Club Membership Application Form

Print out this form and mail it with your club membership fee to.
Alan Scott - Shihan
The Budokwai Martial Arts Association
30 Oaktree Drive, Ecclefechan,
Lockerbie, Dumfriesshire, DG11 3EH
Scotland, UK

(Please note this form is for club membership only, individuals or associations should use the individual or association membership forms)
Name of Club
____________________________________________________
Contact Address
____________________________________________________
____________________________________________________
Postcode
____________________________________________________
Telephone No.
____________________________________________________
Email address __________________ Website url http://www._________________
Senior Instructors Name & Grade
____________________________________________________
Style Practised
____________________________________________________
Dojo Address
____________________________________________________
  ____________________________________________________
Class Times
____________________________________________________
Approx' number of students
Junior _________ Senior _________
We wish to enrol our club into the Budokwai Martial Arts Association.
We Enclose the sum of £__________ (check here for current club membership fees)
(Please make cheques payable to the Budokwai Martial Arts Association)

We agree to abide by the constitution and rules of the Budokwai Martial Arts Association

Signature of Club Senior Instructor
____________________________________________________
Date __________________________