2018 - Royler Gracie Seminar

SATURDAY, September 15, 2018

56 Payne Rd, Lebanon, NJ 08833

KIDS’ SEMINAR: 11am to 12pm
ADULTS’ SEMINAR: 1pm to 4pm

US$105.00 by 08/28
US$125.00 after 08/28

US$45.00 by 08/28
US$55.00 after 08/28
Note: Registration is only confirmed upon payment.

– Please be punctual – Arrive earlier to check in and get ready.
– Doors will open at 12:30pm for the adults’ seminar and 10:30am for kids’ seminar.
– 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 *
Your answer
Last Name *
Your answer
D.O.B - Date of Birth *
Age *
Your answer
Gender *
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Email *
Your answer
Previous Training in Gracie Jiu Jitsu, BJJ or MMA? *
How long have you trained for? If applicable, what is your rank (belt/stripes)? *
Your answer
Current/Previous Instructor's name and affiliation? *
Your answer
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.
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms