Korean Martial Arts Federation (World Headquarters) P.O. Box 281, Grand Blanc, MI 48480, USA Telephone: (810) 232-6482

Name:(Last)__________________________ First:____________________ M Initial:_____

Address(Street):____________________________________ City:____________________

State:________ Zip Code:__________________ Country:___________________________

Date Of Birth: Month______ Day_____ Year________ Phone: (_______)_______________

Instructor's Name:_________________________________ Instructor's Rank:____________

Your Present Rank:___________ Date Of Rank: Month______ Day_____ Year:__________

How Many Gups At This School?__________ How Many Dans At This School?__________

I, the undersigned, do hereby apply for Head Instructor status in the KMAF (Korean Martial Arts Federation™). I agree to adhere to all the rules and regulations which govern this organization and to follow the policies and procedures set forth in the KMAF Constitution and By-Laws and by the Board of Directors and the President.

I am registering my School and all of my students with the KMAF and registering all those who teach at my School, as Instructors, with the KMAF. I understand that under no circumstances will I be permitted to issue and/or have printed, any type of certificate or card, of rank. I further understand that all KMAF Individual Applications for Membership and promotions must be presented to KMAF World Headquarters and must be signed by the President and bear the KMAF Official Seal.

In consideration thereof, I hereby agree that should I fail to abide by the KMAF's policies, procedures, and regulations, I may be dismissed and that I shall not be entitled to a refund of any kind. I understand that all payments of any kind are non-refundable.


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                                           Applicant's Signature                                                                   Date