Sample record — not a real booking

This JSON is the exact normalized data covered by the completed-copy SHA-256 shown above.

{"adultContact":{"email":"sample@example.com","name":"Sample Student","phone":null},"branch":"self_adult","documents":[{"acceptance":"I have read the free-week request and privacy notice.","accepted":true,"body":"This notice explains how Fredson Paixao BJJ LLC, doing business as Fredson Paixao Academy (the \"Academy\"), 1481 W Warm Springs Rd Ste 145, Henderson, NV 89014, handles the information in this free-week request. The full privacy notice is at www.fredsonpaixao.com/privacy.\n\n1. What this request collects\n\n- The adult contact's name, email address, and optional phone number.\n- For a participant under 18: the participant's name, age band (4–7, 8–13, or 14–17), and your relationship to them.\n- The first class you book, your loaner-gi request, and optional experience level.\n- Your typed signature, the exact version of each document you accept, your optional marketing and photo choices, and the time the Academy received the request.\n\nThis request does not ask for payment, card, health, injury, date-of-birth, school, or emergency-contact information. Please do not include any.\n\n2. How the Academy uses it\n\nThe Academy uses it to record your first-class booking, confirm free-week eligibility, arrange any loaner gi, keep a record of the documents you accepted, and follow up during the free week. The Academy emails a confirmation to the adult contact address. Academy staff receive an email notice with the booked class, the participant's and adult contact's names, the adult contact's email address and phone number, the participant's age band, and the loaner-gi and experience answers, so they can welcome you. The Academy's website administrator, ARTWERKS, receives a copy of that notice.\n\n3. The free week\n\nThe free week is for new students who live locally. It covers age- and level-appropriate group classes for 7 consecutive calendar days, beginning on the day of the first class attended, not the day you send this request. Your first class is booked when you send this form; it does not need to be confirmed. A loaner gi is a request, not a reservation. No card is required, and nothing here creates a membership or a charge.\n\n4. Who can see it\n\nOnly authorized Academy staff who sign in with multi-factor authentication can view your full request, including your signature and the documents you accepted. It is stored and delivered by the Academy's service providers for website hosting (Vercel), database (Supabase), email delivery (Resend), and the Academy's email inbox (Google). The Academy does not sell personal information.\n\n5. How long it is kept\n\nIf the participant attends, the request and the accepted documents are kept for 3 years after the free week ends. For a participant under 18, they are kept until 3 years after the participant turns 18, counted from the youngest age in the selected age band. If the participant never attends, the request is deleted 12 months after it was sent.\n\n6. Your choices\n\nTo review, correct, or delete your information, or to get a copy of the documents you accepted, email fredsonpaixaoacademylv@gmail.com.","branches":["self_adult","parent_guardian"],"decidedAt":"2026-01-05T17:00:00.000Z","decisionField":"processingConsent","digest":"8c5bf5571c2bc3c8f71e43ee1f42903a2dee981b93afae7baa44c76e4d0e4e25","key":"request-processing","required":true,"title":"Free-week request and privacy notice","version":"2026-10-14.1"},{"acceptance":"I agree to use electronic records and an electronic signature for this request, and I can open and keep a record in the format described.","accepted":true,"body":"This consent applies only to this free-week request and the participation document presented with it. It does not cover marketing, payments, or any other agreement.\n\n1. Paper is available\n\nYou do not have to sign electronically. If you prefer paper, do not send this form. Ask at the front desk before your first class, and the Academy will give you the same documents to read and sign on paper, at no charge.\n\n2. Your copy\n\nAfter you send your request, this page offers an immediate download of your completed record, with the exact documents you accepted, your choices, and your typed signature. Save it before you leave the page. You can also ask for a copy at any time, free of charge, by emailing fredsonpaixaoacademylv@gmail.com.