SHORE THING

JUDO REGISTRATION FORM

NAME:__________________________________________

ADDRESS:__________________________________________

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PHONE #_____________________________

USJF#_________________________           D.O.B_____________________

_MEMBERSHIP

MONTHLY $85

TRY-OUT FEE $15

ALL MEMBERS ARE REQUIRED TO HAVE A CURRENT USJF CARD, WHICH CAN BE PURCHASED THROUGH THE CLUB

PAYMENTS CAN BE MAILED TO :

SHORE THING W.C.

551 AZALEA DRIVE

BRICK, NJ 08724

MEMBERSHIPS WILL BE PUT ON HOLD FOR MEDICAL REASONS ONLY!

ALL MEMBERSHIPS ARE NON-REFUNDABLE

PARENT /GUARDIAN SIGNATURE________________________________________

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