KYU MEMBER DATA FORM – Shin Kaze Aikido Alliance

Please let us know if you are having anyy issues <[email protected]>.

Name of person requesting this kyu registration (*required)

Email of person requesting this kyu registration (*required)

1. Active (*required)

2. First Name (*required)

3. Last Name (*required)

4. Date Started Aikido (*required)

5. Date of Birth (*required)

6. Nationality

7. Gender (*required)

8. Email

9. Language (*required)

10. Status (*required)

11. Current Rank (*required)

12. Date of Current Rank (*required)

13. Current Rank Examiner and Teaching Designation (*required)

14. Dojo Name (Please select the correct dojo name where the member practices) (*required)

15. Dojo ID (Please make sure to select the correct Dojo ID# that matches with the dojo name in the above field) (*required)