Application

Print this page, fill it in and bring it with you to your next lesson - don't forget new menbers will require a passport style photo with the application

First Name/s	Last Name
Gender:                   Male                 Female	Date of Birth
Tel No	Post Code
Karate Grade	Dan Grades only KWF cert. No.

 I agree to the Terms and conditions of the Northallerton Karate Club/KWFGB/KWF

 Signature:________________________________________Adults Only

1. this is a new application and I enclose a photo signed on the back with D.O.B.

2. this is a renewal application.

I enclose with this application £50 & I understand that menbership runs from 1st Jan - 31st Dec each year

Please Order Me A Karate Suit For £20, My hight is _____________cm.

My Sponsor is ________________________________________________

     Seconder   ________________________________________________