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Please complete this form before you attend your first class with us.

Age – Are you interested in Kids or Adults Classes

First Name

Last Name

Address

Phone

Name of Emergency Contact

Number of Emergency Contact

Do you have any medical conditions or injuries?

How did you hear about us?

Why are you interested in learning Judo? (e.g fitness, fun, takedowns, self defense)

Risk Waiver Policy

I have read and agree to the Risk Waiver Policy.

The form has been submitted successfully. You’re welcome to drop into our classes at any time! If you have any enquiries, please contact us on 0407 702 883 or bonnyriggjudo@gmail.com

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