2019-2020 Shintani Team additional information

2025-2026 Shintani Team Sign Up Form
Full name*

First NameLast Name
Date of birth*

MonthDayYear
Date
age in years
e-mail*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell phone number*

Area CodePhone Number
Do you currently use WhatsApp?*

YesNo
If yes to WhatsApp what is your username or number?
Headshot*

Browse Files
Please use a white background and have someone take the photo (not a selfie). This photo will be used in promotion of the team and you will need to transfer the rights to use the photo to the Shintani Team. By providing a photo you consent to the use of this photo in the promotion of the Shintani Team. Cancelof
Parent/Guardian information
All team members who are not of the age of majority (18 years old at time of sign up) will need to have a Parent/Guardian travel with them to all events. There will be no exceptions to this.

All team members under the age of 18 years will also need to provide contact information for the Parent/Guardian. Parent/Guadians will be copied on all correspondence that all under 18 years old team members receive.

Ways the team corresponds are via text message, emails and WhatApp.
Parent/Guardian name

First NameLast Name
Parent/Guardian email
example@example.com
Parent/Guardian cell phone

Area CodePhone Number
Parents - Do you currently use WhatsApp?*

YesNo
Parents - If yes to WhatsApp what is your username or number?
Shintani Team gear (what do you currently have)?*

ShirtJacketDo not have either
What size shirt do you require?
Only required if you do not have Shintani Team Gear
What size Jacket do you require?
Only required if you do not have Shintani Team Gear
If you indicated 'Other' above please indicate your required size
Nearest airport*
Events you will attend (currently planned for this team year)*

Monthly 2025 & 2026 - Shintani Team Virtual Team Training - 4th Sunday each month via ZoomNov 7 - 9, 2025 - World Kubudo Federation - Capital Conquest - OttawaJan/Feb 2026 - Full Team Training (location TBD)May 2026 - SWKKF National Tournament and Clinics - Simcoe, ONTBD - tournament outside Canada
Home club*
Home club instructor*
What is your current belt rank?*
Should be Empty:

2025-2026 Shintani Team Sign Up Form

Parent/Guardian information