Online Membership Application | Chicago Okinawa Kenj

MEMBERSHIP APPLICATION

NEW MEMBERSHIP

RENEWAL MEMBERSHIP

First Name

Last Name

Primary Phone

Street Address

Street Address Line 2

City

Postal / Zip code

Region/State/Province

Where is your family line's hometown in Okinawa or Japan

Please list additional family members and ages, to be included with this membership. Family members must be living at home, or attending college/university to be eligible under 1 membership

Additional Family Member

Date of Birth

May we publish your contact information in our membership directory?

Would you like to recieve the newsletter in email only?

The Chicago Okinawa Kenjinkai does not require its membership to sign any sort of acceptance form or waiver of liability when attending its events. In light of this fact, a member's participation at a public event where the Kenjinkai is performing or at an event promoted by Chicago Okinawa Kenjinkai will constitute the members acceptance that their picture may be taken or published. Our belief is that by attending our picnic, New Years (Spring) party or any other event that we are associated with, a person may reasonably expect that their picture maybe taken and published an with such knowledge will allow their use on our website or in our quarterly newsletter. The Chicago Okinawa Kenjinkai will only place appropriate photos from our functions and will accept no liability in their use.

After submitting the application, you will be linked to the payment page.

Select the payment button for:

Individual Membership = $15

Family Membership = $25

OFFICIAL WEBSITE

MEMBERSHIP APPLICATION