Bodoki-Ryu Ninjitsu DOJO ( 2012 ) Application:

Yearly Regisration Fee: $65.00 / USD.

* 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:

* Ninjutsu History!

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

* What is Your Rank Obtained From your School/Dojo & Instructor above.:

* 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 with No Instructor.

I was self trained / No Instructor.

I have no Instructor and would like to join you.

* what is your title:

Chunin / 1st.dan - 4th.dan.

Genin / under-rank.

Kunoichi / under-rank.

Other / must mail us a rank certificate.

application status.

New Membership.

Membership Renewal.

I would like to be a Bodoki-Ryu Ninjitsu Representative.

Recognizes Membership Only.

Attention: This is an Internet Application.
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
please make a copy of this form and mail it out to the above address, with Copy of rank certificate if any & Registration Fee.

* Indicates Response Required