Affiliate Application Team Essential Jiu Jitsu

  • Applicant Information
  • (Academy Owner Name if different from the above applicant)
  • Academy Information
  • Academy Address
  • Email
  • Instructor Information
  • Name of Head Instructor
  • Is your head instructor an active BJJ competitor ?
  • Current Affiliate Information
  • Is your academy currently affiliated with another team?
  • Do You Have Any Personal Liens, Judgements or Insurance Claims Against You?
  • Does your Business Have Any Liens, Judgements or Insurance Claims Against It?