KOKORO - NO - KAI
MEMBERSHIP APPLICATION FORM
Please Tick or complete in BLOCK CAPITALS and return it with the appropriate fee.
New member: Membership no..............(Office use)
Renewal: Membership no..............(Please fill in)
Title: .........................................................
Surname: .........................................................
First name(s): .........................................................
Home address: .........................................................
.........................................................
.........................................................
Postcode: .........................................................
Date of birth: .........................................................
Home telephone no: .........................................................
Work/Day/Mobile telephone no:........................................
Email address: .........................................................
Club/Instructor: .........................................................
Job nature ........................................................
How did you hear about us?:............................................
.............................................
Signed: .........................................................
(Parent/Guardian if under 18)
Today’s date: ................/.................../....................
Office use only: Today’s date: ........./............/..........
Membership expiry date for renewals:
......../............/...........
Amount paid: £...............................
Payment: Cash?..........Cheque?............
Adult: Waged?..........Unwaged?...........
Junior? .............................................
Family m/ship? .................................
 
Card: Issued ........./............/..........
Expires ......../............./..........

Signed .............................................

Membership Fees
Waged Adult:
£35 per year
Unwaged Adult:
£30 per year
Family membership 
£65.00 per year
(2 adults and  unlimited juniors within a nuclear family)
Pls. complete form for each one. 

Under 16s:
£20 per year
Senior Citizens:
Free membership

Please note:

All memberships renewed within 2 weeks of renewal date will qualify for a reduction of £5


Cheques made payable to:
Reiyukai Centre


Welcome to The Kokoro - no -Kai Centre. This m/ship also gives you optional m/ship of the Kokoro - no - Kai lay-Buddhist group that sponsors this centre. There is no incurred obligation.
Please treat the facilities, the staff and your fellow-members with respect. Report any damage or malfunction of equipment so we can put things right promptly.
Enquiries and suggestions are always welcome. Please try and approach your chosen activities here with a positive and sincere attitude. As a member you are covered by our public liability insurance. Please be aware that most instructors here carry there own insurance but you train here at your own risk.
NB.Your m/ship cannot be refunded should you cease to train.
Your membership card will be held at the bar awaiting to be collected.