Code BlackJiu-JitsuBack to academy

All-in-one registration & training waiver

Complete your waiver online.

Use this form when the coach asks you to complete your registration and waiver online. It includes participant details, emergency contact, training risks, membership terms and your signature. A parent or legal guardian signs for anyone under 18.

Signing saves your agreement; it does not charge your card or start another subscription. If you already have a membership, your existing signed billing terms continue to apply.

Checking online signing…

You can save or print your completed copy. We also save a private record and request email delivery to you and codeblackbjj@gmail.com.

Code Black Jiu-Jitsu
824 Notre-Dame Street, Embrun ON K0A1W0
226-739-9386 · codeblackbjj@gmail.com

Privacy policy

Code Black Jiu-Jitsu

Join Adults

Complete all three steps. You can save or print your signed copy. For a participant under 18, a parent or legal guardian must complete and sign this form.

  1. 1. Details
  2. 2. Agreements
  3. 3. Signature
Participant details

Participants under 18 need a parent or legal guardian to complete the form.

Your details are used for registration, safety, your signed record and contact management in the business Google account. Completing this form does not subscribe you to marketing. See our privacy policy for access and correction requests.