GB Chicagoland & IL End of Year Celebration 2025

GB Chicagoland & IL End of Year Celebration 2025 - Non-Training, Family & Friends of GB

Non-training participants, non-existing active members; Family & Friends of GB
Join us at the end of year celebration with your GB Chicagoland family! This registration form is for the gala dinner taking place at Chama Gaúcha Brazilian Steakhouse 1:30-5pm. Cost is for one person, which includes unlimited access to the salad bar, steaks, and soft drink.
Name of the participant (not parent/guardian) *

First NameLast Name
Participant's birthday *

MonthDayYear
Contact number *
Please enter a phone number that can receive text messages.
Which academy does this participant's family belong to?*
Name of your family/friend who is an active Gracie Barra member*

First NameLast Name
12+yr - $99; Please select the event below that you plan to attend*

Gala Dinner at Chama Gaúcha Brazilian Steakhouse, 1:30-5pm
3-11yr - $69; Please select the event below that you plan to attend*

Gala Dinner at Chama Gaúcha Brazilian Steakhouse, 1:30-5pm. (NOTE: Kids 3-11 years old attending the gala dinner must be accompanied by an adult. Please register the adult separately as family & friends if not already a training participant)

Policy and Waiver
REFUND POLICY: This event is non-refundable and non-transferrable. Should I have questions or requests, I shall reach out to the coordinator at 309-533-8339 (text only).*

I agree
PHOTO POLICY: I authorize Gracie Barra to take photos and/or videos that may include images of me and/or my child(ren). I agree that said photos or video may be used for publicity or training purposes at this Gracie Barra academy or by the Gracie Barra franchisor.*

I agree
PARENTAL CONSENT: I, hereby covenant and promise that I am the minor’s parent and/or legal guardian, and on behalf of myself and the minor, understand the nature of the above referenced activities and the minor’s experience and capabilities and believe the minor to be qualified to participate in such activity. I further understand the risk of exposure to injury and/or infectious diseases, for myself and my child, as a participant, spectator at events, classes or our presence at the facility. I hereby release, discharge, covenant not to sue and AGREE TO DEFEND, INDEMNIFY AND HOLD HARMLESS each of the RELEASEES from all liability, claims, demands, losses or damages on the minor’s or my account caused or alleged to have been caused in whole or in part by the negligence of the Releasees or otherwise, including, but not limited to injury, negligent rescue operations, and/or exposure to infectious diseases and I further agree that if, despite this release, I, the minor, or anyone on the minor’s behalf makes a claim against any of the above RELEASEES, I WILL DEFEND, INDEMNIFY, AND HOLD HARMLESS each of the RELEASEES from any litigation expenses, attorney fees, loss liability, damage, or cost which any RELEASEE may incur as the result of any such claim. By signing below, you are agreeing to abide by all Gracie Barra rules and policies posted and unposted.*

I agree
Name of parent/guardian completing this form on behalf of the minor: *

First NameLast Name
Signature*

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Select Age of the Attendee *

Gala Dinner for Non-Training, Family & Friends of GB, 12 year and olderAge is defined as the actual age on day of event, 12/20/2025. Participants born on and before 12/20/2013 should select this option.

$99.00

Gala Dinner for Non-Training, Family & Friends of GB, 3-11 years old Age is defined as the actual age on day of event, 12/20/2025. Participants born on and after 12/19/2013 should select this option. IMPORTANT: Kids 3-11 years old attending the gala dinner must be accompanied by an adult. Please register the adult separately as family & friends if not already a training participant.

$69.00

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Total

$0.00

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GB Chicagoland & IL End of Year Celebration 2025 - Non-Training, Family & Friends of GB

Policy and Waiver