Student Information

Name: {Name (First):1.3} {Name (Last):1.6}

Phone: {Phone:18}

Email: {Email:3}

Jiu-Jitsu Level: {Jiu-Jitsu Level:26}

Academy Name: {Academy Name:29}

Tuition  Information

Class Date: {Class Date:25}


Payment Options: {Payment Options:12}

Liability waver: {Liability waver (Consent):4.1} Agreed {date_mdy}

Please Review our Academy Rules.


Please Review our Academy Rules.


Academy Hygiene Rules

  • Jiu-Jitsu is a close contact sport, please Maintain good personal hygiene all time.
  • Keep you GI clean. A dirty GI is a sign of disrespect.
  • Every uniform needs to be washed and dried after every training.
  • Use hand sanitizer  before and after each class.
  • Always wear shoes or slippers when off the mats, especially in the restrooms and outdoors.
  • Walking outside of the academy without shoes is not permitted for students attending classes.
  • No dirty feet are allowed on the mats. Make sure your feets are clean before training.
  • No shoes, food and drink on the mat.
  • Always report any minor injury, health, or skin condition.
  • No animals are allow in the academy.
  • It’s every student responsibility to keep our Academy clean and safe at all time

Maui Jiu-jitsu Code of Conduct

1-    Progress is never alone. Help others improve and succeed.  Recognize that you are all members of a strong group, sharing common goals and interests. As you improve, your training partners improve. Iron sharpens iron.

2-    As you progress, ego can be a constant enemy. Remain humble at all times. Check your ego at the front door. There is no shame in tapping out.  You will tap out and you will tap other out often.

3-    Never lose your temper. Exercise self-control at all times, both inside and outside the academy

4-    Keep fingernails and toenails short and trimmed.

5-    Always come to class early and with an open mind.

6-    Keep uniform clean and wash it after every use.

7-    Show respect when entering and leaving the mat. Acknowledge your instructor and training partners with a handshake or bow before sparring

8-    Do not use profanity in the academy

9-    Always set a good example for lower ranks. Be aware that they will try to follow behaviors of senior practitioners.

10-  This is your school. Keep it clean.

11-   Sparing is not a game or contest. There is no winner or loser.  The goal is to learn, not win. You don’t have an opponent. You have a partner.  You are both polishing your skills.  In the real world, escape can be a victory.

12-  No talking while instructor is demonstrating a technique. Listening intently to details and raise your hand if you have any questions.

13-  Be respectful of others beliefs and opinions. Refrain from speaking about politics or religion while inside the academy.

14-  Remember your actions outside the academy may reflect the character of your academy.  You are an ambassador of our school.  Behave appropriately and with good manners at all times.