AWA Kyu Application

Complete the form below or download the form here.

Dojo Name

Dojo-Cho/Chief Instructor Name

Student Name

Date of Birth

Adult or Children's Program

Student's Email

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date

YYYY

Days of Training Since Last Promotion

Present Rank/Date Promoted/Exam Location

Test Date/New Rank

AWA Member Number

Seminar/Camps/Nintei Kosu Attendance

Please include dates, locations, and hours attended.

Fees & Payments

Kyu exams are $20 for children and $25 for adults. Make checks payable to:

Aikido World Alliance
Attn: Andrew Sato Shihan
4512 N. Lincoln Avenue
Chicago, IL 60625