New Club Registration


Application for Club Membership with Karate B.C.
Should you be interested in membership with Karate BC, complete the following club application, and submit along with the following: an original Criminal Records Check (mandatory) a copy of your most recent dan certificate $30.00 processing fee (to be deducted from the club registration fee of $125.00) if you have any NCCP certificates, please submit copies of these as well Our Technical Committee will then review your application at their next meeting. Upon acceptance, you will be notified and a membership package will be mailed to you. Your club will be added to our Club Listings Web page. For phone and fax numbers, please include the area code. Upon acceptance, we will add your club's listing at our Club Listings Web page. You will need to mail us a photocopy of the most recent Black Belt Certificate of your Club's Chief Instructor along with a $30 application fee, which will be deducted from your club fees, before your application can be processed.

Club Information
Club name:
Club address:
Postal code:
City or town:
Club phone number:
Club fax number: (if any)
Club Web site (if any):	http://
Club secretary:
Date club was started: (DD MON YYYY)

Instructor Information
Chief instructor:
Address:
Postal code:
City or town:
Phone number:
E-mail address: (if any)

Contact Information
Contact name:
Contact phone number:
Contact e-mail address:
Please make sure you fill in your e-mail address in the above box so that we can send a message back to you if necessary!

Affiliations (In which other organizations, National, International, or Provincial, do you hold a current membership?)
Karate association:
	If other, please specify:
Date of acceptance:
Past Karate Affiliations: (In which other organization(s) have you previously held a membership?)
To assist us in identifying potential problem areas within our own organization, could you please identify your reasons for leaving these organizations (what were their shortcomings?)
Name of style practiced:
	If other, please specify:
Roots of Your Organization: (Please list instructors, parent styles, etc., as far back as possible. Please include references where possible, together with relevant addresses.)
Number of Certified Black Belts in your Club:
Number of Non-Black Belts in your Club:

Please fax or mail us a photocopy of the most recent Black Belt Certificate of your Club's Chief Instructor. In addition, please keep a copy of this application for your records. Our mailing address is: Membership Director Karate BC #225 - 3820 Cessna Drive Richmond, B.C. V7B 0A2 Should your application be accepted, you will be expected to comply fully with the constitution and by-laws of Karate BC.

Enter your comments or questions: THANK YOU! We will contact you regarding your application as soon as possible