World Ki Gong Membership Application-old

WKG MEMBERSHIP APPLICATION
Congratulations on taking the first step to becoming a member of the World Ki Gong.

Before you proceed, please consider the following:
- All memberships are Level Memberships. You will not owe any additional fees until you advance.
- Each membership is identified by the email address you use. If you are registering more than one applicant, please use a unique email address for each applicant. Applications without unique addresses won't be processed.
- All prospect members must be recommended by a World Tang Soo Do Association or World Ki Gong member to be considered for membership.
- To be considered, please fill out the form below and we will contact you as soon as possible. When you register, you will be sent a receipt of your application and once we process your request, you will receive another email with instructions on how to access the members' area on our website. Member area contains many useful videos, reference material and upcoming events.
- Thank you for your interest in World Ki Gong.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Country CodeArea CodePhone Number
Email (unique address for each applicant, please)*

Confirmation Emailexample@example.com
MaleFemaleOther
Date of Birth*

MonthDayYear
Date
YesNo
WTSDA Studio Affiliation*
WKG Instructor or Mentor*
Current WKG Level*
Current WKG Level
Years of practice
Do you currently teach Ki Gong regularly?*

My Products

World Ki Gong New Membership

WKG membership includes a WKG Uniform shirt (White-Level I/II) and the WKG Student Manual.

$32.00 WKG Uniform Shirt - WHITE (Level I/II)

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$0.00

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WKG MEMBERSHIP APPLICATION