Licence renewal

Licence Renewal Form (Existing members only)
After filling the details click on the SUBMIT button.

* indicates required fields

*Name:

*Surname:

*Address:

*post code:

*Town:

*e-mail:

*phone no:

*Sex:

M
F

*club:

*Date of birth:

*Payment Method:

*Please indicate type of licence:

Adults
Junior

*Previous licence number:

*expiry date:

*Currnt Grade:

*Status:

Student
Assistant Instructor

*Karate Style:

Shotokan
Wadō-ryū
Shitō-ryū
Gōjū-ryū

After filling the details click on the SUBMIT button.