WASHINKAN REGISTRATION FORM
Washinkan / GNEUSKF / AUSKF Form
Dojo Members are required to register and pay dues annually for local (Washinkan), regional (GNEUSKF), and national (AUSKF) membership. Local dues cover events and costs that benefit local Washinkan members. Regional and national dues are required for members of local dojos and help cover costs of regional and national promotion (rank) testing, competition, educational seminars, and more.
Email address *
First Name *
Your answer
Last Name *
Your answer
Kendo Rank (None/_Kyu/_Dan) *
Kendo Rank Achieved Date
MM
/
DD
/
YYYY
Iaido Rank (None/_Kyu/_Dan) *
Iaido Rank Achieved Date
MM
/
DD
/
YYYY
Date of Birth *
MM
/
DD
/
YYYY
Gender
AUSKF # (if known)
Your answer
Phone #'s (cell, work, and home)
Your answer
Emergency Contact Name/Number/Email *
Your answer
If you are below 18 years of age, enter Guardian Name, phone number, and email
Your answer
Home Address
Your answer
Liability Release Form Signed *
Practice Location(s) select all that apply *
Required
Annual Fee, checks Payable to "Washinkan Corporation" or may be made via PayPal
Amount if "Other
Your answer
Additional Comments
Your answer
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