Free Session – VasiFusleAcademy

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MORE THAN SPORT! WAY OF LIFE!

Please ensure that you bring your sports clothes for the trial.

Name *

First

Last

Weight / Year Of Birth (If you are a minor, your parents will need to complete and consent) *

First

Last

Height *

Level *

Phone Number *

Email *

Have You Practiced Judo Before? *

Have You Practiced BJJ Before? *

The date and time when you want to attend according with the time table *

First

Last

Emergency Contact (Name And Phone Number) *

First

Last

Do you have a history of medical issues or conditions that we should know about? If yes / please explain *

I declare on my own responsibility that I am healthy from a medical point of view and can practice any contact sport *

MORE THAN SPORT! WAY OF LIFE!

Please ensure that you bring your sports clothes for the trial.

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First Name *

Last Name *

Year Of Birth (If you are a minor, your parents will need to complete and consent) *

Weight *0 / 250

Height *

Level *

Email Address *

Phone Number *

Have You Practiced BJJ Before? *YesNo

Have You Practiced Judo Before? *YesNo

Emergency Contact Name *

Emergency Contact Phone Number *

The date and time when you want to attend according with the time table *

Select *

Hours

Minutes

Do you have a history of medical issues or conditions that we should know about? If yes / please explain *

I declare on my own responsibility that I am healthy from a medical point of view and can practice any contact sport, and that Vasi Fusle Academy may use selected photos or video content for promotional purposes unless the Student declines in writing *Yes

As a participating adult or parent/guardian of a participating child, I hereby acknowledge and understand that Brazilian Jiu Jitsu and Judo are physical activities and learning self-defence skills involves some physical contact. Vasi Fusle Academy and or it’s staff and students are not to be held liable or responsible for any risks and/or injuries as a result of training Brazilian Jiu Jitsu or Judo *Yes