i ARNIS MEMBERSHIP APPLICATION FORM
Date of APPLICATION ________________	Applicant’s signature above

Type of Application Mark with a check (X) to which applies
NEW membership ☐	Below 18 ☐	Referee/Judge ☐	renewal member since (YYYY) _____________ ☐ ID No. ____________________________
Applicant Information
Name: Click here to enter text.	Click here to enter text.	Click here to enter text.
LAST NAME	GIVEN NAME	MIDDLE NAME
Date of birth: MM/DD/YYYY	Gender: Choose an item.	Phone: Click here to enter text.
Nationality: Click here to enter text.	Religion: Click here to enter text.	Mobile: Click here to enter text.
Civil Status: Choose an item.	Occupation: Click here to enter text.	Email: Click here to enter text.
Complexion: Click here to enter text.	Color of eyes: Click here to enter text.	Weight: weight	Height: height
Current address: Click here to enter text.
City: Click here to enter text.	County/Province: Click here to enter text.	State/Region: Click here to enter text.
Country: Click here to enter text.	Continent: Choose an item.	Postal Code: Click here to enter text.
CLUB Information (Current) only one please
Current Club: Click here to enter text.
Club address: Click here to enter text.	Position/Designation: Click here to enter text.
Phone: Click here to enter text.	E-mail: Click here to enter text.	Web: Click here to enter text.
ARNIS Background (Current)
STYLE/SYSTEM: Click here to enter text.
Name of Instructor/Guro: Click here to enter text.
Started Arnis: _____________	Current Rank in System: Click here to enter text.
iARNIS Background
Have you taken: (Yes / No and Date)
iARNIS Fundamental Course: Choose an item. Click here to enter a date.	iARNIS GURO Accreditation : Choose an item. Click here to enter a date.	iARNIS Referee & Judges Accrediation: Choose an item. Click here to enter a date.
iARNIS Tournament Background (only sanctioned tournament/s by ARPI or iARNIS in the last 3 years)
Tournament	Date (YYYY/MM/DD)	Classification (eg. Participant, coach, medalist, T.O.)
Click here to enter text.	Click here to enter a date.	Choose an item.
Click here to enter text.	Click here to enter a date.	Choose an item.
Click here to enter text.	Click here to enter a date.	Choose an item.
Click here to enter text.	Click here to enter a date.	Choose an item.
Click here to enter text.	Click here to enter a date.	Choose an item.
Click here to enter text.	Click here to enter a date.	Choose an item.
Click here to enter text.	Click here to enter a date.	Choose an item.
Click here to enter text.	Click here to enter a date.	Choose an item.
Click here to enter text.	Click here to enter a date.	Choose an item.
Click here to enter text.	Click here to enter a date.	Choose an item.
iARNIS Activity Background (only sanctioned Activitie/s by ARPI or iARNIS in the last 2 years)
Name	Date (YYYY/MM/DD)	Classification (participant, volunteer, speaker, delegate, instructor, etc)
Click here to enter text.	Click here to enter a date.	Choose an item.
Click here to enter text.	Click here to enter a date.	Choose an item.
Click here to enter text.	Click here to enter a date.	Choose an item.
Click here to enter text.	Click here to enter a date.	Choose an item.
Click here to enter text.	Click here to enter a date.	Choose an item.
Click here to enter text.	Click here to enter a date.	Choose an item.
Click here to enter text.	Click here to enter a date.	Choose an item.
Click here to enter text.	Click here to enter a date.	Choose an item.
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Click here to enter text.	Click here to enter a date.	Choose an item.
Click here to enter text.	Click here to enter a date.	Choose an item.
Family Information
Spouse’s Name: Click here to enter text.
Date of birth: Click here to enter a date.	Phone: Click here to enter text.	Email: Click here to enter text.
Father’s Name: Click here to enter text.
Date of birth: Click here to enter a date.	Phone: Click here to enter text.	Email: Click here to enter text.
Mother’s Maiden Name: Click here to enter text.
Date of birth: Click here to enter a date.	Phone: Click here to enter text.	Email: Click here to enter text.
Number of Children: ____
Name of Child	Age
Click here to enter text.	age
Click here to enter text.	age
Click here to enter text.	age
Click here to enter text.	age
Click here to enter text.	age
Click here to enter text.	age
Agreement
I hereby certify that the above information is true and correct, and that I shall abide by all the rules and regulations of Arnis Pederasyong Internasyonal, Inc. (iARNIS) & Arnis Philippines, Inc. (ARPI). I also hereby absolve iARNIS & ARPI from any liabilities or responsibilities arising from any injury sustained in Arnis related activities.	Signature of Club President Type name here
Signature of Applicant Type name here	Signature of Club Sec. Gen. Type name here
for minors (applicants 17 years old and under)
With Consent and Approval	Signature of Parent/Legal Guardian Type name here
Relationship to Applicant:	Choose an item.

*This form Must be Filled-Up completely and legibly. Signatures of applicant, club president and Sec. Gen are required for the processing of this application. (when sending via e-mail, photo and signatures must be uploaded on to it for the validation of your application)

*attach one government issued ID (driver’s license, passport, Tax ID, voter’s Id, or postal ID) for minors; school ID and Birth Certificate.