COPY AND PRINT FORM BELOW AND MAIL TO NCBJJF  
New Federation ID
      
Athlete Affiliation Form:

First Name:
Last Name:
Address:
City:
  State:
  Zip:
  Country:
  Phone Number:
  Email:
  Academy:
  Black Belt Instructor:
  Instructor signature:
  Instructor  contact phone:
  Date of Birth Month Day Year
 
  Check or 

Money Order

Please send payments to:
North Carolina Brazilian Jiu-Jitsu Federation Inc. 1607- G - montford Dr.
Charlotte, NC 28209
Payable to:
North Carolina Brazilian Jiu-Jitsu Federation Inc.
    Send 2 recent 2" X 2 " Passport Photographs
 

 

Affiliation Fee

 

$25.00
 
 

New affiliation:
  Fill the form and submit
  Send 2 recent 2" X 2 "   Passport Photographs
  Pay a 25.00 fee
     

Renew:
  Fill the form and submit
  Send a recent 2" X 2 "  Photograph
  Pay a 15.00 renewal fee
     

You will Receive your Federation ID in 7 to 10 business days from the date we receive your request. If you have any questions contact us at Info@NCBJJF.com