\n\n3. What you need\n\nYou need a device with a current web browser that can download a file and open an HTML (web page) file. To keep a copy, you need to be able to save files or print from your browser. Before you agree, use \"Download a sample record\" on this form to check that you can open, save, and print a record in the same format.\n\n4. Withdrawing consent or changing your email address\n\nTo withdraw this consent, or to change the email address the Academy uses for you, email fredsonpaixaoacademylv@gmail.com. After you withdraw, records for this request will be provided on paper. Withdrawing does not undo a signature you already gave, and there is no fee.","branches":["self_adult","parent_guardian"],"decidedAt":"2026-01-05T17:00:00.000Z","decisionField":"electronicConsent","digest":"9f54d83157ceb3a1702dabbfe07461844182ec3af8c89a38bcb4e7428e999dc0","key":"electronic-records","required":true,"title":"Electronic records and signature consent","version":"2026-10-12.1"},{"acceptance":"I have read the adult participation agreement, including the release of ordinary-negligence claims in Section 6. I understand that it affects my legal rights, and I accept it voluntarily for myself.","accepted":true,"body":"This agreement is between you and Fredson Paixao BJJ LLC, doing business as Fredson Paixao Academy (the \"Academy\"), 1481 W Warm Springs Rd Ste 145, Henderson, NV 89014.\n\n1. What this agreement covers\n\nI am at least 18 years old and am signing for myself. This agreement covers my participation in age- and level-appropriate group Brazilian jiu-jitsu classes and open mat at the Academy's training facility at the address above during my free week. The free week is the 7 consecutive calendar days beginning on the day I attend my first class, if that class is within 60 days after I sign.\n\nActivities may include warm-ups and conditioning, technique instruction, partner drills, takedowns, throws, ground grappling, positional training, joint locks, chokeholds, and live sparring, but only as the instructor permits for my class and experience level.\n\nThis agreement does not cover other activities, travel, or off-site events. It does not enroll me in a membership, authorize any payment, or change any separate membership agreement.\n\n2. Risks I understand\n\nBrazilian jiu-jitsu is a contact sport. Participants use physical pressure, holds, throws, and submission techniques. Training can involve falls, collisions, awkward landings, sudden movements, and contact with other people, mats, and training equipment. A partner may react unexpectedly, apply too much force, or fail to recognize a stop signal promptly. Differences in size, strength, skill, and judgment can increase the risks.\n\nPossible injuries include bruises, cuts, mat burns, sprains, strains, torn ligaments or tendons, dislocations, broken bones, dental injuries, concussion, and injuries to the head, neck, back, or nerves. Pressure on the neck during chokeholds can cause loss of consciousness and serious injury. Contact, shared surfaces, and close proximity can expose me to skin infections and other communicable illnesses. Exertion can cause exhaustion, dehydration, or other medical emergencies. Some injuries can lead to permanent disability, paralysis, or death.\n\nInstruction, rules, equipment, and my own care can reduce these risks but cannot eliminate them. Injury can happen during a beginner class or a controlled drill as well as during sparring.\n\n3. My choice to participate\n\nI have had time to read this agreement, consider these risks, and ask questions before participating. I understand the activities and risks described above and voluntarily choose to take part. Subject to the limits in Section 6, I accept these risks, including the risk of injury caused by ordinary negligence as described in Section 6.\n\nI may decline a technique or stop participating at any time. If I do not understand a technique or feel unable to participate safely, I will ask for help or sit out. This agreement is not medical advice or medical clearance. If I am unsure whether participation is appropriate for me, I will get appropriate advice before participating.\n\n4. Safety commitments\n\n- Follow the instructor's directions and the rules for my class and experience level.\n- Tap or clearly say stop early, before a technique becomes painful or unsafe, and immediately release a hold when a partner taps, says stop, or appears unable to respond.