Karate Do Directory Registration Form

The Karate Do Directory
Dan Grade Registration Form

1. Please enter your information fully and accurately. Anything you do not want made public you should enter into the 'Confidential Remarks" section.

2. Click the submit button and your details will be sent to the directory for evaluation. When the information is confirmed, your grade will appear in our database, usually after a few days.

(* indicates required field)

*Name:

Gender:

Year of Birth:

*Profession:

*Country:

*Address:

*City:

*State:

*Zip code:

*Note: The Email field is a required field. If you do not have a Email address or do not want your Email address made public please enter "no@mail.com" in the this field. *Email:

Telephone:

*Style:

*Instructor:

*Your grade:

*Date given:

*Examiners:

Member of (organization):

Public Remarks:

Confidential Remarks:

IMPORTANT: This directory is for informational purposes only. We make no warranty express or implied as to the accuracy of the information made available, nor do we accept and responsibility whatsoever for loss or damage of any form that may occur as a result of its use or application.

As we produce, publish, or manufacture much of what we sell,
we welcome questions of a technical nature on (818) 889-3856
(8am-8pm PST Mon-Sat)

Dragon Associates Inc.

e-mail: mamasan@dragon-tsunami.org

Copyright © 2003 Dragon Associates Inc. All Rights Reserved. Reproduction in whole or in part in any form or medium without express written permission of Dragon Associates Inc. is prohibited.
Send comments about the Website to mamasan@dragon-tsunami.org