USA-ICKF, INC.

USA-ICKF, INC 2025 Membership

The mission of USA-ICKF, Inc. is to formulate a governing body of the USA-International Chito Ryu Karate Do Federation. The primary purpose of our organization is to provide a structure that allows our future generations to continue in the growth of Chito Ryu Karate in the USA, which has been handed down from the originator and successor to the assignees. Our primary objective is to preserve the quality and integrity of the Chito Ryu Karate Do Way for all members and students current and future generations.

By having a governing body for our members/students we can offer international relations, continuing education, funding, camaraderie between members on a national and international level, the ability to pursue career opportunities within the Martial Arts field as potential instructors and business owners, while building relationships within our communities.

USA-ICKF, INC. a 501 (C) (3) Non-Profit Organization, will continue to strive for its members allowing future generations to develop continuous growth within the Chito Ryu community around the world. Our organization goal is to have a platform for our members/students in helping them reach their goals.

Annual Membership for 2025

$85

Renews yearly on: December 31

If you have more than one karate student, you will need to fill each of their applications separately.

Did you know? We fundraise with Zeffy to ensure 100% of your purchase goes to our mission!

Your information

Email*

First name*

Last name*

Address*

City*

Zip Code*

Country*

State*

This is a corporate/organization purchase

Questions

Name of Karate Student*

Date of Birth of Karate Student*

Is the karate student new or returning?*

Karate Student's Rank and Title (if applicable) - indicate N/A if new student*

Number of years and months karate student has been practicing - indicate N/A if new student*

Current Health Condition*

Health History

Parent 1 Name*

Parent 1 Phone (Best number for emergencies)*

Parent 1 Email*

Parent 2 Name

Parent 2 Phone (Best number for emergencies)*

Parent 2 Email*

By checking this box, I agree to the following waiver statement: "I understand that the Participant(s) will engage in an athletic activity and that there is potential risk of injury. I have examined the potential risks, assume the risks and understand and agree that the International USA Chito Ryu Karate Do Federation and its associates and partner, members, employees, agents and representatives are not and shall not be responsible or liable for any illness or injury to person or damage to property resulting from the activity in which the Participant(s) is/are being enrolled. Further, the participant(s) and I, hereby forever release and hold harmless the National Association or International Association and USA Chito Ryu Karate Do Federation, their members, employees, agents and representatives from any and all claims of any kind that the Participant(s), the undersigned or their respective heirs, executors, administrators or assigns may have or claim to have resulting from participation in said activity."*

Parent Release Form for Media Recording: I do hereby grant or deny permission to USA-ICKF, INC. to use the image of my child on this application, as marked by my selection(s) below. Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of my child for use in materials that include, but may not be limited to, printed materials such as brochures and newsletters, videos, and digital images such as those on the USA-ICKF, INC. website.*

Deny permission to use my child's image at all.

Grant permission to use my child's image in the following ways (mark all that apply)

If you grant permission for USA-ICKF, INC. to use your child's image, mark all that apply. If this is not checked, the default will be for unrestricted usage.*

Limited usage: I want my child's image used within the USA-ICKF, INC. setting only (not in the larger community)

Limited usage: I want my child's image used for educational materials only (not marketing). This could be either within USA-ICKF, INC. or in the larger community. One example of this could be videos in parent education classes.

Limited usage: I want my child's image used on printed materials only (no digital or video use).

Unrestricted usage: I give unrestricted permission for my child's image to be used in print, video, and digital media. I agree that these images may be used by USA-ICKF, INC. for a variety of purposes and that these images may be used without further notifying me. I do understand that the child's last name will not be used in conjunction with any video or digital images.

Summary

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