Membership

Please complete the following form to create a Team App account and join UQ Judo & BJJ Club.

If you already have a Team App account, please log-in now.

I agree to provide my membership details to UQ Judo & BJJ Club.

Password

Confirm Password

Name

Phone

Name

Relationship

Phone

Alternate Phone

Medical Info

Club Waiver

I confirm that I have read and signed the Club Waiver

Student Number

Federation (Judo) Membership

Federation (BJJ) Membership

Rank/Belt

Medical Conditions

Have you ever had any Heart problems, concussion, Diabetes, Asthma or Epilepsy? Please Specify

Medical Conditions .

Have you ever been treated for a head, neck or spinal injury? Please Specify

Medical Conditions ..

Have you ever had Hepatitis A, B, C, Tetenus or HIV? Please Specify

Medical Conditions ...

Have you ever suffered a condition that has prevented you from participating in sport or physical activity? Please Specify

Attending

I will be attending

UQ Judo & BJJ Club