Hwa Rang World Tang Soo Do Federation

GRAND MASTER HO SIK PAK

APPLICATION FOR GUP MEMBERSHIP

FOR HQ USE ONLY

Membership No.
Date Received
Region

Affiliated Studios only Please Print 2 Copies

Exp. Date

Name: _____________________________________________
Address: ____________________________________________________________________________________
____________________________________________________________________________________________
Tel. No. ( ____) ____________________
Date of Birth:__________/__________/__________

Male / Female

Current Rank: ___________________________________ Date Studies Began: ________/________/________

Occupation: _________________________________________________________
Instructors Name: ___________________________________________________
Schools Name And Address: ___________________________________________________________________
____________________________________________________________________________________________
Describe Any Vocational abilities you may wish to offer the Federation:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Application Date: ________________________ Applicants Signature: ________________________________
Fee enclosed: $ ___________________
Send both copies of this form and your fee to:
Membership Committee, Hwa Rang World Tang Soo Do Federation
19618 Ventura Blvd. Tarzana, CA. 91356 Telephone: (818) 705-5425
Make your check or money order payable to: Tarzana Karate
Membership rights and privileges, duties and responsibilities are described in the Official charter and by-law of the federation
Available at any member studio. Membership expires when Dan level is reached. Dan Membership is available separately