Enrolmentform Are you interested in taking judo or Brazilian jiujitsu lessons with JAA? Please fill in this registration form. Registration is on the condition that your trial lesson was acceptable. Boxes with an * are compulsory. I am registering for:* 1x per weekunlimited (judolessons only)parent + child judolessons only) Choose judo or Brazilian jiujitsu:* JudoBrazilian jiujitsu On location:* —Kies een optie—BS SchreuderSportpark Sloten, Sportcentrum SlotenSportcentrum De PijpBS KinkerbuurtBS De ArkJan HekmanschoolPro Rege School Hemsterhuis Desired date trial lesson on:* Personal details new member If you are registering for parent/child judo classes, please register under the name of the child. Family name* Initals* Given name* Date of birth* Gender* MF Street* Housenumber* Additions Postal code* Town/city* Telephone number* 2nd Telephone number (optional) Email* 2nd Email (optional) Please state if any of the following apply: I am a student (mbo/hbo/wo). Student fee? Mail us your proof of registration as a student.I have done judo/Brazilian jiujitsu before (PLease state your current grade in the comment section of this form) Do you hold a stadspas? Stadspas holders do not have to pay the registration fee for members under 18 years of age. Stadspas number (19-digit code under the barcode on the reverse side of you pass.) Comments Δ
