Adults Waiver

Name

EMAIL

MOBILE

DATE

ANY HEALTH ISSUE?

REASON TO START TRAIN?

I hereby acknowledge and understand that Brazilian Jiu Jitsu is a physical activity and learning self-defence skills involves some physical contact. SJJA Narrabeen , and or its staff and student are not to be held liable or responsible for any risks and/ or injuries or death as a result of training Brazilian Jiu Jitsu. *
You will receive email communication from us which may include: informations,marketing and promotion of upcoming events. I agree the above

Signature