Gracie Jiu-Jitsu Academy - Brazilian Jiu-Jitsu Information Site

Gracie Combatives® Instructor Certification Course Online Inquiry

Important Application Information:

This application is for current school owners only, if you are a martial arts instructor please forward this to your school owner.
Please read the entire Gracie Combatives Instructor Certification information page before completing this inquiry.
Please complete all fields and answer all questions as precisely as possible.
Please allow up to 15 days for a reply. Do not apply twice.
Please add any questions or concerns at the bottom of this form.
Please add GCLAPPS@GRACIEACADEMY.COM to your Safe Senders list in your e-mail application.

*Name:
*Phone Number:
*E-mail Address:
*School Name:
Years in Business:
School Address:
School Address 2:
City:
State:
Country:
Zip Code:
School Website
How long have you been at your current location?
How much mat space does your school have for grappling?
Number of Instructors at School:
Approximate Number of Students enrolled?
Is Grappling currently taught:		(Check box if yes)
Please describe all systems currently taught at your school and any affiliations your school may have:
Please give a brief description of your training facility:
Does your training facility have a general liability insurance policy?		(Check box if yes)
How did you hear about the Gracie Combatives Program?
Why do you want to offer Gracie Combatives at your school?
Are you committed to the preservation of pure Gracie Jiu-Jitsu as practiced by Helio Gracie?
Do you agree to abide by the Instructor Code of Conduct?
Do you consume illegal drugs?
Do you smoke?
How often do you consume alcohol?
Height:	Weight:	Age:
Physical Fitness Level:
Do you authorize us to conduct a background check?		(Check box if yes)
Please list any questions or concerns you may have?
The completion and submission of this application in no way constitutes an agreement by either party and involves no obligations of any kind.