Association of the Schools of Martial Arts

Primary Membership Application

                                                Date of Application ________________

Text Box: Enrollment (Choose just one) [ ] New Members $45.00 [ ] Renewal $40.00 [ ] Life Membership $100.00 [ ] New MAH (Send copy of membership) [ ] Renewal MAH Discipline (choose just one) [ ] Aikido [ ] Judo [ ] Karate [ ] Kung Fu [ ] Jujitsu [ ] Tae Kwon Do [ ] Other ______________________________ ________________________________________ Style (if applicable) Fill out the Secondary Membership Application for each discipline you have rank in. Send and attach all application to Primary.

 

 

 

 

 

 

 

 

 

 

 


Text Box: For Renewal only: ASMA No._______________________ I.D. No.________________________ v _____________________________________ __________________________________ ______ * First Name (Print) *Last Name MI _____________________________________________ __(_______)______________________ *Address Home Phone _____________________________________________ _________ _____________________ *City *State *Zip Code e-mail address:________________________________________ *Date Join _________________ ___________________ [ ] Male* or [ ] Female __________________ _________________ *Date of Birth Weight Height ________________________________________________________ ____________________________________ *Instructor Name ASMA Membership No _______________________________________________ ______________________________ Charter School Name School Charter Number ___________________________________________ ____________________________________ Parent/ Guardian Signature (if member is under 18) *Member Signature * Do not leave blank. Put in correct information.