Membership
Find Event
Find a Club
Find a Member
Support
FRANÇAIS
Membership
Find Event
Find a Club
Find a Member
Support
LOG IN
FRANÇAIS
Loading, please wait... [
close
]
CLUB DE JUDO TO HAKU KAN INC.
View Info
Contact Us
Clear Form
Sherbrooke, Quebec
01.
Registrant Information
Registrants
02.
Confirmation & Payment
Confirmation
03.
Receipt
Receipt
# of individuals
you want to register
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
Share fields
*
Required
fields
Hide "fixed" error warnings
Please fix the following errors:
No error messages to display.
Are you sure this individual isn’t the following:
Are you a new or renewing member?
*
Judo Canada #
*
Lookup
I am a
new member
I am
new
to Judo Canada
I am
already
a member or am
renewing
my membership
with Judo Canada
First Name
*
Last Name
*
Is your Name incorrectly spelled?
Gender
*
Male
Female
Other
Date of Birth
*
(YYYY-MM-DD)
/
/
No category for this age.
School Name
Full Mailing Address - Street Address
*
Address 2
City
*
Province/Territory/State
*
AB - Alberta
BC - British Columbia
MB - Manitoba
NB - New Brunswick
NL - Newfoundland & Labrador
NT - Northwest Territories
NS - Nova Scotia
NU - Nunavut
ON - Ontario
PE - Prince Edward Island
QC - Quebec
SK - Saskatchewan
YT - Yukon
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Country
*
Canada
United States
Afghanistan
Åland
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos [Keeling] Islands
Colombia
Comoros
Cook Islands
Costa Rica
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar [Burma]
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
São Tomé and Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Minor Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Postal Code
*
Individual Email
*
Opt in to emails
Home Phone
*
-
International Number
Work Phone
-
International Number
Visually Impaired
*
No
Yes
Physical disability
*
None
Deaf
Autistic
Other
Indigenous Descent
*
No
Yes
Please select each option that applies to this member
*
Athlete
Head Coach
Coach
Referee
Club Board Member
PTSO Board Member
Judo Canada Board Member
Committee Member
Judo Canada Committee Member
Profile Photo
NCCP #
Belt Level
*
6kyu - White
6kyu+ White/Yellow
5kyu - Yellow
5kyu+ Yellow/Orange
4kyu - Orange
4kyu+ Orange/Green
3kyu - Green
3kyu+ Green/Blue
2kyu Blue
2kyu+ Blue/Brown
1kyu Brown
Shodan
Nidan
Sandan
Yondan
Godan
Rokudan
Shichidan
Hachidan
Kudan
Judan
Is this person in a position of authority during judo activities?
*
Coach
Assistance coach
Judge
Volunteers
Employees
None
The member wishes to receive promotional information and newsletters from Judo Quebec and Judo Canada
*
Yes
No
Emergency Contact Phone
*
-
International Number
Membership type
Notice: You have reached your maximum number of individual entries for this registrant.
There are no available categories for the age of this registrant.
Add another membership type
Membership type
(Judo Québec)
Introduction is a once in a lifetime 15-week program whereas Mudansha is for the year.
Membership type
*
Select...
Mudansha (Colour Belts)
Yudansha (Black Belts)
Category
*
Select...
U5
U8
U10
U12
U14
U16
U18
U21
Senior
65+
There are no available categories for the age of this registrant.
Membership type
(Judo Canada)
Membership type
*
Select...
Mudansha (Colour Belts)
Yudansha (Black Belts)
Introduction 1
Introduction 2
Renewal Introduction
Pre Judo
PTSO Lifetime
Staff Members
Other
Post Secondary Student
Category
*
Select...
U5
U8
U10
U12
U14
U16
U18
U21
Senior
65+
There are no available categories for the age of this registrant.
Additional Items
Judo Quebec Passport
$6.00
QTY
-
+
Proceed to next step
Add Another Registrant
Save & complete later
