Club 62 Judo - Join Club 62

Your details (parent / account holder)

First name *

Last name *

Email *

Mobile number *

Alternative number

Home venue

Create a password *

At least 8 characters.

Confirm password *

Home address

Address line 1 *

Address line 2

Town / City *

Postcode *

Emergency contacts

An alternative contact for emergencies, plus a next of kin.

Emergency contact name *

Phone *

Relationship

Next of kin name

Phone

Relationship

Who will be training?

I will be training too (add my own health details below).

Your health questionnaire Has a doctor ever said you have a heart condition or should only do physical activity recommended by a doctor? Do you feel pain in your chest when you do physical activity? Do you ever feel faint, dizzy, or lose your balance? Do you have a bone, joint, or other condition that could be made worse by activity? Are you currently taking any prescribed medication? Have you had a recent injury, operation, or illness? Is there any other reason you should not take part in physical activity?

Allergies

Medical conditions

Disabilities

Medication

Children

No children added yet. Use “Add a child” for each young person joining.

Anything else the club should know?

Consent & data protection

Please review the statements below. Items marked * are required to complete registration. You can change your photo and marketing preferences any time in your member portal.

I consent to Club 62 Judo storing and processing the details on this form to administer membership, in line with the privacy notice. * I consent to a coach arranging emergency first aid or medical treatment if needed, and confirm the medical information above is accurate. * I consent to photos/video being used on the Club 62 website. I consent to photos/video being used on Club 62 social media. I consent to photos/video being used in competition entries and results. I would like to receive occasional club news and updates by email.

Join Club 62 Judo

Who will be training?

Children

Consent & data protection