Registration

ASA Annual Membership Registration 2013. Please read the "ASA Fee Structure 2013" document under the Membership menu. Parents/Legal Guardians to complete on behalf of Children and Juniors. Note that registration will be approved only after confirmation of the required payment of fees have been received.

Security Code:

Profile image:

Your image will be resized if needed to a maximum dimension of 500 pixels width x 500 height automatically, but your image file should not exceed 250 KB.

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By clicking "Register", you certify that you have the right to distribute this photo and that it does not violate the Terms and Conditions.

Student age category:

STUDENT PERSONAL INFORMATION:

Registration Information:

Username:

Name:

Surname:

Initials:

Date of Birth:

ID Number:

Age:

Contact Number:

Email:

Occupation:

Home Address:

AIKIDO INFORMATION:

Student Aikido Information

Date Started Aikido:

Membership number ASA:

Dojo Name:

Current Grade in Aikido:

Date Awarded:

If ungraded:

If you selected "UNGRADED" above, please select today's date.

Certificate nr.:

Awarded By:

Organisation:

Company:

City:

State:

Zip Code:

Country:

Title:

Address:

Address 2:

Phone:

Accept Terms and Conditions

Dear student - thank you for your registration. This contribution enables AIKIDO SOUTH AFRICA® to expand even further, and sustain its standard of aikido nationally in South Africa and at your dojo.

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