Licence Application Form

Tobi Ishi Kai Karate Schools Association Licence is an important document which has several functions and provides certain benefits to the holder. These are as follows:

• Personal Insurance cover against injury & third party liability whilst practising karate.
• It is mandatory for grading. It is a legal requirement for practicing martial arts.
• It is an official grading record.
• It is required for participation in all competitions.

To be completed in block capitals

Full Name
Address
Post Code
Telephone
Karate School	Tobi Ishi Kai
Date of Birth
Current Grade
Date Passed

Fees

1. Fees are paid annually
2. Juniors & Seniors (between 5 & 70 years) £20.00
3. Please make cheques payable to: Tobi Ishi Kai Karate Schools

Declaration

I certify that to the best of my knowledge and belief that all information given is correct, and in the event of being accepted I undertake to abide by the rules of Tobi Ishi Kai Karate Schools.

Signature …………………………………………… Date …………………………

Signature of parent if applicant is below 18 years of age.

Enclose:

• A completed application
• The appropriate fee
• Current or expired licence
• Self addressed and stamped envelope (no smaller than A5, with 2 x 1st class stamps)

Please send applications to:

Justine Wilson
Tobi Ishi Kai Karate Schools
5 Ashby
Worcester WR4 0SJ

For Official Use Only

Membership No:

Date Issued: