AMAA Foundation Blackbelt Membership Registration

Please fill out the information below. Upon completion, the AMAA Foundation staff will contact you via email with more information.
Name

First NameLast Name
Phone
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birthday (MM/DD/YYYY)
Website Address (optional)
Social Media Links (optional)
Martial Arts Style(s) and Belt Rank(s)
Official Martial Arts Title. If none, respond N/A.
Please select an option(s)
Specify Other Here
If you are a school owner, what is your school name?
School Address?
Year Started Studying Martial Arts
Years Studying Martial Arts
Upload one photo of yourself in your martial arts uniform to use for your official welcome announcement. **Full body or waist up preferred**

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Upload your most current martial arts promotion certificate.

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Charter School Membership Only

Please list your additional FIVE members' first and last names below.

Provide the age of all students 17 and under.
List Names Here
Terms and Conditions
I do hereby attest the information I have provided is true. I do understand the American Martial Arts Alliance reserves the right to accept or deny any application that is not verifiable. I hereby understand once I have submitted my application all application fees are nonrefundable.
Signature
Charter School Membership
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Charter School Membership
This is an annual fee. A yearly renewal letter will be sent via email.

$399.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00
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Charter School Membership