Judo Canada - Membership and event registration

Type d’adhésion

Type d’adhésion *

Prénom *

Nom *

Role of person completing this annual registration *

Nom du club (Mon club est manquant) *

Directeur Technique *

Adresse *

Ville *

Code postal *

Adresse courriel * Recevoir des courriels

Numéro de téléphone * - Téléphone international

Site du club

L'adresse de correspondance est la même que celle du club

Correspondance - Nom du contact *

Correspondance - Adresse *

Correspondance - Ville *

Correspondance - Code Postal *

Correspondance - Courriel * Recevoir des courriels

Correspondance - Numéro de téléphone * - Téléphone international

Head coach's NCCP number

Legal Club name if different

Club Region

Address for courier deliveries - can't be a PO Box

Club Registrar's Name *

Club Registrar's Email Address * Recevoir des courriels

Club Registrar's Phone Number * - Téléphone international

Club type *

Society or business number

Club location informaiton *

Club offers classes for (please select all the apply) *

Head Sensei's name if different from Head Coach

Head Sensei's email if different from Head Coach

Is the club currently opperating? *

If yes, how many students are currently enrolled?

If no, when are your planning on starting the club?

Please upload the class schedule *

What is the total size of the training/instruction area? *

What type of mats? *

Our clubs will be offering programs in schools. Attached is a letter from the school(s)

Our clubs will be offering an introductory program. Attached is a letter outlining the program and includes the target group, dates, times and location of the program

Our club will be offering a female self defense program. Attached is letter outlining the program and includes the name of the instructor (must have completed the Judo Canada self defense training), dates and times.

Renonciations

J’ai lu et accepte les conditions *
Judo BC Club Membership Compliance Statements

Signature numérique (doit correspondre exactement au « registrants name ») *

Judo BC - Clubs

Veuillez corriger les erreurs suivantes :

Type d’adhésion

Renonciations