JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Perth Sakura Kendo Club Membership form July.2021-June.2022
Membership from July 2021 to June 2022.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Member's given name (English)
*
Your answer
Member's family name (English)
Your answer
Gender
Male
Female
Other:
Clear selection
Parent's or guardian's name (Under 18 years old only)
Your answer
Membership status
*
Club member.
Guest member
Other:
Required
Member's name in Japanese (Hiragana, Katakana, Kanji) or Chinese characters if you have
Your answer
DOB
*
MM
/
DD
/
YYYY
Residential address
Your answer
Contact phone number (Guardian's phone number if member is under 18 years old)
*
Your answer
Are you a member of WAKR (West Australia Kendo Rennmei)?
*
Yes
No
Registration number if your answer is yes.
Your answer
Current Kendo Grade
*
6 Kyu
5 Kyu
4 Kyu
3 Kyu
2 Kyu
1 Kyu
1 Dan
2 Dan
3 Dan
4 Dan
5 Dan
6 Dan
7 Dan
8 Dan
No grade
Renting club gear
*
Kendo gi (uniform top)
Hakama (pants)
Men (head gear)
Do (body armor)
Tare (leg protector)
Kote (gloves)
Shinai (stick)
None
Other:
Required
Medical conditions that need to be notified
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
