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Brazilian Jiu-Jitsu Application Form

Your information will be kept strictly confidential and will never be shared with third parties. If you are registering more than one child, please complete a separate form for each child.

Taught by Coach Hamza, a dedicated instructor who has been training in Brazilian Jiu-Jitsu & wrestling since 2016 under Coach Amir of Legion Grappling Academy and Coach Zayd of Base9 Submission Grappling.


The sessions focus on developing confidence in handling challenging situations, gradually introducing sparring and striking to build practical self-defence skills. Grappling - a discipline practiced worldwide and rooted in the tradition of the Prophet ﷺ , offers a technical and holistic approach, enhancing strength, endurance and coordination. It provides a solid foundation for both self-defence and overall physical development.

Session Details: Mondays | 12pm – 1pm | Tower Hamlets | 1hr 30mins session | £12.50 per session (Normally £15)

You can register your child for a trial BJJ session to see if the programme is the right fit for them.

Enrol in the full term programme to get exclusive access to the BJJ group, official uniform and all training resources.

Are You Currently Homeschooling Your Son? [This Programme is Exclusively Tailored for Homeschoolers]

Are You Currently Homeschooling Your Son? [This Programme is Exclusively Tailored for Homeschoolers]
A
B

Full Programme [7 Weeks] — Includes all sessions, BJJ group access, exclusive resources and links to official Gì uniform.

Are You Registering Your Child For

Are You Registering Your Child For
A
B

Participant Details

Child's Name

Date of Birth

Current Age

Current Age
A
B
C
D
E
F

Child's Ethnic Background (e.g. Bangladeshi, Moroccan)

Parent/Guardian Details

Parent/Guardian Name

Mobile Number (for contact purposes only)

Primary Email Address

Current Address

Medical Information

Does Your Son Have Any Medical, Special Needs Or Health Conditions?

Does Your Son Have Any Medical, Special Needs Or Health Conditions?
A
B

If yes, please specify:

Consent

- I give permission for my child to participate in the Brazilian Jiu-Jitsu sessions.
- I understand that my child will be taking part in physical activities & accept the risks involved, knowing that coaches will take every care to ensure their safety.
- I give consent for the coaches or staff to administer basic first aid if required.
- I agree to adhere to the programme rules and follow the instructions provided by the coaches.

Signature of Parent/Guardian:

Signature

Date

How Did You Hear About Us?

How Did You Hear About Us?

By Submitting This Form, You Consent To Us Contacting You Regarding The BJJ Sessions. Presented by Peak Performance - A Programme of Suhba Club