Centre Evolution

2023/24 Judo Registration Form

Membership Information

Previous Judo Evolution Member

**New Judo Evolution Member

Students first name

Students last name

Students date of birth

Previous belt level (if applicable)

Medical history / Conditions

Address

Primary phone #

Secondary phone #

Photo Disclaimer (Required field)

I agree that photos and / or videos can be taken during training for the purpose of promotional material for Centre Evolution

Kids Fall/Winter Sessions - September 9th, 2023 to April 27th, 2024 (no classes Dec 23rd, 30th & Jan 6th)

Youth Fall/Winter Sessions - September 7th, 2023 to April 27th, 2024 (no classes Dec 23rd, 2023 to Jan 6th)

Adult Fall/Winter Sessions - September 5th, 2023 to June 20th, 2024 (no classes Dec 23rd, 2023 to Jan 6th)

Please indicate below the Judo group that you're registering for:

Kids Judo 3-9 years old - $20/bi-weekly ($23.00) - (Saturday mornings only)
Youth Judo 10-13 years old - $40/bi-weekly ($46.00) – (Thursday Evenings + Saturdays)
Adult Judo 14+ years old - $45/bi-weekly ($51.74) - (Tuesday/Thursday Evenings + Saturdays)

NOTE: If your signing-up more than one family member, please include their name(s) below so we can match them on the same contract (you need to submit an individual form for each member) we can apply the 10% discount for the 2nd member and 20% for the 3rd member

Add 2nd & 3rd family member name(s) here:

Affiliation fees for Judo Québec/Canada 2023/2024 will be taken as a separate payment from your account at the beginning of the season - Amount of affiliation fee is available on the Judo Quebec website.

** New Members Only - Your banking information is required (Transit #, Inst. #, Account #) to create a student account in our administrative system for affiliation and membership payments. Please upload either an image or .PDF of your information below.

Upload Image Here

Upload PDF Here

** New Members Only - Please upload a head shot for your membership card

Membership Photo

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Thank you for your 2023/24 Judo registration with Centre Evolution