Costa Mesa Kendo Dojo (CMKD) Registration

Name *

Email Address *

Phone *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Date of Birth *

Gender *MaleFemale

Current Rank If anyPlease leave blank if you are a beginner.

Where Rank Received

When Rank Received

Menjo (Kendo Rank Certificate)

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Emergency Contact Name *

Phone *

Relationship *

PLEASE READ CAREFULLY : I have read the Costa Mesa Kendo Dojo Membership Manual and I have read and fully understand the policies regarding payments of federation and dojo dues. I understand that my membership may be suspended or revoked, if I do not adhere to the policies as stated in this manual. *Agree

Waiver

You can either upload the files or bring the signed printouts to the Dojo

AUSKF Waiver Form

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PDF Waiver Form1

AUSKF Waiver

CMKD Waiver Form

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PDF Waiver Form2

CMKD Waiver