Please fill out the registration form carefully providing information that is as accurate as possible.

Personal Info

First Name:
Last Name:
Address:
 
City:
Country:
Province / State:
Postal / ZIP Code:
Email Address:
Telephone:
(Start with area code)
D.O.B:
Parent/Guardian:
(If Judoka is under 18 years of age)
Gender:
Aboriginal Status:

Self-identifying as a member of First Nation is not mandatory.

Judo Info


If you are unable to find your club in the list, please inform your club owner and/or confirm the name of your club and then try again.

Account Info

Please keep your username and password in a safe place. Once you receive your Black Book, please write it down there.

Username:
Password:
Confirm Password:

Finish