Membership Application

Here you may apply directly for membership. I will contact you for a short interview. When accepted as a member of the dojo, you will also be required to complete the indemnity agreement before commencing training activities.

Costs are determined on individual basis

Training Times: To be determined

Ronin Katsujinken Dojo

 

Please also complete Indemnity Agreement

 

Full Name(required)

Contact Number(required)

Date of Birth(required)

Occupation/Student(required)

Are you a minor ?(required)

Yes

No

Address Line 1(required)

Address Line 2

City/Suburb(required)

Postal Code(required)

Parent/ Guardian Full Name in case of Minor

Emergency Contact Person(required)

Emergency Contact Number(required)

Student Email Address(required)

Short Motivation for Acceptance Consideration(required)

Submit

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