Australian Jujitsu Federation Incorporated Membership Application – Associate Member School Jujitsu and related martial arts: Aikido; Aiki Jujitsu; Brazilian Jiu Jitsu; Hapkido; Jujutsu; Kenpo Jujitsu



Download 30.51 Kb.
Date conversion25.04.2016
Size30.51 Kb.
Australian Jujitsu Federation Incorporated
Membership Application – Associate Member School

Jujitsu and related martial arts: Aikido; Aiki Jujitsu; Brazilian Jiu Jitsu; Hapkido; Jujutsu; Kenpo Jujitsu
ABN 16 261 432 101 9 Saint Paul Crescent, Varsity Lakes

Queensland Australia 4227



PLEASE PRINT Phone: 07 5576 1064

E-mail: admin@jujitsu.com.au



www.jujitsu.com.au
Please complete all details and return together with a copy of your grade certificate in the discipline nominated *. Upon acceptance there will be a membership-joining fee $150.00 plus $20.00 for each additional location – this includes your financial affiliation for the current year. IMPORTANT: This form may be completed and returned by email as an attachment to: admin@jujitsu.com.au


SCHOOL DETAILS

























Name of School:
















Locations: suburbs / State where training is held




























Approx number of members

Under 18 yrs of age




male




female



















Over 18 yrs of age




male




female




Website address: WWW.








APPLICANT DETAILS - HEAD OF SCHOOL IN AUSTRALIA













First name:




Surname:




Address:




Suburb:




Post Code :




Phone number Home:




Mobile:




E-mail:




@




Date of Birth DMY:










Age:




Occupation:







Male / Female:




CURRENT GRADINGS

* What is your discipline or martial art (e.g. jujitsu) and what year did you commence:




Current Grade




Date awarded




Awarded by




School or Style























































Gradings in other martial arts:
























































QUALIFICATION FOR MEMBERSHIP – ASSOCIATE MEMBER SCHOOL
Membership is provided within the AJF Constitution for martial art schools teaching in the discipline of jujitsu or an accepted related martial art that include: Aikido; Aiki jujitsu; Brazilian jiu-jitsu; Hapkido; Jiujitsu; Juijitsu; Jujutsu; Kenpo jujitsu; Yawara jutsu; where the ‘Head of the school’ holds a Black Belt (Dan) rank within the appropriate discipline … copy of grade certificate to be included.
APPLICANT CONFIRMATION
On behalf of the School, whose details are provided above, I apply for membership of the Federation and agree to be bound by the Constitution, Rules and Codes of Conduct of the Federation.
IMPORTANT NOTE: Your completed Membership Application may be distributed to member schools for comment - should you have a concern about the distribution of your information please advise of your concern when emailing or returning the completed form.


Signature:






Date DMY:













NOTE: If emailing this form enter name on signature line


AJF USE ONLY




The Australian Government through the Australian Sports Commission recognises the

Australian Jujitsu Federation



250814


The database is protected by copyright ©essaydocs.org 2016
send message

    Main page