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First name
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Last name
E-mail
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Phone Number
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Date of Birth
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Parent 1
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Parent 2 (If applicable)
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Street Address
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City
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Province
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Postal Code
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Emergency Contact Name
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Emergency Contact Relationship
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Emergency Contact Phone Number
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Any medical conditions?
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Allergies
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Previous Judo Rank? (If applicable)
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Select class
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Women's Judo
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Kinder Judo
Junior Fundamentals
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Strength & Conditioning
Teen/Adult Judo Technical
Jiu-Jitsu for Judo
Teen/Adult Judo
Teen/Adult Judo - Randori
Fee
:
CAD 199.00
I put the participant's name in the First/Last name fields.
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