Okinawan Karate Do Union On-Line Registration Form
Please complete the form below and click the submit
button
Registration will not be
processed until a check with the appropriate amount is received.
(First time Black Belts, must also include a copy of certificate
of rank, and photocopy of picture ID.)
Okinawan Karatedo Union
3225 Vista Drive., NW
Cleveland, TN 37312
For question call (423) 472-5634
or email
Full Name:
(Last, First, Middle Initial)
MaleFemale
Address:
City:
State:Zip:
Country:
Email Address:
Day Phone:
Night Phone:
Date of Birth:
(mm/dd/yyyy)
Years of Training:
Present Rank:
Date Attained:
(mm/dd/yyyy
Style (s) of Martial Art:
Instructor's name who last promoted
you:
His/Her's
phone number:
Dojo Information
Name of School:
Address:
City:
State:
Zip:
Head Instructor:
Phone
#:
School's Email Address:
School's Web Address:
http://
Address Change?
Check "Yes" only if you are renewing and
your address has changed. YES
Please Check all
categories that apply. If renewal, please include your registration
number.
New Membership: $20.00
inside USA (includes OKU Patch, Membership Certificate,
Membership Card, Quarterly Newsletter)
Outside the USA New Membership is $40.00
Renewal: $12.00 inside USA:
Membership #
(Includes all above but OKU patch) Outside USA
Renewal is $30.00
Dojo Membership: $20.00
School owners should also maintain a Dojo Membership. *If dojo
membership is
current please send in your dojo news for the newsletter (free of
charge)
Dojo Listing: $10.00 Dojo
information is listed in the newsletter, on the OKU Web site and on
Links page.
Lifetime Membership: $150.00
(inside the USA, includes OKU patch. Outside USA
$375.00)
OKU Rank Certificate: $10.00
Kyu ranks, $20.00 for Black Belt ranks. (Must have current membership
and provide
verification of rank) Roku-Dan and up must test before the OKU Board
of Directors for OKU rank.
*Dues are due and payable by the start of January of
each year. Anyone joining after October 1st will not
be due until the January immediately following. If you have not been
a member within the last two
years you are considered a new member and subject to new membership
dues.