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Aikido Alive Membership Application Form

Membership information

Please choose between 'New Application' or 'Renewal'.
Please enter your membership number e.g. 18/00123
Please choose between an 'Adult', 'Instructor' or 'Junior' application status.
Please select the dojo where you train.
Please choose an instructor from the list.

About you

Valid first name is required.
Valid last name is required.
Please enter a valid email address for membership updates.
Please enter your mobile in an international format e.g. +441234567890
Please enter your gender.
Please enter your Nationality.
Please enter your address.
Please enter your city.
Please enter your county.
Please select a valid country.
Post code required.

Emergency contact

Please add emergency contact's first name.
Please add emergency contact's last name.
Valid number is required.
Add relationship

Grade history

Please enter the year you started with the Aikido-Alive
Please enter the date of your last grade
Please enter the organisation of your last grade