REGISTRATION

🥋

JUDO REGISTRATION

Athlete First Name

Athlete Last Name

Athlete date of birth

Month

Day

Year

Name and Last Name of Parent 1

Name and Last Name of Parent 2

E-mail

Phone number

Address

Select the group you wish to register for

Do you have any important medical information to share with us?

Wearing a judogi is mandatory.
You must inform the coach of any health condition or injury.
Fingernails and toenails must be kept trimmed.
Membership with Judo Québec is required to participate in competitions
and belt examinations.
No refunds will be issued after the first class.

By signing this form, I agree to join the club and accept the inherent risks associated with practicing judo.

Full name

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.