\n- Use controlled movements, and never apply a submission suddenly or continue after a stop signal.\n- Practice only the techniques permitted for the session, and spar only as the instructor directs.\n- Tell the instructor promptly about an unsafe condition, injury, dizziness, unusual symptoms, or difficulty understanding a technique, and stop when continuing may be unsafe.\n- Follow the Academy's hygiene and equipment rules, remove jewelry that could injure someone, and never train while impaired by alcohol or other substances.\n- Follow the Academy's illness and return-to-training rules, and privately discuss any training limits or accommodations I need with staff before participating.\n\nThese commitments do not remove the Academy's legal responsibilities.\n\n5. Emergency assistance\n\nIf I need urgent help, I ask Academy staff to contact emergency services. The Academy may privately ask me for an emergency contact before my first class. This agreement does not authorize non-emergency medical treatment or waive my rights concerning medical consent.\n\n6. RELEASE OF CLAIMS FOR ORDINARY NEGLIGENCE\n\nREAD THIS SECTION CAREFULLY. IT LIMITS MY RIGHT TO SEEK COMPENSATION FOR CERTAIN INJURIES.\n\nTo the extent Nevada law allows, I release the Academy and its owners, instructors, and employees, only while they are acting for the Academy in connection with the covered activities, from claims that I personally have the legal authority to release for my own injury, illness, disability, death, or property damage. This applies to claims arising from my participation in the covered activities during my free week and caused by their ordinary negligence.\n\nOrdinary negligence means a failure to use reasonable care. This release specifically includes ordinary negligence in instruction, supervision, choosing training partners, and inspecting or maintaining the mats and training equipment used in the covered activities. I understand that it includes claims based on the ordinary negligence of the Academy or its personnel, within these limits.\n\nTHIS RELEASE DOES NOT APPLY TO GROSS NEGLIGENCE, RECKLESSNESS, INTENTIONAL MISCONDUCT, OR ANY CLAIM, DUTY, OR RIGHT THAT THE LAW DOES NOT ALLOW TO BE RELEASED. IT DOES NOT RELEASE CLAIMS ARISING BEFORE I SIGN OR CLAIMS OF ANOTHER PERSON THAT I DO NOT HAVE LEGAL AUTHORITY TO RELEASE.\n\nNothing in this agreement waives a consumer-protection, membership-cancellation, or refund right that cannot legally be waived. This agreement has no arbitration clause and does not require me to reimburse or defend the Academy against anyone else's claims.\n\n7. Signing\n\nBy signing, I confirm that I read this entire agreement, including the release in Section 6; that I understand it affects my legal rights; that I had the opportunity to ask questions; and that I sign voluntarily. I will receive a copy of the completed record.","branches":["self_adult"],"decidedAt":"2026-01-05T17:00:00.000Z","decisionField":"waiverAcceptance","digest":"3cba3af2c85ef0862b08cec06a32e65b2352e0d440b79a16070510b0a8198b29","key":"adult-participation-agreement","required":true,"title":"Adult participation agreement and release of ordinary-negligence claims","version":"2026-10-12.1"},{"acceptance":"I am at least 18 years old and am submitting this request and accepting these documents for myself.","accepted":true,"body":"The adult option is only for someone who is at least 18 years old and is requesting a free week for themselves. A participant under 18 must be registered by a parent or legal guardian.","branches":["self_adult"],"decidedAt":"2026-01-05T17:00:00.000Z","decisionField":"capacityConsent","digest":"eb48ea909ea2fde9f8218fb2954fed10e4a5980f1a5c22f7a16b99f09d9f94ec","key":"adult-capacity","required":true,"title":"Adult self-request","version":"2026-10-12.1"},{"acceptance":"By typing my legal name and checking this box, I electronically sign the documents I accepted in this request.","accepted":true,"body":"You sign by typing your full legal name, which must match the adult signer name in this form, and checking the signature box. The Academy records the time it received your request, the exact version of each document you accepted, and a fingerprint (hash) of the signed record. You can download a copy right after you send the request. Your typed signature is intended to have the same legal effect as signing on paper.","branches":["self_adult","parent_guardian"],"decidedAt":"2026-01-05T17:00:00.000Z","decisionField":"signatureIntent","digest":"3eb2b1b2bab1d05370c46f4a178792f2d75c483cdd8273b95e9689d3a71a5298","key":"signature-intent","required":true,"title":"Electronic signature","version":"2026-10-12.1"},{"acceptance":"Yes, send me occasional Academy emails about classes, events, and offers. I can unsubscribe at any time.","accepted":false,"body":"This choice is optional and separate from your request. Leaving it unchecked does not affect your request or your free week, and the Academy will still send you messages about your request.