Sobell Judo Club London

Reg. Type

Primary/Junior

Adult

Fees paid

Induction Course ²

£12 for two weeks

£15 for two weeks

JFAUK- Mem

£25 per annum

£25 per annum

Club Membership

£20 per annum

£30 per annum

Members Fee

Non-Members Fee

£4.00 per session

£5.50 per session

£5.00 per session

£6.50 per session

Date of Joining

- - / - - / - - - -

Name:

Address:

Post Code:

Home Tel:

Date of birth: _____/_______/_______

Mobile:

Gender: Male Female

Mobile:

Age:

Email:

EMERGENCY contact number:

Please give details of any relevant medical conditions.

Please give details of any medication currently taking:

Parental Consent (Name and relation of Parent, Guardian or carer for primary & Junior applicants)

Signature

Contact Details if different from above

Name:_____________________________________________

Address: __________________________________________

__________________________________________________

_____________________________ Postcode_____________

Tel: ____________________ Mobile:_____________________

Email: _____________________________________________

Date

Received by

Please Note:

1. Judo is a full contact and dynamic sport thus some injuries may occur during practice. The club cannot be held responsible for any injuries that may be sustained through practice;

2. Everyone taking part in the Judo Induction Course, will do so on a trial basis and can join the normal training sessions upon completion of the course only if and when approved by the instructor in charge;

3. Sobell Judo Club may take photos and videos during training sessions, competitions or other judo events. These material and media will be used solely for training purposes within the club. They are the property of the club, copyrighted to Sobell Judo Club by law. Any such material used for the promotion of the club for the wider public will be at the discretion of the club management.

Please return the registration form with the fees to
the Sobell Judo Club: c/o 56 Holloway Road, Islington, London N7 8JL or bring with you to a training session at 6.00pm till 9.00 pm on Mondays or Wednesdays at the Sobell Leisure Centre.