Karate Tasmania Club Membership Application Form

Pre-requisites For Membership

Ø Current membership of Karate Australia.

Ø Be nominated by two (2) current financial members of Karate Tasmania (see below).

Ø Willing to abide by the Constitution of the Karate Tasmania.

Ø Willing to provide at least one (1) committee member and nominate a maximum of four (4) committee members to Karate Tasmania.

Ø Have at least one (1) club coach certified bronze under Karate Australia’s Karate Instructor policy (KIA).

Ø Committed to providing at least one (1) World Karate Federation trained referee to officiate at Karate Tasmania tournaments.

Ø Willing to attend the Karate Tasmania Annual General Meeting and participate in monthly committee and special general meetings when called.

Ø Willing to pay a membership application fee as set by the Association.

Ø Willing to pay an annual membership fee as set by the Association.

Additional Notes Relating to Membership of Karate Tasmania:

Each Member Club shall:
i. elect or appoint two (2) delegates, who shall have the right to be present and debate but only one (1) delegate may vote on behalf of the Member Club at General Meetings, in accordance with Rule 32;
ii. have a minimum of 10 registered members in order to be granted or retain affiliation with Karate Tasmania & Karate Australia;
iii. take all necessary steps to ensure its constitution or associated policies, clearly reflect the objects of Karate Tasmania and are otherwise in a form acceptable to the Board; and
iv. ensure its constitution or policies are amended to conform with any amendments made to this constitution;

(c) A Karate club or organisation who wishes to become a member must comply with the New Member Club policy of Karate Tasmania.

(d) Until such time as an applicant complies with the provisions of membership, the applicant will be considered to be a Provisional Member with no voting rights.

(e) Individuals shall be registered with Karate Australia as individual members of a member club.
i. Registered individuals may not be registered as members of more than one (1) member club of the Karate Tasmania.
ii. Registered individual members of member clubs are not entitled to vote at General Meetings of Karate Tasmania.

Full name of member club

Karate Style

KIA Member No (if in process of application leave blank)

Name (Head of style)

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Grading certificate

WWVP Card

When was your organisation formed in Tasmania

By whome was it formed

Number of dojos under your control

NUMBER OF DOJO UNDER YOUR CONTROL(Attach training times and instructors)

ESTIMATED NUMBER OF STUDENTS

	Male	Female	Other
u18 yrs
over 18yrs

Karate Tasmania nomanee 1

Karate Tasmania nomanee 2

I agree that: if awarded probationary membership of Karate Tasmania that I will abide by theabove listed membership pre-requisites and requirements of the Association; the detailsprovided above on this application are true and correct; and KarateTasmania is permitted, in reviewing my membership application, to contact KarateAustralia to seek clarification in relation to details of my Karate Tasmaniamembership.

Date