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GRACIE LAB JIU-JITSU

Name: {name}

Date of Birth: {dob}

Phone Number: {phone}

Do you have any physical limitations or previous injuries?
Yes
No
If yes, please specify:

General Release:

I hereby acknowledge and understand that martial arts training is a physical activity and learning jiu-jitsu and self defense skills involved physical contact.

Gracie Lab Jiu-Jitsu, Igor Gracie and/or it's staff or students are not held liable or responsible of any risks or injuries that may occur as result of training in the martial arts.

I also agree to follow and adhere to the rules and guidelines of the academy.