Member Profile Form

If you’re willing to let us feature you on our Instagram page, please fill out the form below. In addition, email an appropriate picture of yourself to danielle.gambardella@gmail.com. Thanks!

Please enter the following information:

Participant's Name

First Name

Last Name

Age

Profession

Favorite Jiu-Jitsu Move

How long have you been training Jiu-Jitsu?

What is your reason for training Jiu-Jitsu?

What hobbies do you have outside of Jiu-Jitsu?

Is there anything else you'd like to share about your experience with the sport and/or the Relson Gracie team?

Member Profile Form

Please enter the following information:

Gracie Jiu-Jitsu Academy Connecticut100 Webster Square Rd, Berlin, CT 06037Phone: (860) 828-5555www.graciect.com

Gracie Jiu-Jitsu Academy Connecticut
100 Webster Square Rd, Berlin, CT 06037
Phone: (860) 828-5555
www.graciect.com