Membership Application Form

Budokwai Martial Arts Association
Membership Application Form

Print out this form and mail it with your membership fee to. Alan Scott - Shihan The Budokwai Martial Arts Association 30 Oaktree Drive, Ecclefechan, Lockerbie, Dumfriesshire, DG11 3EH Scotland, UK
(Please note this form is for individual membership to the Budokwai Martial Arts Association only, clubs, associations should use the club or association membership forms. Budokwai Ju-Jutsu Kai Membership forms can be found here

Name

___________________________________________________

Address

___________________________________________________

Postcode

___________________________________________________

Telephone No.

___________________________________________________

Sex ________ (Male or Female)

Date of Birth __________________

Age ________

License Type & Number.

___________________________________________________

Junior/Senior

___________________________________________________

Name of Club

___________________________________________________

Club Instructor

___________________________________________________

Style Practised

___________________________________________________

Current Grade

___________________________________________________

I wish to apply for membership to the Budokwai Martial Arts Association. I enclose my licence, proof of grade and membership fee.

I Enclose the sum of £__________ (check here for current membership fees)
(Please make cheques payable to the Budokwai Martial Arts Association)

I agree to abide by the constitution and rules of the Budokwai Martial Arts Association

Signature of Student

__________________________
(or parent/guardian if under 16)

Date _________________________