Application for Membership

Friday, November 12, 2004

Application for Membership

Villasin Balintawak Eskrima Association

 

I hear by make application to join the Villasin Balintawak Eskrima Association of British Columbia. I understand that the association is a non-profit hobbyist group devoted to the practice of Eskrima, and that the group makes no warrantee as to the fitness of these techniques for any particular purpose.

I acknowledge that since the group practices a martial art, a possibility for injury exists, and that I assume the risk associated with studying this art. I will not hold the instructors, fellow students, or affiliates responsible for any injury sustained during the course of practice.

Since the skills trained are of a combative nature, I understand that the association has the right to refuse membership if the officers of the association believe that I may not be suitable to receive instruction in this art. I acknowledge that the association will not feel compelled to instruct any who have not displayed good character throughout the course of their lives. I accept that the association has the right to ask intrusive questions which may bear on my character. With this in mind, I will not conceal any details of past conduct that may put me in an unfavourable light.

Prior to acceptance, the applicant must present a current Criminal Records Check. This may be obtained by the applicant for a small fee from the local police detachment. Applications will not be accepted without proof of this check. The fee for this is non-refundable.

After having obtained the Criminal Records Check, and having completed this application, the applicant must arrange for a one hour interview with the officers of the club. The head instructor and senior instructors will interview the applicant. Members of local law enforcement agencies may be present during this process, as several are members of the association.

Please answer the following questions in full truthfulness. Note that they apply to your activities in any country, not just Canada, and not just in British Columbia. Note that if the officers of the association discover that your answers are not true, you will be suspended automatically from the association.

 

 

 

Circle One

 

Have you ever been a member of a youth gang or street gang?

 

YES

 

NO

 

Have you ever been a member of an “outlaw” motorcycle gang?

 

YES

 

NO

 

Have you ever belonged to a criminal organisation?

 

YES

 

NO

 

Have you ever been charged with or convicted of a criminal offence?

 

YES

 

NO

 

Have you ever been charged with or convicted of a crime of violence?

 

YES

 

NO

 

 

Name:

 

Birth Date:

 

Address:

 

 

 

 

 

Phone Number:

 

I attest that the information provided is true and complete, and that I have not concealed anything from the officers of the association. Failure to complete will result in suspension from the association.

WE RESERVE THE RIGHT TO REJECT ANY APPLICANT

 

 

Signature:

 

 

 

Date:

 

Signature of Parent (if under 18):