Judo Belt Test Registration

To RSVP for the upcoming belt test on Sunday, 12/18 at 10:30 am, please fill out the form below as completely as possible. Thanks!

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Parent First Name

Parent Last Name

Child First Name

Child Last Name

+ Add additional child

+ Remove child 2

Child First Name 2

Child Last Name 2

+ Add additional child

+ Remove child 3

Child First Name 3

Child Last Name 3

Will your child be attending the belt test?

My Gym Buffalo Grove • 1622 Barclay Blvd • Buffalo Grove, IL 60089
(847) 229-1990

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