Welcome to Wild Dog MMA

Thankyou for joining the Wild Dog Team!

Please wear shoes or slides/thongs whenever you are not on the mats, when inside of the premise.

Always clean your feet and bow before entering the matted area.

Please come clean to training and always wear clean training gear.

Please show respect to all Wild Dog members and staff we are your extended family!

Please follow all staff instructions.

We look forward to seeing you on the mat!

Personal Information

FIRST NAME *

LAST NAME *

UPLOAD PROFILE PHOTO

ADDRESS LINE 1

ADDRESS LINE 2

TOWN/CITY

POSTCODE

EMAIL ADDRESS (PRIMARY) *

EMAIL ADDRESS (SECONDARY)

GENDER

PHONE NUMBER

MOBILE NUMBER

DATE OF BIRTH

Emergency Contact Information

NAME

RELATIONSHIP

PHONE

MEDICAL / ALLERGY NOTES

Which class(es) are you joining? *

BRAZILIAN JIU JITSU

KIDS BJJ

MUAY THAI

You're enrolling at:

NIMBIN

Choose a plan and enter payment details if required

Kids BJJ

$30.00 / WEEK

ADULT MEMBERSHIP

$50.00 / WEEK

2 Dependants

$60.00 / WEEK

1 ADULT 1 DEPENDANT MEMBERSHIP

$80.00 / WEEK

1 Adult 2 Dependant

$90.00 / WEEK

Punch Pass

$200.00 FOR 10 PASSES

Please read and sign the following agreements

Participant Waiver and Release of Liability

Welcome to Wild Dog MMA

Personal Information

Emergency Contact Information

Which class(es) are you joining? *

You're enrolling at:

Choose a plan and enter payment details if required

Kids BJJ

ADULT MEMBERSHIP

2 Dependants

1 ADULT 1 DEPENDANT MEMBERSHIP

1 Adult 2 Dependant

Punch Pass

Please read and sign the following agreements

Success!

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Welcome to Wild Dog MMA

Personal Information

Emergency Contact Information

Which class(es) are you joining? *

You're enrolling at:

Choose a plan and enter payment details if required

Kids BJJ

ADULT MEMBERSHIP

2 Dependants

1 ADULT 1 DEPENDANT MEMBERSHIP

1 Adult 2 Dependant

Punch Pass

Please read and sign the following agreements

Which contact methods do you consent to?

Success!

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