Alberta Jiu-Jitsu Asssociation Contract Form

Dojo Name or Style*

Dojo

Name of first member (or Main Parent if more than one membership)*

PrefixFirst NameMiddle NameLast Name

Name of second member

PrefixFirst NameMiddle NameLast Name

Name of third member

PrefixFirst NameMiddle NameLast Name

Name of fourth member

PrefixFirst NameMiddle NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

Cell Phone Number*

Area CodePhone Number

Emergency Contact *

Area CodePhone Number

Email*

example@example.com

In following wiht AJJA’s long term Athlete development plan, the AJJA has the following membership classifications.
No belt ranks come with this membership

A Individual Membership Type

Rows	Black Belt $47	Coach $42	Competitive Athlete $42	Adult Regular $36	Teen $36	Children's Under 13 $30
Single Membership

B Family Membership Type

Rows	Two Family Members $52	Up To Four Family Members $85
Family Membership

I hereby agree to abide by the bylaws and objectives and membership requirements and standards of the Alberta Jiu-Jitsu Association (AJJA). I, the undersigned, acknowledge that my membership requires that I understand and adhere to the rules, regulations and policies of the Alberta Jiu-Jitsu Association (AJJA). My membership dues must be kept current. Failure to do so will result in my removal from specific activities and/or from membership.

Signature

My Products

Black Belt $47.00CAD

Quantity

Coach$42.00CAD

Quantity

Competitive Athlete $42.00CAD

Quantity

Adult Regular$36.00CAD

Quantity

Teen$36.00CAD

Quantity

Child Under 13 yrs$30.00CAD

Quantity

Two Family Members$52.00CAD

Quantity

Up to Four Family Members $75$85.00CAD

Quantity

Total $0.00CAD

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The Alberta Jiu-Jitsu Membership Form

Credit Card