Membership Application

First name *

Last name *

Age & Date of birth *

Email *

Cell Phone *

Person Responsible for account *

ID Number of person responsible for account-ble *

Cel. number *

Tel. Home *

Reason for training karate *

Current Grading & Date of Grading *

Previous Instructor & style *

Physical Disabilty or Illness *

How did you hear of us? *

I agree with the privacy policy and confirm that my personal information may be used in accordance with the law. WAIVER: I agree that I participate at my own risk and that, by signing this form, I waive against the Goju-Ryu School of Traditional Karate and IOGKF South Africa and their officers, members, servants and agents, and indemnify the same in respect of, all claims arising from or connected with injury or illness or loss which I might sustain while or as a result of participating in any Karate training or related activity, whether caused by negligence or otherwise. Photographs may be taken from time to time and used for promotional purposes on social media, the official IOGKF SA Goju-Ryu website and related websites. I do hereby bind myself as SURETY and CO-PRINCIPAL DEBTOR for all financial obligations under this Agreement and to acceptance of all terms thereof on behalf of THE MEMBER. *

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IOGKF SA New Membership Application