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Brighton Judo Club – Membership Form

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					                                                Brighton Judo Club

Dear Parent/Guardian,

On behalf of The Brighton Judo Club I would like to welcome your child to the club and provide
you with some information about our activities. The club provides opportunities for children and
adults of all ages and abilities to receive coaching in Judo. All training is by qualified British Judo
Association (BJA) coaches who have been screened for their suitability for working with young
people1.

All club coaches and officers offer their time free of charge, which enables us to keep our fees
low. The annual club membership fee is due on 1st April each year, and is reduced by 50% if
applying on or after 1st October. Training session fees are paid at the start of each session
attended at the rate shown in the club information leaflet provided.

We welcome parents to all training sessions and value their support. The partnership between
club, child and parent is so important that we have a special Parents/Guardians Agreement that
we ask you to read and sign when your child first joins the club.

As a contact sport, it is important that we have rules for everyone’s safety. Please take a
moment to read the attached Club Rules to your child, as we find that an explanation and
reinforcement from a parental figure greatly assists our coaches and settles the children into the
club more quickly. To operate safely, we need at least one emergency contact and details of any
medical issues.

We ask that children arrive in good time to start the training session, with a few minutes allowed
for changing. For safety reasons, children must not come to the club wearing their Judogi; rooms
are provided for changing upon arrival. Parents should collect their children as soon as the
session has ended.

It should be noted that the club can not be responsible for children outside of the dojo.

If at any time you would like any further information, have any concerns or would like help with
the club, the coaches will be happy to help.

Yours sincerely,

Dave Dicker
Club Chairman.




1
 All our coaches and executive committee members have been vetted - see Criminal Records Bureau (CRB),
http://www.crb.gov.uk/Default.aspx?page=308

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Club Rules
General
Members of the club agree that they will:
  a) Allow their personal data, held by the club in accordance with the Data Protection Act, to
     be used:
      I. to facilitate the management of the club
     II. to facilitate the protection of young persons
  b) To pay membership subscription fees to the club Treasurer by the date they are due.
     Where subscription fees are not paid within a month of the due date, the player’s
     membership will lapse.
  c) Abide by the decisions of the Committee and announcements made at the AGM.
  d) Seek to uphold the spirit of Judo and where able will advance the aims of the club.
  e) Provide an emergency contact and medical information, which they will update it if at any
     time this information changes.
  f) Consider the health and safety of others at all times, reporting any risks, concerns or
     issues to the coaching staff or club officers at the earliest opportunity.

Training
Members of the club agree that they will:
  g) Be physically fit and able enough to train.
  h) Be clean and have trim fingernails and toenails
  i) Bow upon entering and leaving the both the dojo and the mat.
  j) Respect other players and officials of the club.
  k) Abide by the rules of the club, listen to and follow the instruction from coaches, and be
     ready to learn.
  l) Arrive on time for training.
  m) Dress appropriately (the traditional Judogi is preferred at all times whilst training), with all
     jewellery removed.
      I. Female members should wear a plain white T-shirt under their Judogi top;
     II. Long hair must be tied back
  n) Wear appropriate footwear to and from the mat
  o) Ask the coach leading the training session before leaving the mat during training sessions.
  p) Pay training fees promptly.
  q) Obtain permission from the session coach before leaving the dojo for any reason -
     including a visit to the toilets.
  r) Not be under the influence of alcohol or drugs whilst in the dojo.




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Health and Safety Briefing Notes
To ensure adequate health and safety awareness, training should be provided to all members on
a regular basis and when a new member joins the club. It is recommended that the following
information be briefed to all club members and parents/guardians when joining.

Safety on the Mat
       Never wear shoes on the mat
       Come to the training session washed with a clean Gi
       Watch your space on the mat and if thrown get up quickly to avoid someone falling on
        you
       When seated, kneel or sit cross legged. Do not lean on the wall – you may not be able to
        get out of the way quickly enough

Safety off the Mat
       Wear shoes at all times when off the mat
       Always ask permission to leave the mat
       After using the toilet, wash your hands

Accidents/Incidents
       Do not come to play Judo if you are not fit enough to train
       If you come to a training session with an injury, inform the coach at the start of the
        session
       Do the exercises as shown; do what you can and do it well but not to the point of
        straining
       If you are hurt, inform the Coach immediately
       Keep your medical form up to date
       Have a current BJA license – it is your insurance




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BJC Executive Committee
Chairman:        Dave Dicker
Secretary:       Henry Christie
Treasurer:       Kim Smith

Senior Judo Representative:            Steve Shuker
Junior Judo Representative:            Laurence Buckingham
Parents Judo Representative:           Rob Hukin

Brighton Judo Club
1/9 St James's Street
(off Dorset Gardens)
Brighton
BN2 1RU

Tel: 01273 683780

Club Number: 137

Email: brightonjudo@btinternet.com
Web: http://www.brightonjudoclub.org/
British Judo Association: http://www.britishjudo.org.uk/home/index.php

Membership Rates and Matt Fees

Junior session fees:
        Members         £3.00
        Visitors        £4.00
        Suit hire       £1.00


Senior session fees:
       Members          £4.50
       Visitors         £6.00
       Suits hire       £1.50

BJC Annual Membership Rates per:
       Seniors (19 years and over) £24.00
       Juniors (18 years and under) £12.00

The membership year starts in April; fees will be prorated at three month intervals for new
players, e.g. players joining the club between July and September will be required to pay two
thirds of the annual fee, i.e. £18 for seniors, £9 for juniors.
Due to BJA insurance rules, visitors are required to become members after four visits.


