SHUDOKAN MARTIAL ARTS ASSOCIATION
CURRENT MEMBERS APPLICATION FOR PROMOTION

PLEASE TYPE OR PRINT ALL INFORMATION

NAME_______________________________________________________________________

STREET ADDRESS_____________________________________________________________

CITY_____________________________ STATE/PROVINCE___________________________

ZIP/POSTAL CODE__________________ COUNTRY__________________________________

TELEPHONE__________________________________________________________________ 

DATE OF LAST S.M.A.A. PROMOTION____________________________________________

LAST RANK AND DIVISION RECEIVED FROM_______________________________________

RANK APPLYING FOR__________________________________________________________

CURRENT PROMOTION RECOMMENDED BY___________________________________________

I hereby certify that the above information is true and accurate. In 
addition, by my signature, I certify I understand that submission of
a completed application and the appropriate fee does not guarantee the
awarding of requested rank and/or teaching title, or any rank and/or
teaching title.

DATE & SIGNATURE__________________________________________________________
(PARENT OR LEGAL GUARDIAN IF UNDER 18 YEARS OF AGE)

* Include a detailed description of your training activities since your
  last promotion, and the services you have rendered for the expansion
  and cultivation of Budo in general, and the Shudokan Budo-Kai (Shudokan
  Martial Arts Association) in particular. Please type on a separate sheet.
  Unless otherwise indicated, a videotape of you demonstrating Budo is
  needed.
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_________________         _________________     _______________               
      
Karate-do                 Iaido                 President
Division Director         Division Director     Shudokan Budo-Kai

__________________        __________________
Traditional Jujutsu       Goshin-jutsu
Division Director         Division Director

__________________        __________________
Judo                      Aikido 
Division Director         Division Director