Click the link above to order the new hoodies and tshirts. Comes in sizes for Kids and Adults. Preorder til March 30th.

Use Code: TBJJ to save on shipping and pick your order up at the gym. See Coach Dan with any questions.

Liability Waver

Your Information

In this portion, please tell us a little about yourself.

First Name

Last Name

Address

Home Phone

Cell-Phone

Email Address

Additional Information

Sex

Age

Birth Date

Emergency Contact

In the case of an emergency, who should we contact?

Contact Name

Phone Number

Relationship

Previous Training

Previous School

Instructors Name

Rank of Belt

Time Spent Training

City of school

State of School

DO YOU HAVE ANY MEDICAL CONDITIONS THAT WOULD AFFECT YOUR ABILITY TO TRAIN?

If yes, Please Explain

Signature

Name of Student/Parent/Guardian

Today's date

Name of Student

BY COMPLETING THIS FORM YOU AFFIRM THAT ALL THE INFORMATION ABOVE IS TRUE AND ACCURATE. YOU AGREE TO THE LIABILITY WAIVER FORM SET FORTH ABOVE FROM TRIUMPH BJJ, LLC AND UNDERSTAND THAT THERE MAY BE RISKS ASSOCIATED WITH ANY SPORT AND AGREE TO THE TERMS SET ABOVE. THIS IS A BINDING AGREEMENT BETWEEN YOU AND TRIUMPH BJJ, LLC

I agree that I have read and agree fully with the terms and conditions set forth above and my information is true and accurate to the best of my knowledge.

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