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 this document

before

filling out the registration form.

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 5 - 6 year old class

Children 7 - 10 year old class

Youths (11+)/adults class

NOTE

New students must have reached minimum age by the start of a session to join the class in their age group.

IN THE FOLLOWING SESSION:

Winter/spring 2024 session (Tuesday 6 February to Thursday 30 May) (registration deadline Friday 12 January 2024)

Fall 2024 session (Tuesday 10 September to Thursday 12 December) (registration deadline Friday 16 August 2024)

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.

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 INFORMATION MEETING

We hold an important information 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 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 submitting the registration form.