\n\nIf you check it, Fredson Paixao BJJ LLC, doing business as Fredson Paixao Academy, may send occasional emails about classes, events, and offers, usually no more than twice a month. Every email includes a link to unsubscribe, and you can also unsubscribe by emailing fredsonpaixaoacademylv@gmail.com. The Academy does not sell your email address or share it for others' marketing. This choice does not cover text messages.","branches":["self_adult","parent_guardian"],"decidedAt":"2026-01-05T17:00:00.000Z","decisionField":"marketingConsent","digest":"2e5f9795ad1e8cb378f6519612d2689904322a989b36c94797ea4f4ab05d3710","key":"marketing-email","required":false,"title":"Optional Academy emails","version":"2026-10-12.1"},{"acceptance":"Yes, I give the optional photo and video permission described above. I understand it is not required.","accepted":false,"body":"This choice is optional and separate from your request. Leaving it unchecked does not affect your request, your free week, or any membership, and permission is never assumed from silence.\n\nIf you check it, you allow Fredson Paixao BJJ LLC, doing business as Fredson Paixao Academy, to photograph or record video of the participant (you, or the child you are registering as their parent or legal guardian) during classes in the free week. The Academy may use those images, without payment, to promote its training on:\n\n- the Academy's website, www.fredsonpaixao.com\n- the Academy's official Instagram and Facebook accounts\n- printed materials displayed or handed out by the Academy\n\nImages may be cropped or edited for length and presentation, but not in a misleading way. The Academy will not publish the participant's name or other identifying details with an image, will never record in changing areas, and will not sell images or allow their use in unrelated third-party advertising.\n\nThis permission lasts 3 years from the date you sign unless you withdraw it sooner. To withdraw, email fredsonpaixaoacademylv@gmail.com. The Academy will then stop recording the participant for promotion, stop new uses, and remove the images from the website and social accounts it controls within 14 days. Printed materials already handed out cannot be recalled, and the Academy cannot control copies others have made. This permission does not release any injury or other legal claim.","branches":["self_adult","parent_guardian"],"decidedAt":"2026-01-05T17:00:00.000Z","decisionField":"photoConsent","digest":"a9088694fd371b60174656d7db8ca218d8dda5d2261bb12aa059dffcf7e0319b","key":"photo-media","required":false,"title":"Optional photo and video permission","version":"2026-10-12.1"}],"form":{"key":"first-class-request","manifestHash":"c8ef52c271b7345b86ca0ca100162bcc579485ec0dd6cc6e1b8cd3388f486e00","version":"2026-10-14.1"},"participant":{"ageBand":"adult","name":"Sample Student","relationship":"self"},"receivedAt":"2026-01-05T17:00:00.000Z","reference":"FPA-FC-00000000-0000-4000-8000-000000000000","request":{"experience":"new","firstClass":{"date":"2026-01-05","discipline":"gi","slotKey":"mon_fundamentals","startsAt":"2026-01-06T02:00:00.000Z","title":"Fundamentals"},"loanerGi":"needed","state":"booked"},"requestId":"00000000-0000-4000-8000-000000000000","safeguards":{"accountCreated":false,"membershipCreated":false,"paymentAuthorized":false},"schema":"first-class-completed-copy-v2","signature":{"capacity":"self","intentHash":"3eb2b1b2bab1d05370c46f4a178792f2d75c483cdd8273b95e9689d3a71a5298","intentVersion":"2026-10-12.1","method":"typed_name_plus_checkbox","signedAt":"2026-01-05T17:00:00.000Z","signedAttemptDigest":"737bfe8fda8e6882ee016ed6dd42338112e69139750f0c091906c62313e1c7f5","signerName":"Sample Student"},"source":{"origin":"https://www.fredsonpaixao.com","path":"/first-class/"}}