Enrolment - Judo Academie Amsterdam

Enrolmentform

Are you interested in taking judo lessons with JAA? Please fill in this registration form. Registration is on the condition that your trial lesson was acceptable. Boxes with an * are compulsory.

I am registering for judo classes:*
1x per weekunlimitedparent + child

on location:*

desired date trial lesson on:*

Personal details new member

If you are registering for parent/child judo classes, please register under the name of the child.

Surname*

Initals*

First name*

Date of birth*

Street*

Housenumber*

Additions

Postal code*

Town/city*

Telephone number*

2nd Telephone number (optioneel)

Email*

2e Email (optional)

Please state if any of the following apply: I am a student (mbo/hbo/wo). Student fee? Mail us your proof of registration as a student.I have done judo before (PLease state your cuurent grade in the comment section of this form)

Do you hold a stadspas? Stadspas holders do not have to pay the registration fee for members under 18 years of age.

Stadspas number (19-digit code under the barcode on the reverse side of you pass.)

Comments