Contact Information
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Full Name
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E-Mail
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Address 1
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Home Phone
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Address 2
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Cell Phone
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City
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Work Phone
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State
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Zip Code
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Personal Information
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Age
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Age 16 and over only
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If under 18 years of age
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Sex
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Parent's Full Name
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Occupation
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Parent's Phone
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Education
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Parent's E-Mail
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Since there seems to have been some confusion in the past, please read these instructions carefully.
Please answer each question completely, to the best of your ability. Please write in complete sentences. Other
than the yes or no questions, each question requires more than single-word answers. Your acceptance will be
based partially upon this application, and while we do not expect all applicants to be gifted writers, we do expect
applicants to take the time to fill out the application completely. If you do not have the patience to do this, you
certainly will not have to patience to undergo training at our dojo. Remember, this application is required before
you will be invited to visit with us.
Please answer the questions truthfully. We want to hear your honest, best answer to each of the questions. Please
do not try to tell us what you think we want to hear. And please do not regurgitate trite, overused catch phrases
that are common to martial arts books on the subject. We have read them all, and heard them all. Please give your
application the care and thought that it deserves. Thank you.
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1. Why do you want to study classical Japanese martial arts, and why do you want to want to train at our school in
particular?
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2. How did you hear about our school?
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3. Do you have any previous martial arts experience? If so, please describe your experience (i.e. what you trained
in, who you did it with, where, and why you are no longer pursuing that kind of training)?
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4. If you are accepted as a student, when do you anticipate beginning training, and how often do you plan on
coming to class?
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5. Are there any health-related reasons why you could not participate fully in training? If so, please explain (This
does not automatically disqualify you).
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6. Do you have a criminal record? If so, please explain (This does not automatically disqualify you).
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7. Have you ever been treated for substance abuse or engaged in the use of such substances. ? If so, please
explain (This does not automatically disqualify you).
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8. Please tell us some things about yourself. What do you do for a living? Are you married? Do you have a family?
Does your family approve of this training? What other activities do you participate in? Do you belong to any
community or church groups? What are your interests and hobbies? What skills or talents do you bring to our
dojo? Please tell us anything that you think may be of interest.
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9. Do you have any questions for us regarding our training that have not been answered for you on any of our
webpages? Please feel free to ask them here.
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Check here to be added to our workshop and seminar mailing list?
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STOP! Please review your answers to the questions. Is your application complete and coherent? Remember,
incomplete applications are discarded. If your application is complete, please click Submit. Otherwise, please go
back and complete the application. Thank you.
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