limitations. I accept full responsibility for ensuring that my participation remains within any restrictions set by my physician, and I release the Releasees from any claims arising from my exceeding or departing from those limitations or from any claim that NEVERQUIT 60 failed to enforce, monitor, or accommodate such limitations.

​2. Assumption of Risk

I am aware that participation in boxing-based fitness involves inherent risks, including  those arising from strenuous exertion, rapid or repetitive movement, balance and coordination challenges, use of equipment, contact with bags, mitts, floors, or other surfaces, acts or omissions of other participants, and my own physical condition, diagnosis, medications, or undisclosed limitations. These risks include, but are not limited to:

·        Falls and Balance: Risks associated with rapid movement, pivoting, gait exercises, transfers, floor work, and changes in direction or elevation, which may be heightened by my underlying neuro-muscular condition, mobility limitations, or fatigue.

·         Cardiovascular Stress: Risks associated with high-intensity interval training (HIIT), aerobic exertion, elevated heart rate, shortness of breath, dizziness, fainting, blood pressure changes, or other cardiovascular events.

·        Physical Injury: Including muscle strains, sprains, joint injuries, bruises, fractures, aggravation of pre-existing conditions, dehydration, exhaustion, illness, exposure to infectious disease, or other serious injury. I voluntarily assume all risks, known and unknown, associated with my presence at, travel to or from, and participation in the program.

3. Rules, Conduct, and Participant Responsibility

I agree to follow all instructions, safety rules, and participation guidelines provided by NEVERQUIT 60 Kickboxing staff, to use equipment and facilities only as directed, and to stop activity and notify staff immediately if I feel pain, dizziness, shortness of breath, or any other sign of distress. 

​4. Waiver and Release of Liability

In consideration of being permitted to participate, I hereby release, waive, and forever discharge NEVERQUIT BRAND, LLC d/b/a NEVERQUIT 60 Kickboxing, its owners, members, managers, employees, contractors, trainers, instructors, volunteers, agents, representatives, affiliates, successors and assigns, the Port of Oakland, and the owners and occupants of any premises used for the program (collectively, the “Releasees”), from any and all claims, demands, causes of action, damages, losses, liabilities, costs, or expenses for personal injury, illness, death, or property damage arising out of or relating to my presence at the facility, use of the premises at 419 Water Street, participation in the program, or use of any equipment, to the fullest extent permitted by law, including claims based on the ordinary negligence of any Releasee. I further agree not to sue any Releasee on any such claim.

I understand that this release extends to claims that I do not know or suspect to exist in my favor at the time of signing. I expressly waive the protections of California Civil Code § 1542, which provides: “A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS THAT THE CREDITOR OR RELEASING PARTY DOES NOT KNOW OR SUSPECT TO EXIST IN HIS OR HER FAVOR AT THE TIME OF EXECUTING THE RELEASE AND THAT, IF KNOWN BY HIM OR HER, WOULD HAVE MATERIALLY AFFECTED HIS OR HER SETTLEMENT WITH THE DEBTOR OR RELEASED PARTY.”

​5. Not a Medical Provider

I understand that NEVERQUIT 60 Kickboxing instructors are fitness professionals and not medical doctors, neurologists, or licensed physical therapists. The services provided do not constitute medical advice, diagnosis, or medical treatment, and NEVERQUIT 60 does not undertake to monitor my health condition. I remain solely responsible for obtaining medical advice and treatment as needed.

​6. Emergency Medical Authorization

In the event of an emergency, illness, injury, or other condition that staff reasonably believe requires prompt attention, I authorize the staff of NEVERQUIT 60 to contact 911, obtain emergency medical assistance, contact my emergency contact listed below, and share relevant health or contact information as reasonably necessary for emergency response. I understand that NEVERQUIT 60 is not obligated to provide such assistance and that I accept financial responsibility for any medical evaluation, transport, treatment, or related expense.

​7. COVID-19 & Infectious Disease
I acknowledge the contagious nature of COVID-19 and other illnesses and voluntarily assume the risk of exposure by attending an indoor facility. I agree not to attend classes or enter the facility if I am experiencing symptoms of contagious illness, have been advised to isolate, or would otherwise create an unreasonable health risk to others.

8. Miscellaneous

This waiver shall be governed by and construed in accordance with the laws of the State of California, without regard to conflict of laws principles. If any provision of this waiver is held to be invalid or unenforceable, the remaining provisions shall remain in full force and effect. In any action arising out of or relating to this waiver, the prevailing party shall be entitled to recover its reasonable attorney fees and costs to the extent permitted by law.

9. Signature Acknowledgment

I have carefully read this Liability Waiver & Release, understand its contents, understand that I am giving up substantial legal rights, and sign it voluntarily and without reliance on any statement not contained in this form. I understand that this agreement is intended to be binding on me and, to the extent permitted by law, on my spouse, heirs, family members, estate, representatives, and assigns.


​Emergency Contact

Name: _________________ Phone: ______________ Email: ___________

Participant Printed Name: ________________________________________________________ 

​Participant Signature: ____________________________ Date: ____________________

[ ] Approved   [ ] Probationary (4-Week Trial)   [ ] Waitlisted (For New Class)

NEVERQUIT BRAND, LLC

419 Water Street * Oakland, CA 94607 * (510) 421-3328

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  • Phone

    5104213328

  • Address

    419 Water St.
    Oakland, CA 94607

  • Email

    hamiltonsensei@gmail.com

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