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REDMOND GRAPPLING ACADEMY

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First Name

Last Name

Email

Age

Have you trained Jiu Jitsu before?

Never

1-3 Months

3-6 Months

6-12 Months

1 year +

Phone

Body Weight

Do you hold a belt in Jiu Jitsu?

White Belt

Blue Belt

Purple Belt

Brown/Black Belt

Youth Belt

If you have trained before, where did you train?

Do you have any medical conditions that will make Jiu Jitsu dangerous for you to participate in? Please explain.

Thanks for applying!
We’ll get back to you soon.

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