Judo Canada - Membership and event registration

Membership type

Membership type *

First Name of person completing this annual club registration *

Last Name of person completing this annual club registration *

Role of person completing this annual registration *

Name of Club (My club is missing ) *

Head Coaches Name *

Club Address *

Club City *

Club Postal Code *

Club Email Address * Opt in to emails

Club Phone # * - International Number

Club website

Mailing address is the same as above.

Contact Name *

Mailing address *

Mailing City *

Mailing postal code *

Contact Email Address * Opt in to emails

Contact Phone # * - International Number

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 * Opt in to emails

Club Registrar's Phone Number * - International Number

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.

Waivers

I have read and agree *
Judo BC Club Membership Compliance Statements

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

Judo BC - Clubs

Please fix the following errors:

Membership type

Waivers