Police Judo Junior Class Registration

Class Details

Class *

Class 2 *

Subscription *

$200.00 / Semester

$500.00 / Year

$350.00 / Semester

$850.00 / Year

Waiver

Please download and complete the Police Judo Waiver.

Download Waiver

Upload Waiver *

File name:

File size:

Judo Canada Number

Do you have a Judo Canada number?

YesNo

Judo Canada Number *

IMPORTANT: If you do not have a Judo Canada number, please register for a Judo BC Membership here.

Guardian Details

Guardian First Name *

Guardian Last Name *

Guardian Email Address *

Guardian Phone Number *

Guardian Gender *

Participant Details

Participant First Name *

Participant Last Name *

Participant Date of Birth *

Participant Gender *

Current Judo Belt *

Care Card Number (PHN)

Participant Email Address

Home Address

Emergency Contact Details

Emergency Contact 1 Name *

Emergency Contact 1 Phone Number *

Emergency Contact 2 Name

Emergency Contact 2 Phone Number

Price

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