NAME OF MEMBER *

First Name

Last Name

PARENT'S NAME

First Name

Last Name

PHONE *

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BIRTHDATE *

MM

DD

YYYY

TERMS & CONDITIONS *

I have read and agree to the terms & conditions.

Yes

Of course!

USE OF IMAGES *

I acknowledge that WIJJ may take photos or videos during the class for marketing purposes. Names will never be published without express consent.

Ok!

No problem

MEMBERSHIP *

I am registering for:

BJJ-KIDS

BJJ-FAMILY (kids)