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Returning Black Belt Registration Form
for the winter/spring 2026 session

(Tuesday 3 February - Thursday 28 May)

This form is only for Black Belts who are attending/have attended one or more sessions.  One form per Black Belt.  
 

     Submission Deadline 
    Friday 16 January 2026
SELECT ONE OPTION:
DID YOU CHANGE ADDRESS, PHONE NUMBER, E-MAIL, MEDICAL CONDITIONS/ALLERGIES OR EMERGENCY CONTACTS SINCE THE LAST SESSION?
WHICH DAYS/CLASSES ARE YOU AVAILABLE TO TEACH?
WILL YOU BE AWAY DURING THE SESSION?
DO YOU NEED A NEW UNIFORM (DOGI)?

ANNUAL JAPAN BLACK BELT DUES

In February, all Shorei-Kan Canada Karate Association Black Belts are required to pay the annual (calendar year) Shorei-Kan Japan Black Belt dues ($50.00 for 15 years old and under, $100.00 for 16+ years old) to maintain their certification.  In appreciation for the invaluable contributions of the Black Belts to our Dojo, the Dojo covers the annual Japan Black Belt dues.  This is with the understanding that Black Belts will attend classes (both sessions) on a regular basis and serve as instructors.  Black Belts who are unable to attend classes on a regular basis, can voluntarily reimburse the Dojo in full or in part at the end of the calendar year.  See the Shuswap Dojo Being a Black Belt document  for more information.
 

Thanks for your submission. You will receive a confirmation e-mail shortly.

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