Date of Birth *
As of today's date, are you at least 18 years old? *
If yes, you must provide the member's full name (First and Last) in order for them to receive credit.
USA Jiu Jitsu's membership database will only show your membership card, which includes your photograph that you submit, your name, belt rank (if applicable), and membership number.
Please upload a photograph that clearly shows your face.
Disciplines (You can enter up to three ranking and disciplines)