🥋 HWJC - Payment Advice Form

HWJC - Payment Advice Form 2026
All participants are required to have a valid BJA licence and visitors must provide their licence details. Review your licence by accessing the British Judo Association Membership portal, The Dojo.

The payment section is at the bottom of the form.

Note: parents/legal guardians of multiple siblings are required to fill in a form for each participant.
Date

DayMonthYear
Participant Details: Parental Consent required for participants under 18.
Confirm Session/s*

Newaza Night (Mon 8:15 to 9:45pm) Age 13+Junior Judo (Tues & Thurs 6:45 to 7:30 pm)Intermediate & Advanced Judo (Tues and Thurs 7:30 to 8:30pm)Advanced & Senior (18+) Judo (Tues and Thurs 8:30 to 9:30pm)England Talent Development Centre (ETDC) THURSJOINT RANDORI SESSION WED 18 FEB
Participant’s Full Name*

First NameLast Name
Parent/Legal Guardian Name

First NameLast Name
Contact Details-Email*
example@example.com
Contact Details - phone number*
Emergency Contact Details - phone number
Required for all Senior registrations
Payment Options*

I have set up a Standing Order on the 1st of each month for £35 (Juniors) or £40 (Intermediate, Advanced & Seniors)PAYG mat fee of £10 per session (visitors only) - enter card details belowPAYG mat fee of £5 per session (EPP judoka only) - enter card details belowPAYG mat fee of £5 per session for JOINT RANDORI SESSION on WEDS 18 FEB - enter card details below
British Judo Licence Details: applicable to all VISITORS & NON-HWJC Judoka.
Date of Birth

DayMonthYear
Date
BJA Licence Number
BJA Grade
If not Novice
BJA Licence Expiry Date

DayMonthYear
Date
BJA Club
I confirm that I will submit a new form if there are changes to these responses and I will notify judocoaches@hwjc.co.uk as soon as possible.*

YES
Signature of Participant or Legal Guardian*

Clear

PAYG Judo Mat Fee - Credit Card payment applicable to all visitors/non-HWJC Judoka

PAYG Mat Fee £10 (visitors only)

£10.00 Quantity

PAYG Mat Fee £5 (EPP Judoka only)

£5.00 Quantity

PAYG Mat Fee £5 (JOINT RANDORI SESSION - WEDS 18 FEB)

£5.00 Quantity

Total

£0.00

Credit Card

Should be Empty:

HWJC - Payment Advice Form 2026

Credit Card