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Brazilian Jiu-Jitsu Application

Student's First Name*
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I agree*
- In consideration for my attendance and participation in this academy’s martial arts training, I, the student/ parent/ legal guardian, acknowledge the existence of certain inherent risks in this type of training and hereby agree to assume all risks. I further relieve Nomad Aquatics and Fitness, Evolution Aquatics, M.A.T.I., MATI Clubs, Paulo Mushu, CheckMat, its management, assigned staff, and fellow students, from any liability resulting in personal injury or loss of personal belongings. I also hereby state that the student named above is physically fit to take the prescribed course of instruction and do so of their own free will for an agreed upon fee. I understand there is no refund policy on any monies I will pay to this academy or representative of said academy. A parent or legal guardian signature is required if the student is under the age of 18.
  I grant and authorize MATI Clubs the right to take, edit, alter, copy, exhibit, publish distribute and make use of any and all pictures, video and/or audio taken of applicant to be used in and/or for any lawful promotional materials, included, but not limited to newsletters, flyers, posters, brochures, advertisements, websites, social networking sites and other print or digital communications without payment or any other consideration. I waive the right to inspect or approve the finished product wherein the applicant’s likeness appears, including written or electronic copy and waive any right to royalties or other compensation arising or related to the use of these images or recordings
What specifically would you like to accomplish in our BJJ/ martial arts program?
What is your fitness level
Other Activities
Medical Concerns
PLEASE CHECK EACH ITEM OF IMPORTANCE TO YOU
Physical Fitness
- weight control/ exercise
- strength/ flexibility
- coordination
- stress release
Self-Defense
- safety/ awareness
- always wanted to learn karate
- love the art form
- always wanted to earn a black belt
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$0.00

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