A.S.C.M.A.
Head Instructor Application
(Please Print Or Type)
Name:(Last)__________________________ First:____________________ M Initial:_____
Address(Street):____________________________________ City:____________________
State:________ Zip Code:__________________ Country:___________________________
Date Of Birth: Month______ Day_____ Year________ Phone: (_______)_______________
Instructor's Name:_________________________________ Instructor's Rank:____________
Your Present Rank:___________ Date Of Rank: Month______ Day_____ Year:__________
How Many Gups At This School?__________ How Many Dans At This School?__________
I, the undersigned, do hereby apply for Head Instructor status in the ASCMA (ALL STYLE CONTACT MARTIAL ARTS™). I agree to adhere to all the rules and regulations which govern this organization and to follow the policies and procedures set forth in the ASCMA Constitution and By-Laws and by the Board of Directors and the President.
I am registering my School and all of my students with the ASCMA and registering all those who teach at my School, as Instructors, with the ASCMA. I understand that under no circumstances will I be permitted to issue and/or have printed, any type of certificate or card, of rank. I further understand that all ASCMA Individual Applications for Membership and promotions must be presented to ASCMA World Headquarters and must be signed by the President and bear the ASCMA Official Seal.
In consideration thereof, I hereby agree that should I fail to abide by the ASCMA's policies, procedures, and regulations, I may be dismissed and that I shall not be entitled to a refund of any kind. I understand that all payments of any kind are non-refundable.