Member Application - Meifu Shinkage Ryu Canada Branch™

Application Date*
DD slash MM slash YYYY
Name
First Last
Your Date of Birth*
After selecting your date of birth, please double check the year.
DD slash MM slash YYYY
Address*
Street Address Address Line 2 City Province Postal Code
Phone
Email*
Enter Email Confirm Email
Training Location*
Please choose your training location. All other applications will be processed as soon as possible
I confirm that I have a clean criminal record.*
All members are required to have a clear criminal record. If you are unsure, please contact your local Police Department or the RCMP.
Training Disclaimer
Please note that Meifu Shinkage Ryu Canada™ as well as any person involved with Taka Budo Dokokai Martial Arts Inc. cannot be held liable for injury, permanent condition, death, and/or financial hardship to yourself and/or family members and/or relatives. Training occurs at your own risk. All members attest to having sufficient medical insurance as well as liability insurance to cover any damages to self or others as a result of training with Meifu Shinkage Ryu Canada™
I agree with the above training disclaimer**