Police Judo Junior Class Registration – Odd Squad Productions Society

Semester *

Price

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.

Participant First Name *

Participant Last Name *

Participant Date of Birth *

Participant Gender *

Current Judo Belt *

Care Card Number (PHN)

Participant Email Address

Home Address

Guardian First Name *

Guardian Last Name *

Guardian Email Address *

Guardian Phone Number *

Guardian Gender *

Emergency Contact 1 Name *

Emergency Contact 1 Phone Number *

Emergency Contact 2 Name

Emergency Contact 2 Phone Number