United Martial Arts Society

Universal Hapkido Society Membership Application

Date______UHS#______

Name______

Address______

Phone______Alternate Phone______

Email______Website______

Date of Birth______Age______Sex ______

Experience: Yes____ NO_____ Name of Style(s)______

Current Rank:______Instructor______

Other associations belong to:______

Name of School:______

Address of School______

Membership Type: Annual membership $ 40.00

By signing below I am indicating that I wish to become a member of the Ko Shin Mu Sool Hapkido Federation. I understand that it is the purpose of this society to act as an international certification body for Hapkido. I further certify I will do nothing to bring disrespect upon the KSMSHF or its affiliates and board of directors. I understand that the President or Board of Directors may terminate my membership if I fail to comply with the rules and bylaws of this organization.

______Signature of Applicant Parent or Guardian

Please make payments to: Troy Smith and send to:

P.O. Box 24 Woodville, Texas 75979