Daniel Gracie Tournament Registration Form
Competitor Details:
Competitor's Full Name
*
First Name
Last Name
Date of birth
*
-
Month
-
Day
Year
Date
*
Male
Female
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Belt Color
*
White
Grey
Grey/White
Grey/Black
Yellow
Yellow/White
Yellow/Black
Orange
Orange/White
Orange/Black
Green
Green/White
Green/Black
Number of Stripes
*
Weight Division (Enter competitor weight)
*
lb
Terms & Conditions
I, the undersigned, do hereby voluntarily submit this Application to participate in Kids Brazilian Jiu Jitsu Tournament. I am fully aware of the nature, inherent danger, and risks involved in the activity. I do assume full and complete responsibility for any and all losses, damages, or injuries that my child might sustain or incur while attending, participating, or traveling to this event. I hereby waive claims against DANIEL GRACIE ACADEMY LLC, its instructors, assistants, sponsors and any or all the institutions or organizations connected with or associated to Daniel Gracie Academy LLC, for any or all injuries that I or my child might sustain. I hereby certify I fully understand what is written in this release statement and certify that I fully agree to the above Terms & Conditions stipulated.
*
I accept the terms above
Today's Date
*
-
Month
-
Day
Year
Date
Print Name
*
Go to payment
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