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  Mikhayl von Rieben

guildmaster registration

This registration form is for Club Managers and existing Guild Masters.

Instructor Details

Username

Email Address

First name

Surname

Date of Birth

Phone

Country

State/Province/Territory

Postcode/Zipcode

Qualifications

Please list the forms of Martial Arts you teach (separated by a comma).

How many years have you been an instructor?

Working With Children's Check

First Aid Certificate (CPR and Advanced First Aid or higher)

Club Logo (800x800 px)

Insurance Certificate of Currency

Signed Instructor's Contract and Code of Conduct Form

Note: File sizes must not exceed 2MB

Training Centre Details

Club Name

Street Number

Street

Suburb

State/Province/Territory

Country

Postcode/Zipcode

Club Contact Number

Club Email

Club Website

Next of Kin

Full Name

Contact Number

Confirmation

Criminal History

I confirm that I have not been convicted and am not currently awaiting any conviction of any criminal offence.

Terms & Conditions

I have read and accept the Terms & Conditions of service.

Instructor Code of Conduct

I have read and accept to be bound by the Instructor Code of Conduct.

Instructor Contract

I agree to be bound by the instructor contract and will advise Kyushin-Ryu Australia of any changes that may affect my ability to offer services to others.