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Brighton Judo Club – Membership Form
To ensure that we have the correct contact details for you, please provide the information
requested below. This form should be returned to the coach leading a club training session or a
club official. If you are under 16 please ask your parent or guardian to endorse the form before
you return it. We will use the information you provide to ensure that you are kept informed
about club events.



First name: ………………………………………………………………………………………………………………

Family name: …………………………………………………………………………………………………………


Gender (please circle):          M      F               Age: ............................................


                                                        Date of Birth: ……………/……………/……………


Address:          ………………………………………………………………………………………………


                  ………………………………………………………………………………………………


                  ………………………………………………………………………………………………


eMail:            …………………………………………………@…………………………………………


Phone numbers: 1) ……………………………………… 2) ……………………………………………


Mobile number: ………………………………………………………




Membership type: Kano/Junior/Senior                            Grade: ............................................


British Judo Association Licence (BJA) Number: ............................................


BJA Membership Renewal date: ............................................




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Agreement
BJC Membership fees are:
                                            Senior                               £24 pa
                                            Junior                               £12 pa

The annual club membership fee is due on 1st April each year, and is reduced by 50% if applying
on or after 1st October.

Membership term:                6 / 12 months               £ …………            Expiry: 31/03/20……

I wish to apply for Junior/Senior membership of the Brighton Judo Club. I have read the rules of
the club and understand and agree to follow them.

Applicant signature

Signed: ..........................................................   Name: ..........................................................

Date (dd/mm/yyyyy) ............................................



Signed (parent/guardian if member under 16) ..........................................................

Print Name (First, Surname) ..........................................................

Relationship to member: ..........................................................



I do/do not agree to have my/my child’s photo placed on the Brighton Judo Club website or
used for advertising and promoting the BJC.




BJC Statistics (Optional)
To help BJC monitor its membership, please tick one of the following boxes to identify your
ethnic group:
White                       □                          Black or Black British          □
Asian or Asian British      □                          Chinese or other                □
Mixed                       □

Official Use Only
Introductory letter and club rules signed                                     □
Parent/Guardian Agreement signed                                              □
Emergency Contact Copy                                                        □
Membership fee paid                                                           □


Date card issued: ……………/……………/…20……                                   Issued by: ..............................................

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                 Emergency Contact and Medical Information

                 Membership Number: ............................................


                 First name: …………………………………………………………………………………………………………………
                 Family name: ……………………………………………………………………………………………………………
                 Gender (please circle):                                 M                F                        Age: ............................................
                 Date of Birth: ……………/……………/……………


                 In case of emergency, contact (1):
                                  Full name: ....................................................................................................
                                  Contact relationship: .........................................................................
                                  Contact number (1) :.................................................................................
                                  Contact number (2) :.................................................................................




                 In case of emergency, contact (2):
                                  Full name:....................................................................................................
                                  Contact relationship:.........................................................................
                                  Contact number (1) :.................................................................................
                                  Contact number (2) :.................................................................................



                 Any medical issues that the club should be aware of:
                 ……………………………………………………………………………………………………………………………………………………………………………………
                 ……………………………………………………………………………………………………………………………………………………………………………………
                 ………………………………………………………………………………………………



..........................................................................................................................................................................................
                 Receipt for membership payment
                 Name:...........................................................................................................
                 Membership number:.................................................................
                 Term of membership: 6 / 12 months (From:                                               To: 31/03/20 )
                 Date of payment: ……………/……………/…20…… Amount: £........................

                 Committee member: .................................................................................

                 Version 2.5                                                                                                                                                             Page 7 of 8
Parental/Guardian’s Agreement
As the parent/guardian of a child who is a member of Brighton Judo Club, I agree to:
     a)    Encourage my child to learn the rules and play within them.
     b)    Discourage unfair play and arguing with officials.
     c)    Help my child to recognise good performance, not just results.
     d)    Never force my child to take part in Judo.
     e)    Set a good example by recognising fair play and applauding the good performances of all.
     f)    Never punish or belittle a child for losing or making mistakes.
     g)    Publicly accept officials’ judgements.
     h)    Support my child’s involvement and help them to enjoy their Judo.
     i)    Use correct and proper language at all times.
     j)    Oppose discriminatory behaviour and promote equality of opportunity.

In addition, I agree to:
     k) Keep current an emergency contact and medical information form for my child before
        leaving him or her in the club’s charge.
     l) Ensure that my child arrives on time, is appropriately dressed (with all jewellery
        removed), and is clean and physically fit to train.
     m) Ensure that my child understands the club’s rules.
     n) Support the club’s coaches in their endeavours to train the children.

Whilst the club seeks to provide a safe environment within which to practice Judo, I understand
that Judo is a contact sport and accept that accidents can happen. I understand that the club
seeks to have a qualified first-aider at all its training sessions and that if for any reason medical
attention is required, the coaches will ensure that nobody undertakes first aid treatment for
which they are not qualified and that they will seek more qualified attention where they can not
confidently deal with the problem.




I .......................................................................... (full name), being the parent or legal guardian
of................................................................. (full name of child), have read and accept the above
agreement.


Signed: .................................................................
Date: ....................................................................




(Endoc Version: 2.5)


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