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ABOUT
INSTRUCTOR
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ACCESS
CONTACT

Membership Application Form

If you wish to join our academy, please fill out the form below

and agree to the terms and conditions before submitting.

Our staff will contact you shortly.

Last Name (required)*

First Name (required)*

Date of Birth*

年

月

日

Gender*

Male

Female

Address*

Phone Number*

Email Address*

Employer/School Name

Address

Phone Number

Gi Size*

S

M

L

XL

Other

T-Shirt Size*

S

M

L

XL

Other

Favorite Athlete

Additional Comments

Upload a Photo (required for competition entries)

I agree to Terms and Conditions (required)

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