Welcome to Headwaters!

We are excited to have to you!

Please provide your name (or kid's name if you're a parent), a good contact email, then sign the waiver and photo release.

If signing up for a free trial-week, please note the free week starts whenever you first come in for a class.

Get ready to enter flow state, and we'll see you on the mats!

Personal Information

FIRST NAME *

LAST NAME *

UPLOAD PROFILE PHOTO

ADDRESS LINE 1

ADDRESS LINE 2

TOWN/CITY

POSTCODE

EMAIL ADDRESS (PRIMARY) *

EMAIL ADDRESS (SECONDARY)

GENDER

PHONE NUMBER

MOBILE NUMBER

DATE OF BIRTH

Emergency Contact Information

NAME

RELATIONSHIP

PHONE

MEDICAL / ALLERGY NOTES

Which class(es) are you joining? *

JIU JITSU

KIDS JIU JITSU

You're enrolling at:

HEADWATERS

Please read and sign the following agreements

Waiver of Claims and Liability

Photo Release Authorization

Welcome to Headwaters!

Personal Information

Emergency Contact Information

Which class(es) are you joining? *

You're enrolling at:

Please read and sign the following agreements

Success!

Hmm...

Welcome to Headwaters!

Personal Information

Emergency Contact Information

Which class(es) are you joining? *

You're enrolling at:

Please read and sign the following agreements

Which contact methods do you consent to?

Success!

Hmm...