RSA Online Application
We look forward to reviewing your application. Thank you for your time.
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First and Last Name
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Age
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Email
(Your e-mail will be kept confidential and used for your application purposes only)
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How long do you plan on living on Oahu?
Under 1 Year
1 Year
2 Years
3 Years
4 Years +
Forever
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Occupation
HPD (Discounted Tuition)
Other Law Enforcement (Discounted Tuition)
HFD
Military
Trade
Professional
Office
Full-time Student
Part-time Student
Other
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Confirm RSA adult mens team eligibility.
I am a male and am eligible
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Are you in good mental and physical health?
Yes
No
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Which have you participated in?
Brazilian Jiu-Jitsu
Wrestling
Judo
Striking Arts
Other
None
If you have trained at another school, what is its name?
What Brazilian Jiu-Jitsu rank did you attain?
None, still novice
Blue
Purple
Brown
Black
Important Note
If you attained the rank of Purple Belt or higher from another school, your application cannot be processed. Child applications can be filled out at www.gracieainahaina.com
Is there another school that you are looking at? If so, which one.
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Why do you want to learn Gracie Jiu-Jitsu?
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How do you define Team Loyalty?
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What made you choose the RSA academy?
When would you like to begin training?
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
How did you find out about us?
Internet search "Gracie Jiu-Jitsu"
Internet search "Martial Arts"
Internet browsing
A family member
A friend
Other
If referred, who may we thank for your visit?
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Indicates Response Required