Judo Canada - Membership and event registration

Head Coaches Name *

Club Address *

Club City *

Club Postal Code *

Club Email Address * Opt in to emails

Club Phone # * - International Number

Club website

Mailing address is the same as above.

Contact Name *

Mailing address *

Mailing City *

Mailing postal code *

Contact Email Address * Opt in to emails

Contact Phone # * - International Number

Zone *

NEQ, Quebec enterprise # *

Emergency Access Plan (PAU) *

Would you like to add an additional insured person *

Do you have a sports-studies program or a sports concentration?

President Name *

President Email * Opt in to emails

President Phone number * - International Number

Name of the schools where your offer extracurricular judo outside class hours

Name of the schools where your offer judo classes during class hours

In what type of building is your dojo located? *

What type of practice area do you use? *

Name of the club for Judo Québec website (if different from administrative name)

Facebook page link

Select if you are offering specific classes for the following categories

Club type - Defining the type of insurance covering your dojo *

Judo Québec - Clubs