Wellington Judo Academy Enrolment Form

    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.

    1) Academy Membership Type (Please select one)

    2) New Zealand Judo Federation Registration (Please select one)

    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.

    3) Member Details









    4) Parent / Caregiver / Emergency Contact





    5) Other Questions and Consent




    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.

    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.