Application for Club Membership in the Japan Karate Association/American Federation
Dojo Name *
Chief Instructor *
Region *
Country *
Dojo Street Address *
City *
State *
ZIP Code *
Dojo Phone *
Fax
Email *
Website
Number of years in operation *
Number of students *
Number of black belt students *
Does your dojo have liability insurance *
Type of business entity (i.e. corp., sole proprietor) *
Is chief instructor full time or part time? *
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