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Shihan Otto Johnson - Director of The American Wado-Ryu Karate Federation International
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 After completing this form (and pressing the Submit button), the information will be sent to the Wadokan Nidai Soke, for approval and processing.

(Note: to be considered a valid application the form must be filled out completely. The only optional fields are: Address2, Country and the Comments areas)

Name: D.O.B.:
(Name as it is to appear on Certificate) (Use Format: MM/DD/YY)
Address 1:    
Address 2:    
City: State:
Zip Code: Country:
Home Phone: E-Mail Address:
 
School Name:    
Address 1:    
Address 2:    
City: State:
Zip Code: Country:
School Phone:    
Martial Art Style: Current Rank:
Please enter any comments or questions, directly related to the application process, in the area below. They will be e-mailed along with your application and a response will follow as soon as possible. (Other questions may be submitted by e-mail to the Nidai Soke from the Contact Page).
Upon receipt and acceptance of your application, the following will be required:
  • Two passport photos
  • Your martial arts resume
  • Copies of your most recent and/or highest rank promotion Certificates
  • A one-time membership fee of U.S.$100.00
  • Checks are to be made payable to Otto Johnson

I understand that by becoming a Wadokai I agree to host individually or collectively one Wadokan seminar per year in my immediate area at a cost of U.S.$500.00. Travel expenses, lodging and transportation for the Dojocho and/or one or more additional assistant instructors, if needed, to and from the seminar(s), independent of the seminar fee, shall be the responsibility of the hosting Wadokai.

It is also understood that I may register my current rank and/or any future rank promotions for either my students or myself with the Wadokan at the rates so stated in the Wadokan Rank Promotion Fee Schedule.

By this form, I hereby agree to the terms stated in this membership application, and understand that failure to comply with them shall result in the termination of my Wadokai membership.

Click the Submit button only once.

Please wait while the processing takes place.

Thank you - Wadokan Nidai Soke

The American Wado-Ryu Karate Federation International
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