AKTS Membership Registration Form
Please review the liability and release waiver agreement https://goo.gl/YrmgXT and enter registrant information below.  One submission per applicant can be made at a time.  After submitting registration, you will have an option to submit payment online or by mail.

Make checks payable to: ADVANCED KENPO TRAINING SYSTEM
1226 E. Brentwood Dr.
Spokane, WA 99208

INDIVIDUAL/STUDENT REGISTRATION
Please include $20.00 for a 1 year membership.  For MEMBERSHIP RENEWAL, include existing AKTS Membership card number and submit payment at the following link: https://goo.gl/xmFvoR.  Please note that Paypal includes a nominal additional digital delivery fee.

FAMILY DISCOUNTS AVAILABLE
Please contact your instructor.

SCHOOL REGISTRATION
Please include $100.00 for a 1 year school membership (20 or more students) or $50.00 for a 1 year membership (19 or fewer students).  First year of membership may be prorated depending on date of signup.  Please include 2 (two) passport photos and a copy of your last rank certificate if you have had any formal Martial Arts training.

For SCHOOL RENEWAL:
Paypal payment link for schools with more than 20 students:
https://goo.gl/Bxbn6A
Payment link for schools with less than 20 students:
https://goo.gl/amfiVN
Please note that Paypal includes a nominal additional digital delivery fee.

Allow up to 4 weeks for application processing.  Applications will be reviewed by the Board of Directors. Applicant(s) shall be notified by mail as to the status of acceptance.

Payments sent via mail must be received within two weeks from date of registration.  Upon receipt of payment and pending review of application, your instructor will provide you with a valid AKTS membership card.

Sign in to Google to save your progress. Learn more
Email *
Name *
Please choose:
Clear selection
Membership Type:
Clear selection
AKTS Membership Number (if renewing):
Gender: *
Name of Instructor *
AKTS Belt Rank *
Phone Number *
Date of Birth *
MM
/
DD
/
YYYY
Mailing Address *
Occupation and Employer
Are you Presently a Member of a Martial Arts Organization? *
Required
Were you Formerly a Member of a Martial Arts Organization? *
Required
Description of Martial Arts Training History *
I have Read and Agree to the Release Waiver Liability Agreement *
Required
I confirm that the above information is correct to the best of my knowledge and do hereby submit this application for membership with the ADVANCED KENPO TRAINING SYSTEM by entering my full name below, which serves as a digital signature: *
Payment Method *
Required
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy