Judo Canada - Membership and event registration

Division

Event *

Division *

Are you a new or renewing member? *

First Name *

Last Name *

Gender *

Male Female

Date of Birth (YYYY *-MM-DD)

/ /

Belt Color *

Club *

Home Address (street, city, postal code) *

Email Address * Opt in to emails

Phone Number * - International Number

Emergency Contact Name *

Emergency Contact Phone # * - International Number

Medical Concerns/Medication

Health Card # *

Dietary Concerns

Waivers

Waiver Form

RELEASE, INDEMNITY, WARRANTY REGISTRATION AND ASSUMPTION OF RISK

In consideration of your acceptance of this entry to the above event hosted by the Judo Saskatchewan, I for myself, contestant, my heirs, executors, administrators and assigns, do hereby release and discharge the Saskatchewan Kodokan Black Belt Association (“Judo Saskatchewan”), LCBI High School and the officers, directors, employees, volunteers and any and all representatives of each organization from any and all claims or demands, losses, or injuries incurred or sustained by me (or parents/guardians if contestant is less than 18 yrs) as a result of attending, practising for or travelling to or from the event held in Outlook, SK July. 10-16, 2024.

I have read and agree to the above *

Digital signature (type your name exactly as entered above "registrants name") *

Judo Sask Summer Camp

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Division

Waivers

Waiver Form

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Division

Waivers

Waiver Form

Which Province/Territory?

Which club do you want to join?

Which club do you want to join?

Contact your club admin to register.

Which club do you want to join?

Which club do you want to join?

Which club do you want to join?

Which club do you want to join?

Which club do you want to join?

Contact your club admin to register.

Which club do you want to join?

Contact your province admin to register.

Which club do you want to join?

Contact your club admin to register.