DOJO MEMBERSHIP APPLICATION

Mailing Address:   

DOJO ORGANIZATION

112 E. Gay Street

Lancaster, SC 29720

Phone: 803-286-5155

E-Mail: hanshi1234@yahoo.com

 

 

DOJO MEMBERSHIP APPLICATION

***Please complete the entire application**

(We must have original signatures: Fill out, print and send in!.)

Fees: Jan - April $ 45/ May - Aug $ 55/ Sept - Oct $ 65

Deadline: October 31, 2018

 

Name:          Age:            DOB:
 
Home Number:           Studio No:   
 
Address:            City:
State:             Zip:
 
What is the name of your studio?
What is your style?
 
Who is your instructor?
How long have you been in the martial arts?
 
What is your rank?            What is your favorite division? 
Did someone recruit you to join?                   Who?
 
Were you a Dojo member last year?  If so, what was your number
Waiver: I, the undersigned, hereby voluntarily submit my application for the attendance and participation of the "DOJO TOURNAMENT CIRCUIT." I do hereby assume full responsibility for any and all damages, injuries and losses that I may sustain or incur in any way while attending and participating.  I hereby waive all claims against the promoter's, staff members, individual sponsors and operators of the Dojo tournament circuit for any claims or injuries that I may sustain.  I understand that any pictures or video taping can be used for marketing and promoting the Dojo tournament circuit.
 
 
Signature of Member ________________________________________________     Date ________________
 
Signature of Parent/Legal Guardian if under 18 ____________________________________     Date _________