AKTS Membership Renewal
Please review the liability and release waiver agreement
and enter registrant information below. One submission per applicant can be made at a time. After submitting registration, you will have an option to submit payment online or by mail.
Make checks payable to: ADVANCED KENPO TRAINING SYSTEM
5826 N Sutherlin St
Spokane, WA 99205
Renewal cost is $20.00 for a 1 year membership. Include existing AKTS Membership card number.
Renewal cost is $100.00 for a 1 year school membership (20 or more students) or $50.00 for a 1 year membership (19 or fewer students).
Upon receipt of payment and pending review of application, you will be provided with a valid AKTS membership card.
AKTS Membership Number:
AKTS Belt Rank
3rd Degree Brown
2nd Degree Brown
1st Degree Brown
1st Degree Black
2nd Degree Black
3rd Degree Black
4th Degree Black
5th Degree Black
6th Degree Black
7th Degree Black
8th Degree Black
9th Degree Black
I have Read and Agree to the Release Waiver Liability Agreement
I confirm that the above information is correct to the best of my knowledge and do hereby submit this application for membership with the ADVANCED KENPO TRAINING SYSTEM by entering my full name below, which serves as a digital signature:
I intend to pay online via Paypal
I intend to send payment via mail
Send me a copy of my responses.
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service