HWJC Judo Waiting List Request

High Wycombe Judo Centre

Judo Waiting List Request
Thank you for your interest in attending our judo sessions at High Wycombe Judo Centre.

Please enter your contact details below so that we can contact you as soon as we have availability. Send an email to judocoaches@hwjc.co.uk for any judo related queries.
Player Full Name*

First NameLast Name
Age Range*

5 to 14 years oldOver 15 years old
Date of Birth*

DayMonthYear
Parent/Legal Guardian Name (if athlete is under 18)

First NameLast Name
Contact Details-Email*
Parent contact details if athlete is under 18
Contact Details - phone number*
Parent contact details if athlete is under 18
Judo Experience:*
Grade (if have done judo in the past)
Other Comments:
Medical Conditions:
Disability:
Where did you hear about our judo club?

Facebook, social mediaFriendWebsiteRugby judoFamily (already doing judo)Other
Signature (Legal Guardian if athlete is under 18)*

Clear
Consent*

I give permission for the information on this form to be included in the club’s database. We require this information to contact you when the Judo Beginners class starts or the Judo slots for existing players become available.
Contact*

I agree to receive notification and communication emails or SMSs from High Wycombe Judo Centre. You may withdraw your consent at any time.
Please verify that you are human*
Should be Empty:

High Wycombe Judo Centre