TNBJJFED APPLICATION FOR ACADEMY ENDORSEMENT

Contact:

Name:________________________________________________

Address:______________________________________________

Phone:________________________________________________

Email:_________________________________________________

School Name: ____________________________________________________

Address: ________________________________________________________

Phone:_______________________________ Fax: _______________________

Web Site:_______________________________________________

Main Brazilian Jiu Jitsu Instructor:

Name: ______________________________________________________

Rank: _______________________________________________________

#of years teaching Brazilian Jiu Jitsu: ______________________________

#of years training Brazilian Jiu Jitsu:_______________________________

Your instructors name and rank: ___________________________________

If under a Brazilian Jiu Jitsu organization please list: ___________________________

Please briefly explain your intent and reason for wanting to be a part of the Tenn.

Brazilian Jiu Jitsu Federation:_____________________________________________

___________________________________________________________________

Please briefly list why you feel that your school should become an endorsed school with

the Tenn. Brazilian Jiu Jitsu Federation._______________________________

___________________________________________________________________

* Send this application along with a $25 check or money order

TNBJJFED

1403 E.Broadway Ave

Maryville,TN 37804