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Name *

First Name

Last Name

Reason for your visit *

I'm already a member

I'm interested in membership

I'm just visiting

Do you have any known medical conditions or injuries? *

Yes

No

Emergency contact *

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I give BJJ Tasmania permission to use my image on social media channels *

Please note that if you do not want your image to be used online, it is your responsibility to ensure that you do not take part in group photos.

Yes

No

Disclaimer *

WARNING: Brazilian jiu-jitsu (BJJ) is a full contact martial art; there are risks and dangers associated with participation in these classes. We take precautions to create a safe environment however there is still a chance of injury. This is an important document which affects your legal right and obligations. Read it carefully and do not sign it unless you are satisfied that you understand it. If you have any questions, please ask one of our coaches. Brazilian Jiu-Jitsu Tasmania Pty Ltd, is hereafter referred to as “BJJ TAZ”, “we” or the “Recreational Activity Provider”.  In consideration of BJJ Tasmania allowing myself to participate in training, I indemnify and will keep indemnified BJJ Tasmania, its affiliated clubs, members and all other parties associated with BJJ training against all costs, losses or damages arising from or in relation to my presence at BJJ training. By signing this waiver, you agree that the liability of BJJ Tasmania in relation to recreational services (as that term is defined in the Competition and Consumer Act 2010 (Cth) and the Australian Consumer Law) and recreational activities (as that term is defined in the Civil Liability Act 2002 (TAS) for any death or injury that may be suffered by you (or a person for whom or on whose behalf you are acquiring the services) resulting from the supply of recreational services or recreational activities is excluded.

I have read the disclaimer