Atlanta Bujinkan Dojo
Training Application Questionnaire   

Name:   
Address:    
City:                     
State:                
Zip/Postal code:
Phone Number(s):
E-mail:  
Age:   
 
How did you hear about the Bujinkan?
 
How did you hear about our school?
 
What is your interest in the art?
 
Have you trained before in this or another art(s)? 
If so, please specify. (time period studied, teacher(s), any ranks awarded)
 
What do you hope to get out of the training?
 
What skills/experience/etc. would you add or bring to the group?
 
Do you have any physical, mental or medical conditions, injuries or limitations?
If so, please specify.
 
Do you have any military/law enforcement/EP or related experience or background? 
If so, please specify.
 
Tell us something about yourself.
(what do you do for a living, do you have a family, etc.)
 
What hobbies/interests/activities do you participate in?
 
Please tell us anything else that may be of importance.
 
Would you like to be included on our mailing list to be notified of upcoming seminars?
(Yes/No)
 

Thank you for your interest in the Atlanta Bujinkan Dojo!