Membership Form

Fill in your details below and press submit to register with Gracie Barra Bolton for Membership or a Free Trial. If this form is not completed then you will not be allowed to enter the mat to workout. Please read the terms and conditions below carefully.

Please Read Terms and Conditions Below

I agree to abide by my answers to the details entered in the form below. I agree to uphold the constitution, rules and regulations of the club (Gracie Barra Bolton) at all times. I agree to abide by all the laws, agreements and commitments with the club at all times during the membership or free trial.

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 Bolton will not be held responsible for ANY injury or damage to my person while training. Electronic Submission of the form below is equivalent to a signature. Under the Data Protection Act 1998, people must give their authorisation to have their details recorded. By checking the box below, 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 any non-BJJ related functions. Failure to do so will mean you cannot be a member of the UKBJJA or train at Gracie Barra Bolton. 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

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