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Name *

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Gender/Sex *

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Desired Training Time *

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Early Morning

Early Afternoon

Evenings (6:30PM or later)

Weekends (Early afternoon or mornings)

Why are you thinking of joining our programs? *

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Learn new skills

Fitness and overall health benefits

Self defense and increased confidence

To make new friends

Stress relief

Competition Training

Rank / Experience *

White Belt

Blue Belt

Purple Belt

Brown Belt

Black Belt

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No Gi Experience Only

How did you hear about us? *

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Google

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FloGrappling

Podcast

Friend or Acquaintance

Current member of Assembly

Competition