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.