Bodoki-Ryu Ninjitsu / Membership:

* First Name:

* Name:

* Address:

* City:

* State:

* Zip:

* Apt:

* Sex:

* Home Phone:

* Date Of Birth:

* Age:

* Email Address:

* What is your URL

* Are You A Member Of Any Organization:

* If Yes, Give Registration Number:

* School / Dojo:

* Ninja History!

* Please Give Us The Following Information; Name,Title,and Rank Of your Instructor.

* What is Your Rank Obtained From School/Dojo:

* Years Of Study:

* Date Of Rank:

* Weapons Proficient In:

* Knowledge And Ability:

Excellent:

Good:

Fair:

poor:

* Physical Shape:

Excellent:

Average:

Fair:

Poor:

* You May Join Us; If You Have Any of The Following.

Koga Ryu Ninjutsu Member with No Instructor.

Independent Member / No Instructor.

Self Trained / No Instructor.

* what is your title:

application status.

Recognizes Member Only. ( House Of Shadows Dojo )

New Membership.

would like to run a Bodoki-Ryu Ninjitsu Dojo and be a Representative.

Attention:
A copy of your rank certification must be sent to our main office at:
Bodoki-Ryu Ninjitsu / International Dojo
P.O.Box:535, Bronx, New York. 10451-0535
an Application Fee of $65.00 / USD. must be sent to the main office. ( U.S. Postal Money Orders Only ).
please make a copy of this form and mail it out to the above address, with payment.
all payments payable to: Soke Angel M. Guerra

* Indicates Response Required