United Ryukyu Kempo Alliance Member and Black Belt Pages
To log on to the United Ryukyu Kempo Alliance Member page or the United
Ryukyu Kempo Alliance Black Belt Page I will need you to fill out this form, so
I can keep a record of all karate-ka, and their user names and passwords.  Also,
for the Black Belts, I will be starting a Instructor of the Month Page, so make
sure you are filling everything out.   

Depue Shihan
 
Name  :

Home town  :

Dojo  :

Your instructor  :

Your rank  :

Months or years being that rank  :

Months or years being
in the Alliance  :

Months or Years in Martial Arts  :

What other Martial Arts
were you in?  :

Favorite kata  :

Favorite weapon  :


Black Belts Only  

Year of earning Shodan(1st degree):

Are you a Dojo Instructor?  :

How many years instructing?  :

Teaching what other styles?  :

E-mail address :

Thank you,

Depue Shihan
United Ryukyu Kempo Alliance