To take advantage of our free two-week trial with unlimited classes and with no obligation to sign up, please complete the FREE form here. This form allows you to avail of free insurance. Next, contact us here and schedule your free introductory class!

Insurance Form

Fields marked with a * are required

I agree to abide by my answers to the above detail. I agree to uphold the constitution, rule and regulations of the club at all time. I agree to bide by all the laws, agreements and commitments with the club at all times during the membership. I accept and understand that participation in Brazilian Jiu Jitsu carries the risk of injury, as in all contact sports. I declare that i am fully medically fit, both mentally and physically and understand Gracie Barra Northern ireland will not be held responsible for ANY injury or damage to my person while training. Electronic Submission of the above is equivalent to a siganture. Under the Data Protection Act 1998, people must give their authorisation to have their details recorded. By checking this box, you are giving permission for your details to be recorded in the databases of the UKBJJA. These databases are not distributed to any other third party and are not used for non-BJJ related functions. Failure to do so will mean you cannot be a member of the UKBJJA. I consent to the information on this application being included in the online club database and being used for membership administration purposes in line with the UKBJJA’s Data Protection Policy, available online at