<p> Universal Hapkido Society Membership Application</p><p>Date______UHS#______</p><p>Name______</p><p>Address______</p><p>Phone______Alternate Phone______</p><p>Email______Website______</p><p>Date of Birth______Age______Sex ______</p><p>Experience: Yes____ NO_____ Name of Style(s)______</p><p>Current Rank:______Instructor______</p><p>Other associations belong to:______</p><p>Name of School:______</p><p>Address of School______</p><p>Membership Type: Annual membership $ 40.00</p><p>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.</p><p>______Signature of Applicant Parent or Guardian</p><p>Please make payments to: Troy Smith and send to:</p><p>P.O. Box 24 Woodville, Texas 75979</p>