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Keiko Sports

Zebra Mats

Beverly Hills Brazilian Jiu-Jitsu Club
912 ½ S Robertson Blvd.
Los Angeles CA 90035
 (310) 854-7664

BHJJC Professional MMA Team
Audition Sign Up Form

  1. Please fill out the form below as best as possible.
  2. You may not be able to answer every question in that case just enter "N/A"
  3. Completed applications with professional references will receive priority.
* = Required Field  
Personal Information
* First Name: * Last Name:
Nick Name: * Date of Birth:
* Current Weight: lbs. * Height: ft.   in.
* Email Address: * Phone Number:
MySpace URL: Website URL:
 
Current Residence
* Street Address:  
* City:   * State:   * Zipcode:  
* Are you able to train in Los Angeles 6 days a week? (Mon-Sat)    Yes  No 
* Are you legal to work in the US or have a valid visa?    Yes  No 
 
Training Experience
Brazilian Jiu-Jitsu:  Yes  No Current Belt:      Years Trained: 
Judo:  Yes  No Current Belt:    Years Trained: 
Wrestling:  Yes  No Current Level:  Years Trained: 
Muay-Thai:  Yes  No Current Level:  Years Trained: 
Boxing:  Yes  No Current Level:  Years Trained: 
MMA:  Yes  No Current Level:  Years Trained: 
Other Disciplines: Current Level:  Years Trained: 
Other Disciplines: Current Level:  Years Trained: 
 
Current & Previous Training Facilities
Head Instructor: Gym Name: 
Head Instructor: Gym Name: 
Head Instructor: Gym Name: 
 
Previous Fighting & Tournament Experience
MMA Record (Amature & Professional):     Win   Draw:   Loss:   
Previous Organized Fights (Win or Loss) and Tournaments (Placed Only):
 
References (Instructors/Training Partners/Promoters/Etc.)
Name: Relationship:
Phone: Email:
Name: Relationship:
Phone: Email:
Name: Relationship:
Phone: Email:
 
Personal Questions
   * Why do you feel you are ready to become a professional MMA fighter? (500 Characters Max)
   

   * What are your best strengths as a fighter? (500 Characters Max)
   

   * What is your inspiration to fight professionally? (500 Characters Max)
   

   Is there anything you would like to add? (Speak Freely!) (500 Characters Max)
   
 
User Agreement & Privacy Policy
By submitting this application you are allowing the use of your personal information by Beverly Hills Jiu-Jitsu Club. You agree the information submitted is accurate to the best of your knowledge and you allow Beverly Hills Jiu-Jitsu Club to contact the references provided. Beverly Hills Jiu-Jitsu Club reserves the right to use this information as necessary to review applicants and will not sell, trade or exchange your personal information.


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