The first 4 Senior and Junior lessons, and first 2 Peewee's lessons are free trial lessons. Only fill this form out after you have had your free trial lessons.
- After the eldest family member all other members receive 10% off, increasing by 10% for every member. - There is also a discount of 10% for paying the annual lump sum upfront.
—Please choose an option—Wellington ClubPorirua club
—Please choose an option—Kids Judo (6 – 13 years) $110 per school termPeewee Judo (4 – 5 years) $60 per school termSeniors (14+ years) $69 monthlySeniors - casual only $14 per visit
This fee is required annually for all members in the Senior and Junior class (not Peewees). It goes directly to, and registers you with, the New Zealand Judo Federation, our national governing body.
—Please choose an option—Under 20 Years - $82 annuallyOver 20 Years - $105 annuallyUnder 6 Years - Not required
Member First Name (required) Member Last Name (required) Date of Birth (required) (only if above date picker does not work on your browser) Home Address (required) Main Contact Email (required) Cell Number (required) Home Number Work Number
Contact Full Name (required) Contact Email (required) Contact Cell Number (required) Contact Home Number Contact Work Number
Do you have any professional skills you could offer the Academy? Would you like us to organise a Judo uniform for you to purchase? if so indicate height. How did you find out about the Academy? (required) —Please choose an option—Through a FriendGoogle SearchFacebookWalked PastOther Does the member have any medical information we should be aware of. E.g. allergies, diabetes, asthma etc. Please give details and let us know medical steps we need to take in the event of an emergency. Members Doctor's details (required)
In the event an injury occurs, we will try to contact caregivers or emergency contacts immediately. If we are unable to make contact, and the instructor feels that the injury is of a serious nature that needs immediate treatment then you will be taken to a medical practitioner or hospital.
I accept the medical approach stated above in case of an injury.
Photographs of club activity are routinely posted on our website, or other media. Do you accept that you or your children's face may be visible in photographs used by the Academy. We will ask permission of you before publishing any names alongside photographs.
I accept my or my children's face may be visible in club photos used by the academy.
To the best of my knowledge the form is true and complete as at below date.
Your / Guardian Name (required) Date Signed (required) Your / Guardian Signature (required)