Adult Consent and Participation Form

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We are delighted to welcome you to Tucson Dojo at Higher Ground a Resource Center. Participation in our activities offers valuable opportunities for personal growth, development, and fun.

This form is for ALL adults joining and participating in any activities of Tucson Dojo including but not limited to judo practice, scrimmage matches with other dojos, wrestling, jujutsu, and any form of martial arts practice. In addition to gathering information, you will be electronically giving permission for you to participate and agree to follow the values, rules, and procedures during activities of Tucson Dojo.

First Name *

Last Name *

Address (include city, state, and zipcode) *

Date of Birth *

YYYY

Please list all your existing medical conditions *

Phone Number *

Email (optional)

Please give any other information you'd like to share about yourself (ie: awards, strengths, concerns, etc.)

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