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Memorial Weekend Judo Camp
Please answer ALL the questions below.
You can provide payment and sign the official waivers once arriving to the camp.
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Email *
First Name *
Last Name
Your Phone Number *
Your Address *
Are you registering for the Advanced or Novice training? *
Age *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Weight (approximate) *
Which Organization are you a member of? *
Member Number *
Expiration Date *
MM
/
DD
/
YYYY
Rank? *
Judo Club you are from? *
Parent/Guardian Name        (put N/A if 18+) *
Parent/Guardian Contact #       (put N/A if 18+) *
Emergency Contact Name (if same as parents put N/A) *
Emergency Contact Name (if same as parents put N/A) *
Has your coach/sensei determined that you are of sufficient skill level to participate in the Memorial Weekend Training Camp at the appropriate level that you have indicated above? *
Name of your coach/sensei. *
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