2018 - Rolker Gracie Seminar at Gracie NJ Academy
Friday, February 9, 2018 - 6pm to 9pm

REGISTRATION FEE
By 01/25 - US$75.00 (CASH) or US$80.00 (Credit/Debit, Check, Paypal, or EFT/ADD ON to membership)
After 01/25 - US$90.00 (CASH) or US$95.00 (Credit/Debit, Check, Paypal, or EFT/ADD ON to membership)
DOOR REGISTRATION - $100 (CASH ONLY)
Note: Registration is only confirmed upon payment.

SEMINAR ETIQUETTE:
– Please be punctual – Arrive earlier to check in and get ready.
– Doors will open at 5:30pm.
– Wear a clean WHITE GI – no other colors will be allowed.
– There is NO RECORDING allowed.
– Individual and group photos are reserved to the end – you are welcome to bring your own photo camera.
– We don’t have a big lobby/sitting area, therefore we cannot accommodate spectators.

First Name *
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Last Name *
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D.O.B - Date of Birth *
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Age *
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Gender *
Street Address *
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City *
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State *
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Zip Code *
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Phone Number *
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Email *
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Previous Training in Gracie Jiu Jitsu, BJJ or MMA? *
How long have you trained for? If applicable, what is your rank (belt/stripes)? *
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Current/Previous Instructor's name and affiliation? *
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I am aware that this is a GI/KIMONO only seminar and I plan on and agree to wear a WHITE GI/KIMONO for this event. *
We apologize for any inconvenience, however if you do not have a WHITE GI or cannot make arrangements to have one on that day we are unable to have you for this event.
I have read and understand the legal terms and conditions of Gracie New Jersey Academy's "STUDENT WAIVER/ RELEASE/ ASSUMPTION OF LIABILITY AND USE OF IMAGE" *
Are there any questions, comments and or concerns to the organizers?
We are looking forward to a great event together! Should you need further assistance, please let us know an we will contact you promptly.
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