SZA Dojo Application Form

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Please read our Privacy Policy relating to the processing of personal information, before you complete the form below.

Email Address *

Year of Application *

Name of Dojo *

Dojo Head/Owner Name *

Cell *

Physical Address *

Postal Address *

Website

Operating Days/Times: *

Snr Instructor: Name *

Snr Instructor: Email *

Snr Instructor: Cell *

Snr Instructor: Present Grade *

Snr Instructor: Date of last grading *

Snr Instructor: Other Qualifications *

Approximate distance (km) from the nearest SZA affiliated dojo: *

Approximate number of students: *

Name of previous organisations the dojo was affiliated to (if applicable)

I hereby accept that I will receive an invoice for the Affiliation fees: *Yes, I accept

I hereby accept that my application is subject to approval from current SZA Dojo Heads: *Yes, I accept

If you do NOT hold the grade of SANDAN, do you confirm that the nearest Area Head has given his or her consent for you to open or affiliate a Dojo: *Yes, I have consentNo, I don't have consentI am a Sandan or higher

PLEASE NOTE:

All new Dojos are subject to a one year provisional membership.

You will receive a PDF copy of the form you have submitted as soon as it has been processed.

Submit Form

Please do not fill in this field.

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