WIKF - USA Membership Application

Membership Type

Club/Organization Name

Type none if you are not affiliated with a club.

Number of Clubs

Number of Members

Number of Instructors

Number of Brown Belts

Number of Black Belts

First Name

Last name

Phone

Your Instructor's Name

Previous Affiliations

Current Grade/Rank

Grade/Rank Issued Date

Month

Day

Year

Any Other Important Information

We the undersigned understand this application is subject to acceptance by WIKF USA. As a condition of any such membership our countr/clubs hereby agrees to the following:

To remain loyal to the teachings of Sensei Tatsuo Suzuki ,Hanshi Grand Master and Founder of the Wado International Karate-Do Federation

To pay all due fees upon requirement to Wado International Karate Do Federation USA

Abide by the Articles/Statutes of the Wado International Karate-Do Federation USA

Uphold the values and code of conduct of the Wado International Karate-Do Federation.

I understand that if any information provided within this application is found to be untrue or purposely misleading, it may result in the immediate suspension or withdrawl of membership and forfeiture of monies paid.

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