New Student Registration Form

New Student Registration Form

This form is only for new students. One form per student.

CODE OF ETHICS AND CONDUCT

Please read the

Code of Ethics and Conduct

before

filling out the registration form.

Do you have any questions before filling out the form? Check our Q&A page for the most commonly asked questions.
If you can't find the answer, contact us.

FIRST NAME

LAST NAME

BIRTHDAY

AGE

ADDRESS

FAMILY INFORMATION. For students under 19 years old (i.e. minors), enter name(s) and phone number(s) of parent(s)/guardian(s) as applicable.

EMERGENCY CONTACT(S). Enter name(s) and phone number(s) of person(s) to contact in case of emergency (if different than name(s) above (such as other family member(s), friend(s) or neighbour(s))).

MEDICAL CONDITIONS OR ALLERGIES. Write "NONE" if not applicable.

ADDITIONAL INFORMATION. Any other pertinent information you would like to share. Write "NONE" if not applicable.

I WISH TO REGISTER FOR THE FOLLOWING CLASS:

Children 7 - 10 year old class

Youths (11+)/adults class

NOTE

New students must reach the minimum age by the end of the starting month of a session to join the class

in their age group

(see below for specific dates).

IN THE FOLLOWING SESSION:

Fall 2025 session (Tuesday 9 September to Thursday 11 December) - must reach minimum age by 30 September. Registration deadline Friday 22 August.

POSTING OF PHOTOGRAPHS/VIDEOS ON THE SHUSWAP DOJO WEBSITE, THE CEDAR HEIGHTS COMMUNITY ASSOCIATION WEBSITE AND OTHER ONLINE OR PRINT MEDIA. I authorize the Shuswap Dojo to post individual or group photographs/videos (taken during classes) of the student named on this registration form.

YES.

NO.

I HAVE READ AND UNDERSTAND THE SHUSWAP DOJO CODE OF ETHICS AND CONDUCT

YES.

IF YOU CHOSE "Other", PLEASE SPECIFY.

NAME OF PERSON (must be an adult (19 years old or over)) SUBMITTING THIS REGISTRATION FORM

FIRST NAME

LAST NAME

DATE OF SUBMISSION

NEW STUDENT ORIENTATION MEETING

We hold an important orientation meeting for all new students the week before the start of a session. The purpose of the meeting is to meet the new students/parents, present how the Dojo operates, sign the release of liability form, size and give students their uniforms (dogi), take pictures of students, give students their Record of Promotions booklets

and answer any questions.

PAYMENT

No payment is required when submitting the New Student Registration Form. An invoice will be sent once space availability is confirmed.

Thanks for your submission. You will receive a confirmation e-mail shortly.

New Student Registration Form

This form is only for new students. One form per student.

Do you have any questions before filling out the form? Check our Q&A page for the most commonly asked questions. If you can't find the answer, contact us.

Do you have any questions before filling out the form? Check our Q&A page for the most commonly asked questions.
If you can't find the answer, contact us.