I.I.A.O.K.A./KOBUDO & E.M.S.O.I. Association & Dojo Membership
Isshando International American Okinawan Karate Association & Kobudo
Ed McGrath's School of Isshinryu Karatedo & Kobudo
Membership page for individuals, dojo's & international members.
EMSOI & IIAOKA & Kobudo
75 Shore Pine Drive Youngsville, NC 27596
Individual Membership to the IIAOKA - $40.00 USA
Individual Membership to EMSOI - $ 40.00 USA
International Individual Membership to E.M.S.O.I. - $75.00
International Individual Membership to the I.I.A.O.A.K. - $75.00
DOJO
MEMBERSHIP APPLICATION-USA & CANADA
5 Members - $190.00 ______
10 Members - $390.00 ______
15 Members - $590.00 _______
INTERNATIONAL
DOJO MEMBERSHIP APPLICATION
5 Members - $375.00
10 Members - $750.00
15 Members - $1,125.00
Kobudo Certification Available Upon Request.
First Name:_________________________ MI:_______ Last Name:_________________________ Age:______ DOB:____/____/____
Address:_______________________________________________________ City:__________________ State:______ Zip:______________
Phone 1:(_______) _______-_____________ Phone 2:(_______) _______-_____________ Email:________________________________
Current Grade:___________ Dan Current Rank: ____________________________________
Style/System:________________________________________________________________
Discipline: ___Ju Jutsu ___ Aikido/ Aiki Jitsu ___Karate Do ___ Korean ____ Filipino _____ Kung Fu __________
Other:___________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
School:______________________________________________________________________ Instructor:_________________________________
Instructor Rank: _____________________
Teacher/ Lineage of the Teacher: ___________________________________________________
Address:_______________________________________________________ City:__________________ State:______ Zip:______________
Dojo Phone:(_______) _______-_____________ Email:_____________________________ Web:__________________________________
~PLEASE ATTACH A COPY OF YOUR CURRENT RANK CERTIFICATE~
Follow the instructions below completely:
1) Please attach a complete bio of your martial arts training and ranking history including dates,
instructor’s and instructor contact information
2) 2 Passport-size Photos (head & shoulders) NOTE: DO NOT STAPLE
3) If applying for School Charter: (a) Copy of First Aid Certification (Adult/Child); (b) Copy of CPR
Certification (Adult/Child); Names, ages and ranks of 5 students to be registered
4) Certified Check or Money Order made payable to: Daniel J. Vena or Pay Pal for the proper amount using kudan59@gmail.com.
I, ____________________________________, hereby certify that all information attached and presented herein is true and accurate. I certify that I am requesting membership/recognition from the IIAOKA & Kobudo & EMSOI, and that my membership is contingent upon meeting the specified requirements and adhering to the rules, regulations and guidelines of the EMSOI & IIAOKA & Kobudo. I understand that membership in the EMSOI & IIAOKA & Kobudo may be terminated by just cause for any infringement of the established and published rules and regulations of the EMSOI & IIAOKA & Kobudo.
____________________________________________________________ _____/_____/_____
Signature Date
Organization Information
International Isshando American Okinawan Karatedo Association & Kobudo (I.I.A.O.K.A.&Kobudo)
Founded December 20th., 2014
Founder : Daniel J. Vena, Inheritor of Ed McGrath's School of Isshinryu
Dojo Information
Ed McGrath's School of Isshinryu Karatedo & Kobudo
Founded : September 19th., 1959
Founder : Edward F. McGrath, Inheritor of Don Nagle's A.O.K.A. Founder of American Isshinryu A.I. New Jersey
Membership requests to our dojo and organization must be submitted for review to the following address.
EMSOI Dojo Membership
IIAOKA & KOBUDO Membership
Paypal address for check out is kudan59@gmail.com
