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California Taekwondo United Membership Application Form
You can apply for California Taekwondo United Membership online now. Please fill out the form and click the submit button below
First Name:
*
Middle Initial:
Last Name:
*
Title:
Select Title
Coach
Grand Master
Instructor
Master
Others
Parent
School Owner
Student
*
Rank:
Select Rank
Not Applicable
White Belt
Yellow Belt
Green Belt
Blue Belt
Red Belt
Black Belt
Poom 1
Poom 2
Poom 3
Poom 4
Poom 5
Black 1 Dan
Black 2 Dan
Black 3 Dan
Black 4 Dan
Black 5 Dan
Black 6 Dan
Black 7 Dan
Black 8 Dan
Black 9 Dan
*
Gender:
Male
Female
*
School Name:
*
Business/Mailing Address:
*
Country:
Select Country
Argentina
Australia
Austria
Belgium
Brazil
Bulgaria
Canada
Chile
China
Czech Republic
Ecuador
Germany
India
Indonesia
Italy
Malaysia
Mexico
Nepal
Netherlands
Pakistan
Philippines
Portugal
South Africa
USA
Venezuela
*
State:
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
*
City:
*
Zip:
*
Business Phone:
*
Fax:
Cell Phone:
E-Mail:
*
Confirm E-Mail:
*
Web Site:
Login E-Mail:
NOTE: This E-mail will be your CTU Member login user name
Password:
*
Confirm Password:
*
Security Question:
Select Question
What was the name of your first school
What is your favorite sports team
Which City you are born in
What is your mother's maiden name
What is your Pet's name
What is the model of your first car
What is your favourite hobby
*
Answer:
*
Display my school information on the CTU website under Member School Option:
Yes
No
Business Description (approx. 40 word max.)
Years in Business:
How did you decide to join CTU? (Please check one of the answer below and explain.)
Current CTU Member referred/encouraged me. Member's name:
Other Explanation:
How often do you check e-mail?
Daily
Weekly
Montly
Occasionally
Member Discussion Forum Profile
The following information is Required to actively participate in CTU Member Disussion Forum
Forum Display Name:
*
Choose a publicly visible display name (upto 10 characters)
Please do not use any of the following special symbols */<>+=~@#%^&\?():"|
Forum Display Photo:
I agree to the
terms and conditions
and
Code of Conduct
of California Taekwondo United.
Upcoming Events
http://ktainusa.org/EventDescription.aspx?EventID=157
http://ktainusa.org/EventDescription.aspx?EventID=147
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