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Membership application

All fields are required unless marked optional. You will pay the non-refundable $75 fee on the next page.

Personal information

First name

Last name

Street address

City

State / province

ZIP / postal code

Country

Email addressThis becomes your login ID.

Phone number

Date of birthYou must be 18 or older to apply.

Gender

Karate information

Current Dan rank

Current rank received date

Current rank issuing authority / organizationThe federation, association or organization that awarded your current rank.

Karate training started

Current sensei / instructor (optional)

Required documents

Current Dan certificate A clear copy as a PDF, JPG or PNG, up to 10 MB.

Half-body photograph Recent and clear, as a JPG or PNG, up to 10 MB. Used on your profile, ID card and certificate.

SafeSport or equivalent certification (optional)

If you hold a SafeSport or equivalent certification, you may add it here. You can apply without it.

Certification name

Expiry dateIf you give one, it must still be current.

Certificate (optional) A clear copy as a PDF, JPG or PNG, up to 10 MB.

Confirmations

I consent to Druk Shito Kai arranging a background check on me as part of this application. I understand my application cannot be approved until the check has been completed successfully.

I have completed all necessary training requirements.

I confirm this information is accurate and that the certificates and photograph are my own.