Dojo Student Application

STUDENT MEMBERSHIP APPLICATION

Membership to our Dojo community is a commitment, and not one that is aligned with every applicant's unique goals. For this reason, we request that each person interested in joining our Dojo complete an application for admission as a student.

Please give as much detail as possible so that we can best serve you.

First Name

Last Name

Birth Date (MM/DD/YY)

Enrolling As:

Student of New York Dojo

Student of Distance Training

Other

How Did You Hear About Us?

Do you have previous martial arts experience?

Yes

If YES, please share your martial arts training experience.

Please share your reasons for pursuing traditional Japanese martial arts, and why you may wish to join our Dojo. Feel free to share as much detail as you wish so we can best understand.

Do you have any previous injuries or physical conditions that we should be aware of?

The Yasuragi Dojo is a traditional school of Japanese arts. We are not a competitive gym, nor are we a self-defense centered school. Our primary focus is helping each student achieve self mastery through the disciplines discovered in their training. Do you acknowledge this?

Yes

Please share any details about you, that you feel might be important for us to know about you and your values. This helps us better understand you, and determine if our Dojo is a good fit for you.

Address

Address Line 2

City

State

Zip Code

Country

Form submission[]

If your Application is accepted: We will notify you within two days and arrange for an in-person interview (online or at Dojo) and begin the formal enrollment process as a student of our Dojo.

If your Application is not accepted: If we feel your goals do not align with what is offered at our traditional Dojo, we will assist you closely with recommendations to programs that will best suit your goals.

STUDENT MEMBERSHIP APPLICATION

Join Our Free Trial