Welwyn Garden City membership form

Annual Membership Renewal Form
Welwyn Garden City Junior Judo Club

Name of Child
School attending (if any)
Name of Parent/Guardian
Date of Birth
Male / Female
BJA Licence Number
Licence Number Renewal Date
Grade
Date of Last Grading
Medical Conditions
E-Mail Contact
Telephone Contacts (inc Emergency)
I wish to receive Tournament Info (Y/N)

I confirm that:

I have read, understand and accept the terms and conditions of the document entitled “WGC Junior Club Rules” which is available on the Club Website.
I am the parent/legal guardian of the above proposed member.
There is no medical or other reason which would prevent the above proposed member from participating in Judo training sessions.
I agree to pay the annual joining membership fee of £10.

I understand that :

Judo is a physical contact sport and that, as such, injuries can occur.
It is my responsibility to be contactable at all times during training sessions in case of emergency.
As a member I will benefit from reduced subscription fees of £3 per session.

Signature of Parent/Guardian
Date