Judo Registration
Athlete's First and Last Name *
Your answer
Athlete's Date of Birth *
MM
/
DD
/
YYYY
Preferred Email(s) to Receive ALL Club Communication *
Your answer
Home Address (including City, State, Zip Code) *
Your answer
Parent/Guardian Name and Phone Number (multiple if preferred) *
Your answer
School *
Your answer
Grade *
Your answer
Is there any medical information that you feel we need to be aware of? (allergies, physical restrictions, general concerns, etc) *
Your answer
Emergency Contact (Name and Number) *
Your answer
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