Centre Evolution

2024/25 Judo Registration Form

Membership Information Required

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) Required

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 14th, 2024 to April 26th, 2025 (no classes Dec 23rd to Jan 5th)

Youth Fall/Winter Sessions - September 12th, 2024 to April 26th, 2025 (no classes Dec 23rd to Jan 5th)

Adult Fall/Winter Sessions - September 10th, 2023 to June 21st, 2025 (no classes Dec 23rd to Jan 5th)

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 2024/2025 will be taken as a separate payment from your account at the beginning of the season - Amount of affiliation fee for 2024/25

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

Upload Image Here

Max Image Size (15MB)

Upload PDF Here

Max File Size (15MB)

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

Membership Photo

Upload Profile Photo Here

Max File Size (Max 15MB)

Thank you for your 2024/25 registration with Judo Evolution