2017 TKI Registration Form (for external web site)
Please fill in your personal information with sign up in Google Forms below.

(1) Dues
We will send an invoice to your e-mail after submitting this Google Forms, where you may send your dues by some payment methods**.

- $24/year (adult)
- $12/year (under 18*)
- $25/month (NCSU dojo only)
- $15/month (NCSU dojo only, under 18*)
- $20 (initial fee for new member only)

*: if you turn 18 during 2017, please select adult.
**Payment methods:
You may pay by PayPal, but also Credit/Debit card or Personal check may be accepted.

Notes:
(1) SEUSKF/AUSKF member will need submit additional dues as required.
(2) Please let us (info@trianglekendoiaido.org) know if any question.

Email address *
Are you new TKI member ? *
Are you interested in SEUSKF/AUSKF member for 2017, which is required for you to have a promotion in 2017 ? You will need submit addtional dues as required. *
Which dojo do you declare as you home dojo ? *
Last Name *
Your answer
First Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age *
Gender *
Address (street no, street name etc.) *
Your answer
Address (City) *
Your answer
Address (State) *
Your answer
Address (Zip code) *
Your answer
Phone *
Your answer
Current Kendo Rank (1-8) *
Current Kendo Rank (Kyu or Dan) *
When Kendo Rank received
MM
/
DD
/
YYYY
Kendo Experiences (years)
Your answer
Current Iaido Rank (1-8)
Curent Iaido Rank (Kyu or Dan)
When Iaido Rank received
MM
/
DD
/
YYYY
Iaido Experiences (years)
Your answer
When do you start Dojo practice ? (new member only)
How did you find about TKI ? (new member only)
Your answer
Do you agree and release from Liability below ? *
Required
Signature of participant, or if participant is a minor, signature of participant's parent or legal guardian (print name). *
Your answer
Agreement and release from Liability

1. Voluntary participation.
I acknowledge that I have voluntarily applied, or have voluntarily allowed my child to apply, to participate in kendo instruction and training at a dojo or club, which is affiliated with the Triangle Kendo and Iaido (hereinafter, any and all affiliated dojo or clubs, and the members and officers of the Triangle Kendo and Iaido board of directors, are referred to as "TKI").

2. Assumption of Risk.
I am aware that participation in kendo, as in any sports or physical activity, may cause physical injury, damage to property, and, in rare cases, even death. I am voluntarily participating, or allowing my child to participate, in this activity with knowledge of the danger involved, hereby agree to accept any and all risks of injury, damage, and/or death, and verify this statement.

3. Release.
As consideration for being permitted by TKI to participate in these activities and use related facilities, I hereby agree that I, my assigners, heirs, distributees, guardians, and legal representatives will not make a claim against, sue, or attach the property of the TKI on account of injury, damage, or death resulting from the negligence or other acts, however caused, by any employee, agent , or contractor of TKI as a result of my, or my child's participation in kendo. I hereby release TKI from all actions, claims, or demands that I, my assignees, heirs, distributees, guardians, and legal representatives now have or may hereinafter have for injury, damage or death resulting from my, or my child's, participation in kendo.

4. Knowing and Voluntary Execution.
I have carefully read this release and fully understand its contents. I am aware of that this is a release of liability and a contract between TKI and me and sign it of my own free will.

Any questions or concerns
Your answer
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