BJA New Grade Form2

BRITISH JUDO ASSOCIATION GRADING SCHEME GRADE REGISTRATION SHEET Date of Assessment: BJA Club Number (if applicable) ...

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BRITISH JUDO ASSOCIATION

GRADING SCHEME

GRADE REGISTRATION SHEET Date of Assessment:

BJA Club Number (if applicable)

Club Name:

Contact Number (Authorised Official):

Venue Address and Postcode (if venue is not BJA Club):

Name of Authorised Official:

BJA Membership No.:

Please tick if you would like all certificates and packs returned to you rather than individuals No.

Candidate Name

Age

BJA Membership No.

Grade From

To

Price Charged £7.50/£10

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 All participants must hold a CURRENT FULL BJA MEMBERSHIP. I certify that I have conducted the appropriate test for those listed and enclose the BJA Grade registration fee. Signature of Authorised Official: Fees 7 Years old and under 8 Years old and over

I Would like to re-order (please indicate quantity):

£7.50 £10

Business Reply Paid Envelopes Total Charged at £7.50 Total Charged at £10 Total Enclosed

£ Grade Registration Sheets

£ £

Please make cheques payable to ‘British Judo Association’ Please forward the completed form and fees within 28 days in the envelope provided to: The British Judo Association, Suite B, Loughborough Technology Centre, Epinal Way, Loughborough LE11 3GE White copy: To BJA head office

Yellow Copy: Retain

Pink Copy: Send to Area Director of Examiners