FEBRUARY - JUNE
Select one or more programs to register

WINTER Boys Only Judo

Monday 6:00-7:00pm

Free

Kam Lake Dojo

113 Kam Lake Rd, Yellowknife NT

Register

WINTER Girls Only Judo

Wednesday 6:00-7:00pm

Free

Kam Lake Dojo

113 Kam Lake Rd, Yellowknife NT

Register

WINTER Adult Recreational Judo

Monday 7:00-8:30pm
Wednesday 7:00-8:30pm

$80

Kam Lake Dojo

113 Kam Lake Rd, Yellowknife NT

Register

WINTER Recreational Judo

Thursday 6:30-8:00pm
Saturday 10:00-11:30am

$125

Kam Lake Dojo

113 Kam Lake Rd, Yellowknife NT

Register

WINTER Family Judo

Saturday 9:00-9:30am

$125

Kam Lake Dojo

113 Kam Lake Rd, Yellowknife NT

Register

Participants Information

First name *

Last name *

Email *

Mobile

Gender

Date of birth

Address

City

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Zip/Postal code

Parent/Guardian (for minor) & Emergency Contact

Relationship

First name *

Last name *

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Email *

Mobile

Address

City

State/Province

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Indigenous *

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Visually Impaired *

Yes No

Physical Disability *

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If yes, please specify

Allergies *

Yes No

If yes, please specify

Belt Rank

Judo Canada Membership

Membership Number

Membership Type

Name of Club

Expiry Date

WAIVER

Awareness and Assumption of Risk, Release of Liability, Waiver of Claims and Indemnity Agreement

I AM AWARE AND ACKNOWLEDGE that the participation in judo involves many inherent RISKS, which risks include but are not limited to the possibility of personal injury such as skin abrasions, nerve, bone, spinal cord and neck damage, pain, paralysis, brain injuries or even death, property damage and property loss.

I UNDERSTAND that the above activities require a minimum level of fitness and physical, mental and emotional health. I further understand that the probability of the risks occurring depends in part on my Child’s level of fitness and health as well as on that awareness, care and skill with which my Child conducts themself in the program.

I WARRANT that my Child is physically, mentally and emotionally fit to participate in judo.

I UNDERSTAND, AGREE AND ACKNOWLEDGE that:

By choosing to have my Child participate brings with it the assumption by me and by my Child of the risk and I ASSUME FULL RESPONSIBILITY to instruct my Child about the risks and the choices available to them or relative to those risks.
I am free to withdraw my Child from judo at any time. I agree to withdraw my Child from judo immediately if my Child begins to experience any signs of transient lightheadedness, fainting, chest discomfort, leg cramps, nausea or other similar ailments.
The NWT Judo Association is not responsible for administering medication to my Child for providing any medical treatment on an emergency basis or any other. If my Child takes medication it is my responsibility to see that they do so.

I have read, understood and agree to the content above *

Please read and scroll to the bottom to accept.

I grant permission and give my consent to the NWT Judo Association to photograph and video me or 'my child' (for minor) during judo and publish them for promotional purposes. *

Yes No

Todays date *

Parent or Guardian / Age of Consent signature

Please sign your name inside the box

×

WINTER Boys Only Judo

Free

WINTER Girls Only Judo

Free

WINTER Adult Recreational Judo

$80

WINTER Recreational Judo

$125

WINTER Family Judo

$125

Participants Information

Parent/Guardian (for minor) & Emergency Contact

Indigenous *

Visually Impaired *

Physical Disability *

Allergies *

Belt Rank

Membership Number

Membership Type

Name of Club

Expiry Date

WAIVER

Awareness and Assumption of Risk, Release of Liability, Waiver of Claims and Indemnity Agreement

I grant permission and give my consent to the NWT Judo Association to photograph and video me or 'my child' (for minor) during judo and publish them for promotional purposes. *

Todays date *

Parent or Guardian / Age of Consent signature

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