Shinten Budo International Membership Application Form (* These are compulsory/mandatory fields that must be completed, as a minimum.) Rank* Click here Instructor Assistant Instructor Existing Student New Student or beginner Please select an item. Type of Membership* Click here Adult Child Please select an item. Type of Application* Click Here New Renewal Please select an item. Grade* Click here 8th Kyu (White Belt/Beginner) 7th Kyu (Red Belt) 6th Kyu (Yellow Belt) 5th Kyu (Orange Belt) 4th Kyu (Green Belt) 3rd Kyu (Purple Belt) 2nd Kyu (Blue Belt) 1st Kyu (Brown Belt) Cadet Black Belt 1st Dan Black Belt (Shodan) 2nd Dan Black Belt (Nidan) 3rd Dan Black Belt (Sandan 4th Dan Black Belt (Yondan) 5th Dan Black Belt (Godan) 6th Dan Black Belt 7th Dan Black Belt 8th Dan Black Belt 9th Dan Black Belt 10th Dan Black Belt Please select an item. Personal Details: Forename* A value is required. Surname* A value is required. Date of Birth* Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Please select an item. Month January February March April May June July August September October November December Please select an item. Year 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 Please select an item. Height * A value is required. Address Line 1* A value is required. Address Line 2 Address Line 3 Postcode* A value is required. Telephone Number Mobile Number* A value is required. E-mail address* A value is required. Occupation* A value is required. Photo Upload* Next of Kin / Emergency Contact Details (For child applicants, this must be the legal guardian) Full Name* A value is required. Relationship to applicant* A value is required. Telephone Number* A value is required. Mobile Number* A value is required. Club Please choose the city where you wish to enrol:* Click Here Glasgow London Plauen Please select an item. Please choose the club where you wish to enrol: (please choose appropriate club. Adult and child may have different clubs) Adult Click Here Tradeston Child Click Here Tradeston Username/Password Please create username and password for the member login section Username * [This must contain a combination of letters and at least one number (0-9)] A value is required. Password * [Minimum character 8, maximum 12] A value is required.Minimum number of characters not met.Exceeded maximum number of characters. Martial Arts History Have you ever practised a martial art? Click Here Yes No Please select an item. If so, please give details below: Grade Date Awarded Examiner(s) Association Medical History Do you (for child applicants, this refers to the applicant) suffer from any of the following? Allergies:* Click Here Yes No Please select an item. Nervous Disorder:* Click Here Yes No Please select an item. Asthma:* Click Here Yes No Please select an item. Respiratory Disorder:* Click Here Yes No Please select an item. Diabetes:* Click Here Yes No Please select an item. Migraine:* Click Here Yes No Please select an item. Epilepsy:* Click Here Yes No Please select an item. Joint/Skeletal:* Click Here Yes No Please select an item. Haemophilia:* Click Here Yes No Please select an item. HIV:* Click Here Yes No Please select an item. Heart Disorder:* Click Here Yes No Please select an item. Other:* Click Here Yes No Please select an item. Hay Fever:* Click Here Yes No Please select an item. If you have answered yes to any of the above, please provide further details here: Details: A value is required. Criminal History Have you ever been charged or convicted with a serious crime, violent crime or any crime related to children or vulnerable adults?* Click Here Yes No Please select an item. If you have answered 'yes', please provide further details*: Details: A value is required. Reason for Training Why do you wish to join this martial arts association?* A value is required. Other Is there any other relevant information that you wish to provide, to support your application? Security Check I agree to abide by the terms and conditions of Shinten Budo International (SBI) membership Please make a selection.
