Perth Sakura Kendo Club Membership form July.2021-June.2022
Membership from July 2021 to June 2022.
Email *
Member's given name (English) *
Member's family name (English)
Gender
Clear selection
Parent's or guardian's name (Under 18 years old only)
Membership status *
Required
Member's name in Japanese (Hiragana, Katakana, Kanji) or Chinese characters if you have
DOB *
MM
/
DD
/
YYYY
Residential address
Contact phone number (Guardian's phone number if member is under 18 years old) *
Are you a member of WAKR (West Australia Kendo Rennmei)? *
Registration number if your answer is yes.
Current Kendo Grade *
Renting club gear *
Required
Medical conditions that need to be notified
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