Memberships

Submit your membership request online by completing this form

New Member:*

Yes

No

Membership:*

Junior (Under 16)

Senior

Date of Birth:*

Name:*

First

Last

Address:*

Street AddressStreet Address Line 2CityPostal / Zip Code

E-mail:*

Tel/ Mobile:*

Area Code

-

Phone Number

Do you suffer from any medical ailments, now or in the past?*

No

Yes

Details of medical ailments:

Provide details of any medication being taken:

Have you ever been convicted of a crime of violence?*

No

Yes

Provide Details:

Existing members only

Current Grade:

Date:

Name of examiner at last grading:

SubmitReset

Payments can be made via Paypal, or in person by cash or cheque at the club.