AIWAKAI KARATE-DO LTD

Document Sample
AIWAKAI KARATE-DO LTD Powered By Docstoc
					           AIWAKAI KARATE-DO
         APPLICATION FOR LICENCE
The Aiwakai Karate Do Licence is a very important
document which has several functions and provides
certain benefits to the holder. These are as follows:

   A licence will only be issued to members of clubs
    affiliated to Aiwakai Karate-Do.

   It provides personal insurance cover against injury
    and Third Party liability whilst practising karate.

   It provides individual membership to the English
    Karate Federation (EKF) and with it all the benefits
    of EKF membership.

   It is mandatory for grading.

   It is an official grading record.

   It is required for participation in all competitions.

Please issue me with a new annual Aiwakai Karate-Do
Licence.

                 www.aiwakaikarate.co.uk
                           TO BE COMPLETED IN BLOCK CAPITALS
Tick one of the following

NEW LICENCE BOOK REQUIRED* [                       ] OR RENEWAL SLIP REQUIRED [               ]
*Please include a large 1st class stamp on the Self addressed envelope if you require a new licence book.
Surname (Mr/Mrs/Miss) __________________ First Name(s) ______________________

D/O/B _________________                 Grade _______________                 Date Passed_______________

Address _____________________________________________________________________

_______________________________________                           Postcode ___________________________

Telephone______________________ Email address ________________________________

Name of Club           HARTLEPOOL WADOKAI                       Chief Instructor      LYNNE JORGESON

FEES
1. Fees are paid annually.
2. ALL students .............................................. £25 per year
3. Make cheques and postal orders payable to: ‘WAKF’.

DECLARATION

I certify that to the best of my knowledge and belief, the foregoing details are correct, and
that in the event of being accepted I undertake to abide by the by-laws of Aiwakai Karate Do.
I understand that my contact details will be kept on file for the purposes of membership
administration and insurance cover, and that my details will not be passed on to third parties.

Signature ____________________________________________ Date ___________________

Signature of parent or guardian if applicant is below 18 years of age:

Signature ____________________________________________ Date ___________________

IMPORTANT:
      Make sure you enclose a fully completed application.
      Enclose the full fee (£25 for the year)
      Enclose a Self addressed and stamped envelope.
                   o     *Please include a large 1st class stamp on the Self addressed envelope if you require
                         a new licence book. A normal first class stamp if renewing licence.
           ONLY SEND LICENCE IF IT NEEDS REPLACING
All licences returned to:
Mick Ryde - 11a Clarke Avenue, Loscoe, Heanor, DE75 7GA. Tel: 07768 521973
FOR OFFICIAL USE ONLY:                Date issued:    /    /    /          Officer:

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:4
posted:9/14/2012
language:English
pages:2