Annual Membership

Please fill out this form for your Membership to Renato Tavares Brazilian Jiu Jitsu

Renato Tavares BJJ Membership*
Price: $39.99 Quantity:
Name*
FirstLast
Email*
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
What training Facility do you currently attend?*
Who is your coach?*
What is your Belt Ranking?*
- White Belt
- Blue Belt
- Purple Belt
- Brown Belt
- Black Belt
What are you future goals?*
Please upload your picture for the Membership Card
Make sure your picture is one of these file extensions: gif, png, pdf.

Make sure your picture is of your Face, this is for the Membership ID Card.

If you are having a problem uploading your picture, please e-mail it to info@rrtbjja.org.
Captcha

Member log in