Women's Self Defense Seminar benefitting PINK RIBBON GOOD 5/31/2025 Sign Up Form
At Strategic BJJ Alton
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
This is open for ages 13 years and above. Please select one of the following:
*
Please Select
I am over 18 years of age
I am between 13 to 17 years of age
Will you be brining someone else with you?
*
Please Select
Yes
No
If yes, please put their name(s) below, if no just put N/A in the space below.
Attendance Commitment AcknowledgmentI understand that this is a limited-capacity event, and by submitting this form, I am confirming my intention to attend. I acknowledge that failure to attend may prevent someone else from participating in my place.
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Please Select
Yes I understand
Waiver RequirementParticipation in this event requires a completed waiver.Please complete the waiver form linked below before attending. Waiver link: https://bit.ly/3wvOGTf
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I acknowledge that I MUST fill out the waiver prior to event.
There is a no shoes policy for our matted spaces and things on clothing such as zippers and grommets can cut our mats, so please do not wear clothing containing these items.
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I acknowledge that there is no shoes on our mats and that I will have clean feet/socks and wear comfortable clothing with no metal zippers or grommets on them.
Submit
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